A comparison of home-based exercise programs with and without self-manual therapy in individuals with knee osteoarthritis in community.
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| Abstract | OBJECTIVE: The present study aimed to compare the effectiveness of the treatment programs of home-based exercise with and without self-manual therapy in individuals with knee osteoarthritis (knee OA) in community. MATERIAL AND METHOD: Forty-three participants with knee OA were randomly assigned in groups. All participants received the same home-based exercise program with or without self-manual therapy over 12 weeks. Outcome measures were pain intensity, range of motions, six-minute walk test distance, the knee injury and osteoarthritis outcome score (KOOS), short-form 36 (SF-36) and satisfaction. RESULTS: The results showed that the self-manual therapy program significantly decreased pain at 4 weeks, increased flexion and extension at 4 and 12 weeks, and improved the KOOS in pain item and SF-36 in physical function and mental health items. The home-based exercise group showed significant increase of the six-minute walk distance at 4 and 12 weeks, improvements in the KOOS in pain and symptom items and SF-36 in the physical function and role-emotional items. CONCLUSION: Overall, the results favored a combination of self-manual therapy and home-based exercise for patients with knee OA, which apparently showed superior benefits in decreasing pain and improving active knee range of motions.
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| Authors | Kornkamon Cheawthamai, Mantana Vongsirinavarat, Vimonwan Hiengkaew, Sasithorn Saengrueangrob |
| Journal | Journal of the Medical Association of Thailand = Chotmaihet thangphaet (J Med Assoc Thai) Vol. 97 Suppl 7 Pg. S95-100 (Jul 2014) ISSN: 0125-2208 [Print] Thailand |
| PMID | 25141536 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial) |
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