Physiotherapy Interventions in Managing Knee Osteoarthritis

Authors

  • Ahmed Mater Mana Alotaibi
  • Khawlah Naif Khaled Alanazi
  • Alanazi, Alya Naif A
  • Alanazi, Alya Naif A
  • Altamimi, Sadaa Zaid J
  • Alshammari, Norah Fadhul M
  • Noura Slehem Alenezi
  • Alhanouf Abdoulaziz Alrekad

DOI:

https://doi.org/10.22399/ijcesen.4095

Keywords:

Knee osteoarthritis, physiotherapy, therapeutic exercises, manual therapy, joint mobilization

Abstract

Knee osteoarthritis (OA) is a degenerative joint disease characterized by the breakdown of cartilage, leading to pain, stiffness, and reduced mobility. Physiotherapy plays a crucial role in managing the symptoms and functional limitations associated with knee OA. Core interventions typically include therapeutic exercises, manual therapy, and education. Therapeutic exercises focus on strengthening the muscles around the knee and improving flexibility, which can help alleviate pain and enhance function. Manual therapy techniques, such as joint mobilization, can improve range of motion and reduce stiffness. Additionally, physiotherapists work with patients to develop individualized management plans that include education on self-management techniques, ergonomic adjustments, and activity modification to prevent exacerbation of symptoms. Incorporating modalities such as hot/cold therapy, ultrasound, or electrical stimulation may also be beneficial in managing knee OA symptoms. The use of assistive devices, such as knee braces or orthotics, can further support the knee joint and promote better alignment during activity. Furthermore, physiotherapy interventions aim to empower patients by providing strategies for long-term management of their condition, thus improving their quality of life. Evidence suggests that a combination of these physiotherapy strategies can effectively reduce pain and improve functional outcomes in individuals suffering from knee osteoarthritis, making them integral to comprehensive treatment programs.

References

1. Yue L, Berman J. What is osteoarthritis? JAMA. 2022;327:1300.

2. Vincent TL, Alliston T, Kapoor M, Loeser RF, Troeberg L, Little CB. Osteoarthritis pathophysiology: therapeutic target discovery may require a multifaceted approach. Clin Geriatr Med. 2022;38:193–219.

3. Zampogna B, Papalia R, Papalia GF, et al. The role of physical activity as conservative treatment for hip and knee osteoarthritis in older people: a systematic review and meta-analysis. J Clin Med. 2020;9:1167.

4. Huang L, Guo B, Xu F, Zhao J. Effects of quadriceps functional exercise with isometric contraction in the treatment of knee osteoarthritis. Int J Rheum Dis. 2018;21:952–959.

5. Griffin TM, Scanzello CR. Innate inflammation and synovial macrophages in osteoarthritis pathophysiology. Clin Exp Rheumatol. 2019;37:57–63.

6. Wang S, Chan PP, Lam BM, et al. Sensor-based gait retraining lowers knee adduction moment and improves symptoms in patients with knee osteoarthritis: a randomized controlled trial. Sensors (Basel) 2021;21:5596.

7. Foucher KC, Pater ML, Grabiner MD. Task-specific perturbation training improves the recovery stepping responses by women with knee osteoarthritis following laboratory-induced trips. J Orthop Res. 2020;38:663–669.

8. Jang S, Lee K, Ju JH. Recent updates of diagnosis, pathophysiology, and treatment on osteoarthritis of the knee. Int J Mol Sci. 2021;22:2619.

9. Luan L, El-Ansary D, Adams R, Wu S, Han J. Knee osteoarthritis pain and stretching exercises: a systematic review and meta-analysis. Physiotherapy. 2022;114:16–29.

10. Hunter DJ, Zhang Y, Niu J, et al. Structural factors associated with malalignment in knee osteoarthritis: the Boston osteoarthritis knee study. J Rheumatol. 2005;32:2192–2199.

11. Ko NY, Chang CN, Cheng CH, Yu HK, Hu GC. Comparative effectiveness of focused extracorporeal versus radial extracorporeal shockwave therapy for knee osteoarthritis-randomized controlled study. Int J Environ Res Public Health. 2022;19:9001.

12. Sedaghatnezhad P, Shams M, Karimi N, Rahnama L. Uphill treadmill walking plus physical therapy versus physical therapy alone in the management of individuals with knee osteoarthritis: a randomized clinical trial. Disabil Rehabil. 2021;43:2541–2549.

13. Coaccioli S, Sarzi-Puttini P, Zis P, Rinonapoli G, Varrassi G. Osteoarthritis: new insight on its pathophysiology. J Clin Med. 2022;11:6013.

14. Garbi FP, Rocha Júnior PR, Pontes ND, Oliveira AD, Barduzzi GD, Boas PJ. Aquatic physiotherapy in the functional capacity of elderly with knee osteoarthritis. Fisioter Em Mov. 2021;34:0.

15. Mahalle AP, Walke R. Interferential therapy and strengthening exercises in management of knee osteoarthritis. J Pharm Negat Results. 2022;13:2856–2859.

