Tag: gonarthrosis

An evaluation of the effectiveness of two different thermal therapy procedures in the rehabilitation of patients with degenerative changes in the knee joint

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Jolanta Jaworek, Daniela Mosurska

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Jolanta Jaworek, Daniela Mosurska – An evaluation of the effectiveness of two different thermal therapy procedures in the rehabilitation of patients with degenerative changes in the knee joint. Fizjoterapia Polska 2004; 4(2); 157-162

Abstract

Background. The aim of our research was to evaluate and compare the analgesic effectiveness of thermal therapy in conjunction with magnetotherapy and active exercises without weight load to improve the functional efficiency of the knee joint with degenerative changes. Material and methods. The level of pain, range of movement, and strength of muscle groups in the knee joint were tested before and after rehabilitation in 48 patients, divided randomly into two groups of 24 people. Results. In both groups there was a reduction in the average level of reported pain, and in the flexion deficit in the knee joint. No changes were noted in the increase of average muscle strength in the flexors and extensors of the knee. Conclusions. In respect to analgesic action and improvement of function in a knee with degnerative changes, a rehabilitation program that includes local cryotherapy proved to be more effective that a program using Sollux lamp irradiation.

Key words:
gonarthrosis, pain, magnetotherapy, cryotherapy
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Analysis of selected factors affecting rest pain in knee joint osteoarthritis

Beata Olesiak, Agnieszka Przedborska

Beata Olesiak, Agnieszka Przedborska – Analysis of selected factors affecting rest pain in knee joint osteoarthritis. Fizjoterapia Polska 2021; 21(2); 206-214

Abstract
Introduction. Knee pain is a clinical sign of osteoarthritis and an ongoing inflammatory process in the joint. Aim of the thesis. The purpose of this study was to evaluate the effect of BMI and degradative changes in patellofemoral joint cartilage on the level of knee pain at rest. Material and methods. The study group consisted of 150 patients with patellofemoral joint cartilage lesions. The classification of cartilage degradation according to Outerdridge was done by ultrasound. The level of pain at rest was assessed according to the VAS scale. The data was collected with usage of a self-made study protocol. Results. There was no statistically significant correlation between BMI and VAS pain complaints (rho = 0.099, p = 0.228). There was also no statistically significant correlation between degradative changes in the cartilage of the patellofemoral joint and the level of pain on the VAS scale (rho = 0.076, p = 0.353). Conclusions. BMI does not affect the severity of knee joint pain at rest. The extent of cartilage wear in the patellofemoral joint does not correlate with knee pain during physical inactivity.
Key words:
rest pain, femoropatellar joint, gonarthrosis, knee joint, Body Masse Index (BMI)
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The evaluation of the effectiveness of a cryotherapy treatment in patients with gonarthrosis

Kamila Wieczorek

Kamila Wieczorek – The evaluation of the effectiveness of a cryotherapy treatment in patients with gonarthrosis. Fizjoterapia Polska 2021; 21(2); 144-153

Abstract
The purpose of the study. The purpose of this study is to describe the results of the research on the patients’ evaluation regarding complaints and difficulties in their daily life, as well as on the assessment of their general health condition in terms of the rehabilitation of gonarthrosis before and after physiotherapy treatments, with and without the use of cryotherapy. Materials and methods. The research was carried out with the use of a survey questionnaire on a group of 40 patients. Each patient experienced osteoarthritis in at least one knee joint. The questionnaire consisted of questions related to the type of complaints and functioning difficulties in patients with gonarthrosis before and after rehabilitation, and to the type of performed treatments with emphasis put on cryotherapy and the assessment of general health improvement in patients after rehabilitation. Conclusions. According to the patients participating in the research, the improvement in rehabilitation of gonarthrosis with cryotherapy treatments is not greater than with other physiotherapy treatments.
Key words:
Cryotherapy, cold therapy, gonarthrosis
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Assessment of the effectiveness of local cryotherapy in treatment of gonarthrosis

Joanna Fidut-Wrońska, Robert Latosiewicz, Karolina Janikowska, Krzysztof Sokołowski

Joanna Fidut-Wrońska, Robert Latosiewicz, Karolina Janikowska, Krzysztof Sokołowski – Assessment of the effectiveness of local cryotherapy in treatment of gonarthrosis. Fizjoterapia Polska 2012; 12(3); 241-250

