Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Proposed Protocol for the Physiotherapy Management of Osteoarthritis


Affiliations
1 Musculoskeletal & Hand Rehabilitation, India
2 Department of Physiotherapy, India
3 Musculoskeletal & Sports Physiotherapy, Department of Physiotherapy, Father Muller Medical College, Mangalore, India
     

   Subscribe/Renew Journal


Osteoarthritis is one of the commonest problem leads to severe impairments and disability. Physiotherapy plays a major role in the rehabilitation of patients with Osteo arthritis. In this current era of Evidence based practice it is important to have preset protocol to improve the effectiveness of the treatment. This article is a proposed protocol for the management of Osteoarthritis knee.

Keywords

Osteo arthritis knee, Rehabilitation, Physiotherapy
Subscription Login to verify subscription
User
Notifications
Font Size


  • Aitkens S, Lord J, Bernauer E, Fowler WM, Lebeirman JS, Berck P. Relationship of manual muscle testing to objective strength measurement. Muscle Nerve, 1989; 12:173-177.

  • BD Jackson, AE Wluka 1, AJ Teichtahl, ME Morris & FM Cicuttini. Reviewing knee osteoarthritis - a biomechanical perspective, J Sci Med Sport 2004;7:3:347-357.

  • Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to anti rheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol,1988; 15:1833-40

  • Brosseau L, Yonge K A. Thermotherapy for the treatment of osteoarthritis. Cochrane database of systematic reviews,2003;(4)CD004522

  • Brosseau L, MacLeay L, Robinson VA, Tugwell P, Wells G. Intensity of exercise for the treatment of osteoarthritis (Review). Cochrane Database of Systematic Reviews 2003, Issue 2. Art. No: CD004259

  • C. A. Thorstensson Ph.D.yz, M. Henriksson Ph.D.x, A. von Porat M.Sc.k, C. Sjo¨ dahl Ph.D.K and E. M. Roos Ph.D. The effect of eight weeks of exercise on knee adduction moment in early knee osteoarthritis a pilot study. Osteoarthritis and Cartilage ,2007;15: 1163-1170

  • Frances M K Williams, Tim D Spector: Osteoarthritis. Osteoarthritis, 2006.

  • Fransen M, McConnell S, Bell M. Exercise for osteoarthritis of the hip or knee (Review) Cochrane Database of Systematic Reviews 2001, Issue 2. Art. No: CD004376

  • Gail D Deyle, Stephen C Allison, Robert L Matekel, Michael G Ryder, John M Stang. Physical Therapy Treatment Effectiveness for Osteoarthritis of the Knee. A Randomized Comparison of Supervised Clinical Exercise and Manual Therapy Procedures versus a Home Exercise Program. Phys Ther. 2005; 85:1301- 1317.

  • Gajdosik RL, Bohannon RW. Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. Phys Ther, 1987; 67(12):1867- 1872

  • Gro Jamtvedt, Kristin Thuve Dahm, Anne Christie, Rikke H Moe, Espen Haavardsholm, Inger Holm, Kåre B Hagen. Physical Therapy Interventions for Patients with Osteoarthritis of the Knee: An Overview of Systematic Reviews. 2008 American Physical Therapy Association

  • Janie L. Astephena, Kevin J. Deluziob, Graham E. Caldwell, Michael J. Dunbard, and Cheryl L. Hubley- Kozeya. Gait and neuromuscular pattern changes are associated with differences in knee osteoarthritis severity levels. Journal of Biomechanics, 2008;41:868–87

  • Karen W Hayes, Cheryl Petersen, Judith Falconer. An examination of Cyriax’s passive motion tests with patients having Osteoarthritis of the Knee. Physical Therapy, 1994; 74:Number 8: 697

  • Katherine S Rudolph, Laura C Schmitt, Michael D Lewek. Age-Related Changes in Strength, Joint Laxity and Walking Patterns: Are They Related to Knee Osteoarthritis? Physical Therapy, November 2007; 87: 11

  • Kenton R. Kaufmana, Christine Hughesa, Bernard F. Morreya, Michael Morreyb, and Kai-Nan Ana. Gait characteristics of patients with knee osteoarthritis. Journal of Biomechanics. 2001;34:907–915

  • Laurence Wood, George Peat, Elaine Thomas, Elaine M Hay, Julius Sim. Associations between Physical Examination and Self-Reported Physical Function in Older Community-Dwelling Adults with Knee Pain.

