Comparative analysis of different physical therapy programs in the treatment of people with knee osteoarthritis

Authors

  • Bakir Katana Department of Physiotherapy, Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzgovina
  • Amra Mačak Hadžiomerović Department of Physiotherapy, Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzgovina
  • Eldad Kaljić Department of Physiotherapy, Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzgovina https://orcid.org/0000-0001-8020-1029
  • Adnan Mujezinović Department of Anatomy and Histology, Medical Faculty, University of Zenica, Zenica, Bosnia and Herzegovina https://orcid.org/0000-0001-9573-504X
  • Sead Kojić Department for Physical Therapy, Public Health Institution “Health Center of Kanton Sarajevo”, Sarajevo, Bosnia and Herzegovina
  • Bojana Stanišić Clinic for Treatment, Health Care and Rehabilitation “Master Physical”, Istočno Sarajevo, Bosnia and Herzegovina https://orcid.org/0009-0005-3269-5438
  • Jasmina Bajrović Radiology clinic, Clinical center of Sarajevo University, Sarajevo, Bosnia and Herzegovina
  • Marcela Míková 6Department of Physiotherapy, Institute of Physiotherapy and Selected Medical Disciplines, Faculty of Health and Social Sciences, University of South of Bohemia , České Budějovice, Czech Republic https://orcid.org/0000-0002-0637-5837
  • Ademir Spahić Center for Educational and Scientific Research Activities, Public Health Institution “Health Center of Kanton Sarajevo”, Sarajevo, Bosnia and Herzegovina
  • Samir Bojičić Department of Physiotherapy, Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzgovina

DOI:

https://doi.org/10.17532/jhsci.2023.2133

Keywords:

Osteoarthritis, knee joint, high induction electromagnetic stimulation, high intensity laser therapy

Abstract

Introduction: Knee osteoarthritis (OA) develops gradually and causes pain, a decrease in range of motion, muscle mass, and strength and leads to a decrease in physical activity and a poor quality of life for the patient. The aim of this study was to investigate the effects of different physiotherapy programs on pain intensity, range of motion, and quality of life in people with knee OA.

Methods: The study was designed as a prospective, experimental, and randomized trial. Sixty subjects of both sexes and all ages with OA of the knee were enrolled in the study. In the studied Group I (n = 30), in addition to the standard protocol, high induction electromagnetic stimulation was applied using a Salus Talent device with a strength of 3 T and a frequency of up to 50 Hz for 10 min. In the test Group II (n = 30), in addition to the standard protocol, high-intensity laser therapy (HILT) with a power of 5 J was applied with the help of the Ilux Yag 1064 device for 7 min. The therapy protocol for both test groups lasted 8 weeks, with subjects treated once a week.

Results: Analysis of the mean scores on the VAS scale shows that in both groups, the lowest mean scores were recorded in the III measurement (4.35) and the highest in the I measurement (7.96). In all three measurements, there was a difference in the extent of mobility of internal rotation in the form of a higher average range of motion in the test group II, in which HILT was applied. Analysis of the mean scores on the knee injury and osteoarthritis outcome score quality of life scale showed that in both groups, the lowest mean scores were recorded at the first measurement (14.84), with the mean score increasing at the second (32.95) and third measurements (41.08).

Conclusion: Both methods showed significant results in reducing pain intensity, improving knee mobility, activities of daily living, and quality of life in people with knee OA. The obtained data do not give preference to any method but indicate them as adequate physiotherapy protocols to improve the function and quality of life of people with knee OA.


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Published

30.09.2023

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Research articles

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How to Cite

1.
Comparative analysis of different physical therapy programs in the treatment of people with knee osteoarthritis. JHSCI [Internet]. 2023 Sep. 30 [cited 2024 May 24];13(2):69-76. Available from: https://www.jhsci.ba/ojs/index.php/jhsci/article/view/2133