Abstract
The purpose of the study was to compare the effect of cryotherapy combined with other physical therapy methods. The study group consisted of 50 patients with gonarthrosis, treated by means of local cryotherapy and other physical therapy methods. The control group included 38 matched patients with gonarthrosis, treated with the same physical therapy methods, but without cryotherapy. Evaluation methods were based on the authors` tailored questionnaire, VAS scale and WOMAC questionnaire. The physical examination consisted of the measurements of body height and weight, the range of motion (ROM) in the knee joints and knee circumference and a series of functional tests. The results indicate that ROM of the knee joints increased by 11.3° in the study group and by 3.1° in the control group. The circumference was reduced by 1.1 cm in study group and by 0.4 cm in control group. The value of WOMAC index was diminished by 17.3% in the study group and by 11.9% in control group. After the treatment, the study group covered 8.7 stairs more during ascending and 9.2 more during descending whereas the control group covered 3.9 and 4.3 stairs respectively. Similarly, after the treatment patients from the study group did 5.5 squats more compared to 1.7 squats performed by the control group subjects. Cryotherapy combined with other physical therapy methods in treatment of gonarthrosis has better effects than application of physical therapy methods only, without cryotherapy.
Key words:
arthrosis, physical therapy, gonarthrosis, Cryotherapy
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膝关节骨性关节炎的点激光治疗疗效评估

Paulina Kozieł, Marek Kiljański

P. Kozieł, M. Kiljański – Assessment of the effectiveness of local laser therapy in treatment of gonarthrosis. Work on habits. Fizjoterapia Polska 2018; 18(4); 26-33

摘要
前言。膝关节骨性关节炎为运动器官疾病中最常见的疾病之一，其特征不仅在于关节软骨的破坏，也包括软骨下骨层、滑膜、关节囊及关节周围结构的变化，对日常活动中至关重要的关节解剖结构造成损害。点激光治疗为用于对抗膝关节骨性关节炎的治疗方法之一，该治疗具有抗炎、镇痛及抗肿胀的作用。该研究目的在评估点激光对膝关节骨性关节炎患者的疗效、对活动范围和疼痛的影响。
材料和方法。共有50名膝关节骨性关节炎患者参与研究，他们被分为对照组及研究组，每组各25人。包含19名女性及6名男性的对照组接受三种理疗，包括：低温疗法、磁疗及低频治疗仪电流。包含19名女性及6名男性的研究组另外接受点激光刺激，所有人均接受10次的系列疗程，从星期一至星期五，持续两周。系列治疗进行前后由患者匿名填写问卷，其中包括VAS疼痛程度、膝关节矢状面的弯曲活动范围测量及膝关节周长的线性测量等。
结果。对接受研究的两组所获得的结果进行统计分析，治疗后的第一组及第二组与治疗前相较，膝关节活动范围得到改善，膝关节周长减少且以VAS量表所测量的疼痛程度降低。另外接受点激光治疗的组在活动范围上有所改善且膝关节周长减少。
结论。点激光治疗为膝关节骨性关节炎治疗的有效方法，无论是在对照组或研究组中，疼痛均获减轻，然而对照组中的程度更大，差异具统计学意义。两组中均观察到膝关节活动的改善，而研究组的改善程度较大，差异具统计学意义。无论是在对照组或研究组中膝关节周长均减少，研究组中减少的程度较大，差异具统计学意义。

关键词：
膝关节骨性关节炎、点激光治疗

 

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The therapeutic effect of local cryotherapy operation on the knee, joint depending on the type of diagnosis of osteoarthritis

Łukasz Kopacz,  Anna Lubkowska, Iwona Bryczkowska,
Danuta Lietz-Kijak, Zbigniew Śliwiński

Ł. Kopacz,  A. Lubkowska, I. Bryczkowska, D. Lietz-Kijak, Z. Śliwiński – The therapeutic effect of local cryotherapy operation on the knee, joint depending on the type of diagnosis of osteoarthritis. FP 2015; 15(1); 6-14

Abstract

Introduction. The aim of the study was to evaluate the effect of local cryotherapy treatment for range of motion in the knee joint in patients with osteoarthritis. In addition, analyzed potential changes in symptoms of pain patients.
Material and method. The study group consisted of 50 of the patients. The study involved 39 women and 11 men. Patients were subjected to 10 daily treatments local cryotherapy on the area of the knee. Before treatment was collected interview regarding comorbidities and examined pain according to VAS. In all patients performed to measure of range of motion in the knee joint using a goniometer. It was made before and after treatment.
Results. Considering the range of flexion in the knee joint in both groups, both diagnosed with osteoarthritis of the knee and polyarticular osteoarthritis, after a series of local cryotherapy treatments became significant improvement, while the range of motion in the knee extension improved more in the group diagnosed with polyarticular osteoarthritis.
In assessing the two groups studied, both in the group with a diagnosis of osteoarthritis of the knee, as well as polyarticular osteoarthritis, and made a series of treatments local cryotherapy declared value level of pain on the VAS decreased. Considering the improvement by gender, it can be concluded that in women with a diagnosis of osteoarthritis of the knee improvement was much greater.
Conclusion. Local cryotherapy is a beneficial effect on the range of motion in the knee joint and reduction of pain in patients with gonarthrosis.

Key words:
cryotherapy, gonarthrosis, knee joint

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