16. Harper SA, Roberts LM, Layne AS, et al. Blood-flow restriction resistance exercise for older adults with knee osteoarthritis: a pilot randomized clinical trial. J Clin Med. 2019;8:265.

17. Felson DT, Gross KD, Nevitt MC, et al. The effects of impaired joint position sense on the development and progression of pain and structural damage in knee osteoarthritis. Arthritis Rheum. 2009;61:1070–1076.

18. Altman R, Asch E, Bloch D, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and therapeutic criteria Committee of the American Rheumatism Association. Arthritis Rheum. 1986;29:1039–1049.

19. Meenakshi C, Apparao P, Chaturvedi A, Mounika RG, Swamy G, Chintada GS. Comparison of pilates exercises and closed kinematic chain exercises on pain, muscle strength and functional performance in subjects with knee osteoarthritis. J Physiother. 2021;5:1–6.

20. Saeed HH, Atif MM, Afzal F, Hussain S, Umer MI, Rasul A. Eccentric versus concentric isotonic resistance training of quadriceps muscles for treatment of knee osteoarthritis. Rawal Med J. 2021;46:52–55.

21. Trojani MC, Chorin F, Gerus P, et al. Concentric or eccentric physical activity for patients with symptomatic osteoarthritis of the knee: a randomized prospective study. Ther Adv Musculoskelet Dis. 2022;14:1759720.

22. Kamsan SS, Singh DK, Tan MP, Kumar S. The knowledge and self-management educational needs of older adults with knee osteoarthritis: a qualitative study. PLoS One. 2020;15:0.

23. Assar S, Gandomi F, Mozafari M, Sohaili F. The effect of Total resistance exercise vs. aquatic training on self-reported knee instability, pain, and stiffness in women with knee osteoarthritis: a randomized controlled trial. BMC Sports Sci Med Rehabil. 2020;12:27.

24. Rutherford DJ, Hubley-Kozey CL, Stanish WD. Changes in knee joint muscle activation patterns during walking associated with increased structural severity in knee osteoarthritis. J Electromyogr Kinesiol. 2013;23:704–711.

25. Jahanjoo F, Eftekharsadat B, Bihamta A, Babaei-Ghazani A. Efficacy of balance training in combination with physical therapy in rehabilitation of knee osteoarthritis: a randomized clinical trial. Crescent J Med Biol Sci. 2019;6:325–334.

26. Anam T, Kalita A, Kalita A, Datta A. Comparative study between kinesiotaping versus muscle energy technique in patients with knee osteoarthritis: life sciences - physiotherapy. Int J Life Sci Pharma Res. 2023;1:61–75.

27. Witwit R, Shadmehr A, Mir SM, Fereydounnia S, Jalaei S. Comparison of non-thrust manipulation vs muscle energy techniques in management of patients with knee osteoarthritis: a randomized clinical trial. Neuroquantology. 2022;20:6843–6859.

28. Masekar MB, Rayjade A, Yadav T, Chotai K. Effectiveness of muscle energy technique and proprioceptive neuromuscular facilitation in knee osteoarthritis: life sciences-physiotherapy for better pain management. Int J Pharma Bio Sci. 2021;11:16–22.

29. Oğuz R, Belviranlı M, Okudan N. Effects of exercise training alone and in combination With kinesio taping on pain, functionality, and biomarkers related to the cartilage metabolism in knee osteoarthritis. Cartilage. 2021;13:1791–1800.

30. Abdel-Aziem AA, Soliman ES, Mosaad DM, Draz AH. Effect of a physiotherapy rehabilitation program on knee osteoarthritis in patients with different pain intensities. J Phys Ther Sci. 2018;30:307–312.

31. Fokmare PS Jr, Phansopkar P. A review on osteoarthritis knee management via contrast bath therapy and physical therapy. Cureus. 2022;14:0.

32. Steinmetz JD, Culbreth GT, Haile LM, et al. Global, regional, and national burden of osteoarthritis, 1990-2020 and projections to 2050: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023;5:0–22.

33. Cui A, Li H, Wang D, Zhong J, Chen Y, Lu H. Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine. 2020;29-30:100587.

34. Varzaityte L, Kubilius R, Rapoliene L, Bartuseviciute R, Balcius A, Ramanauskas K, Nedzelskiene I. The effect of balneotherapy and peloid therapy on changes in the functional state of patients with knee joint osteoarthritis: a randomized, controlled, single-blind pilot study. Int J Biometeorol. 2020;64:955–964.

35. Thati S. Gender differences in osteoarthritis of knee: an Indian perspective. J Midlife Health. 2021;12:16–20.

Downloads

Published

2024-07-30

How to Cite

Ahmed Mater Mana Alotaibi, Khawlah Naif Khaled Alanazi, Alanazi, Alya Naif A, Alanazi, Alya Naif A, Altamimi, Sadaa Zaid J, Alshammari, Norah Fadhul M, … Alhanouf Abdoulaziz Alrekad. (2024). Physiotherapy Interventions in Managing Knee Osteoarthritis. International Journal of Computational and Experimental Science and Engineering, 10(4). https://doi.org/10.22399/ijcesen.4095

Issue

Section

Research Article