  • Martijn P M, Joost Dekker, Margriet E van Baar, Rob A B and Johannes W J. Muscle strength, Pain and disability in patients with osteoarthritis. Clin Rehabil 2001; 15: 331

  • Meika A Fang, Connie E Taylor MD, Aksone Nouvong. Effects of footwear on medial compartment knee osteoarthritis. JRRD ,43; 4 :427-434

  • Mei-Hwa Jan, Huei-Ming Chai, Chung-Li Wang, Yeong- Fwu Lin, Li-Ying Tsai. Effects of Repetitive Shortwave Diathermy for Reducing Synovitis in Patients with Knee Osteoarthritis: An Ultrasonographic Study. Phys Ther. 2006; 86:236 –244

  • Mei-Hwa Jan, Jiu-Jeng Lin, Jiann-Jong Liau, Yeong- Fwu Lin, Da-Hon Lin. Investigation of Clinical Effects of High- and Low-Resistance Training for Patients with Knee Osteoarthritis: A Randomized Controlled Trial. Physical Therapy, 2008;88(4):427-436

  • Michael C. Nevitt PhD. Osteoarthritis: Epidemiology. Best Practice & Research Clinical Rheumatology. 2006; 1: 3–25

  • Monica R Maly, Patrick A Costigan, Sandra J Olney. Contribution of Psychosocial and Mechanical Variables to Physical Performance Measures in Knee Osteoarthritis Phys Ther. 2005; 85:1318–1328

  • Naija shakoor. A biomechanical approach to musculoskeletal disease. Best Practice & Research Clinical Rheumatology,2004;18(2):173–186

  • Nicholas JA, Strizak AM, Veras G. A Study of thigh muscle weakness in different in pathological states of lower extremity. Am journal of sports Med, 1976; 4:241.

  • Sheila C O’Reilly, Adrian Jones, Ken R Muir and Michael Doherty. Quadriceps weakness in knee osteoarthritis: the effect on pain and disability. Ann Rheum Dis 1998;57;588-594

  • Sisto SA, Malanga G. Osteoarthritis and therapeutic exercise. American journal of Physical Medicine Rehabilitation 2006 ;85:s69-s78

  • Stéphane Poitras1, Jérôme Avouac, Michel Rossigno, Bernard Avouac. A critical appraisal of guidelines for the management of knee osteoarthritis using Appraisal of Guidelines Research and Evaluation criteria. Arthritis Research & Therapy 2007, 9:R126

  • Robin Christensen, Else Marie Bartels, Arne Astrup and Henning Bliddal. Effect of weight reduction in obese patients diagnosed with knee osteoarthritis: a systematic review and meta-analysis Ann Rheum Dis, 2007; 66: 433-439

  • Watkins MA, Riddle DL, Lamb RL, Personius WJ. Reliabity of goniometric measurements and visual estimates of knee range of motion obtained in a clinical setting. Phys ther1991, 71:90-91.

  • W. Zhang Ph.D., R. W. Moskowitz M.D., G. Nuki M.B., and F.R.C.P., S. Abramson M.D. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis and Cartilage; 2008 16:137-162


Abstract Views: 490

PDF Views: 0




  • A Proposed Protocol for the Physiotherapy Management of Osteoarthritis

Abstract Views: 490  |  PDF Views: 0

Authors

Kavitha Vishal
Musculoskeletal & Hand Rehabilitation, India
S. Narasimman
Department of Physiotherapy, India
M. Nagarajan
Musculoskeletal & Sports Physiotherapy, Department of Physiotherapy, Father Muller Medical College, Mangalore, India

Abstract


Osteoarthritis is one of the commonest problem leads to severe impairments and disability. Physiotherapy plays a major role in the rehabilitation of patients with Osteo arthritis. In this current era of Evidence based practice it is important to have preset protocol to improve the effectiveness of the treatment. This article is a proposed protocol for the management of Osteoarthritis knee.

Keywords


Osteo arthritis knee, Rehabilitation, Physiotherapy

References