Frequency of physical therapy in knee osteoarthritis: a randomized controlled trial

Year 2019, Volume: 5 Issue: 5, 781 - 786, 04.09.2019

Sadiye Murat , Yasemin Yumuşakhuylu , Zeliha Gençoğlu Afitap İçağasıoğlu Nur Kesiktaş , Turgay Altınbilek

https://doi.org/10.18621/eurj.420854

Abstract

Objectives:
This
study is conducted to compare the three different frequency of the physical
therapy application for knee osteoarthritis in female patients.

Methods: Consecutive
89 female patients with knee osteoarthritis were randomized into three groups
of physical therapy as twice-daily, once-a-day and alternate day, by
computerized random number generator. We used Visual Analog Scale (VAS); to
determine pain level, Western Ontario McMaster Osteoarthritis Index (WOMAC); to
determine osteoarthritis (OA) severity, 10-meter walking test (WD); to
determine walking speed and Short Form (SF-36) questionnaire; to determine the
quality of life. All groups received a total of 10 physical therapy sessions
including hot pack, therapeutic ultrasound (US) and transcutaneous electrical
nerve stimulation (TENS). We evaluated subjects at the beginning, at the end of
treatment and at the third month control at post-treatment period.

Results: Improvement
was observed in all groups after treatment (p
< 0.05). While there was no significant difference in once-a-day treatment
group at 3^rd month control (p
> 0.05), alternate day group showed a significant improvement (p < 0.05).

Conclusions: In
the treatment of knee osteoarthritis, usually once-a-day physical therapy
approach is preferred in daily practice. Alternatively twice a day or alternate
day therapies can be applicable. 

Keywords

Knee osteoartritis, physical theraphy agents, frequency of treatment

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