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Professional paper

The effect of physical theraphy on the most severe forms of knee structral changes caused by osteoarthritis

Nedima Kapidžić-Bašić ; Rheumatology Department, Clinic for Physical Medicine and Rehabilitation, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina
Dževad Džananović ; Polyclinic for Physical Medicine and Rehabilitation, Health Centre Tuzla, Tuzla, Bosnia and Herzegovina
Suada Kapidžić-Duraković ; Rheumatology Department, Clinic for Physical Medicine and Rehabilitation, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina
Šahza Kikanović ; Rheumatology Department, Clinic for Physical Medicine and Rehabilitation, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina
Suada Mulić-Bačić ; Department for Rheumatology, Clinic for Internal Medicine, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina
Asja Hotić-Hadžiefendić ; Rheumatology Department, Clinic for Physical Medicine and Rehabilitation, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina


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Abstract

In the most severe form of structural changes on knee caused by osteoarthritis non-surgical treatment provide minimal results and a question of its purpose is being raised.
Aim of the study was to examine the possibilities of physical treatment of patients with the most severe degree of structural changes caused by knee osteoarthritis. Examination was conducted on 60 patients that were on physical treatment because of the knee OA. Structural changes are evaluated by Kellgren-Lawrence scale, functional ability by Lequesne index, and pain by Visual analog scale. Physical treatment lasted for 4 weeks. After the physical treatment there was a significant improvement of functional ability (p=1.78E-07), but the size of improvement was reduced by the level of structural changes. It was significantly lower in IV class in relation to III and II class (p<0.05).
Physical treatment has lower affect by patients with the most severe form of structural changes caused by knee osteoarthritis, but it still can help patients to ease the appearance of complete dependence on other people’s help.

Keywords

knee osteoarthritis; physical therapy; functional ability; structural changes

Hrčak ID:

124558

URI

https://hrcak.srce.hr/124558

Publication date:

1.6.2011.

Article data in other languages: croatian

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