OSTEOARTHROSIS OF THE KNEE JOINT, THERAPEUTIC MODALITIES
Keywords:
osteoarthritis, knee, physical medicine, a therapeutic programAbstract
The aim of this paper is to examine which physical procedures and kinesiotherapy exercises are used in the treatment of osteoarthrosis of the knee joint and analyze their effects. Methodology: Study of therapeutic programs from patients with osteoarthritis knee joint is a retrospective, descriptive and analytical research. We used therapeutic programs from medical records of patients with osteoarthritis of the knee joint. The study was conducted at the Clinical Center of the University of Sarajevo at the Orthopedics and Traumatology Clinic, the total sample of 52 patients in the period from 01.01.2022. to 31.12.2022. Results:At our research 41 (79%) were women and 11 (21%) men. The largest number of respondents, 42% of them were aged 61-70 years, after which respondents aged 51-60 years and respondents from 71-80 years, who were 23% each in this study. The lowest number of respondents, 6% each, were aged 40-50 years and aged 81-90 years. On the basis of our research, we found out that a majority of knee osteoarthritis patients were female, and that the most vulnerable to osteoarthritis knee patients were 46-84 years of age. Physical modalities that were used are physical therapy, kinesiotherapy and medicament therapy. The most commonly used physical modalities are: IFS (63%), sonophoresis (48%) and magnetotherapy (40%), while the least used are DDS (17%), cryotherapy (15%), and electrophoresis (6%). When it comes to exercises, the most commonly used are: Exercises to increase the volume of movements (71%), strength maintenance exercises (63%) and exercises to strengthen the upper leg (60%). Extensor strengthening exercises (48%), individual exercises (31%) and m-quadriceps strengthening exercises (25%) are applied to the smallest extent. By concluding our research we provided information to which physical procedures and kinesiotherapy exercises are best fitted in the treatment of osteoarthritis of the knee joint, and to evaluate the physical and kinetic therapy treatment. The best effect in the treatment of osteoarthritis knee is obtained by combining physical therapy and physical training. The results shown that most of the subjects in whom the treatment was not successful were aged 51-60 years, while in other age groups the treatment was significantly successful. The treatment provided positive results and shown significant effectiveness in the treatment of pain, confirming the working hypothesis. Conclusion: A therapeutic program that is a combination of different treatments of physical therapy and kinesiotherapy exercises gives the best effect in the treatment of knee osteoarthritis. The results show that in 83% of respondents the therapy was successful, while only 17% of them were recommended further therapy
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