Conventional Physiotherapy And Additional Krishna’s Kinetikinetic Manual Therapy (KKMT) For Knee Osteoarthritis Rehabilitation: A Comparative Study.
Volume 2 - Issue 1, January 2018 Edition
[Download Full Paper]
Chu Buh Franklin, Vukugah Achombwom Thomas, Ghyslaine Bruna Djeunang Dongho, Atemkeng Tsatedem Faustin, Krishna Nand Sharma
Knee Osteoarthritis, Conventional Physiotherapy, KKMT.
Background: Osteoarthritis is the most prevalent chronic rheumatic disease in the World and Physiotherapy care is an integral part of its management. The development of new Physiotherapy techniques will, therefore, be helpful. This is why we conducted this study, to evaluate the effectiveness of conventional Physiotherapy alone (CPA) versus CPK (Conventional Physiotherapy associated with Krishna’s Kinetikinetic Manual Therapy, which is a new technique) on pain, stiffness, function and knee Range of motion in patients with knee osteoarthritis. Materials and Methods: a controlled single blinded experimental study was undertaken on 14 patients with knee Osteoarthritis. Patients were recruited into two groups of 7 each: CPA and CPK. Both groups received treatment protocols for 5 weeks: 3 sessions per week. The WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index), VAS (Visual Analogue Scale) and Goniometer were used for data collection before and after treatment. Data were analyzed using MS Excel 2010 and SPSS version 20 software. Results: Among our 14 patients were, 5 males, 9 females. In the intervention group (CPK), the mean score before treatment for WOMAC, VAS, and ROM (Range of Motion) were respectively 52.43 on 96, 77.86 on 100, and 107.14°. After treatment, they were 17.86, 26.86 and 117.21° respectively. In the control group (CPA), before treatment, they were respectively 50.00, 64.29, and 95.07°. After treatment, they were: 26.00; 38.86 and 104.28° respectively. The difference between the two groups was not significant for WOMAC (p=0.477), VAS (p=0.263) and knee ROM (p=0.884). Conclusion: KKMT added to conventional therapy was found to improve the treatment of symptoms in patients with knee osteoarthritis. More studies with larger and randomized sample sizes and longer periods of treatment may assess better, this new technique.
. Nour, H. A, Oyoo, G. O, Joshi, M. D, Otsyeno, F. M. T. “Patterns of the knee, hip and hand osteoarthritis in Kenyatta National Hospital”. East African Orthopedic Journal, VII, pp. 53-56, 2013.
. Woolf, A., Pfleger, B. “The burden of major musculoskeletal conditions”, Bulletin WHO, 81 (9), Ref: 03-002337: 646-656, 2003. Retrieved from http://www.who.int/bulletin/volumes/81/9/Woolf.pdf
. Fransen, M., Lisa, B., Lyn, M., Hoy, D., Penserga, E. & Brooks, P. “The epidemiology of osteoarthritis in Asia”, International journal of rheumatic diseases, XIV, pp. 113-121, 2011.
. World Health Organization. “Chronic Rheumatic conditions: Chronic Diseases and Health Promotion”. 2012. Retrieved fromhttp://www.who.int/chp/topics/rheumatic/en/
. Singwe, N. M, Meli, J., Ntsiba, H., Nouéndoui, C., Yollo, A.V., Sida, M. B. &Muna, W. F. “Rheumatic diseases in patients attending a clinic at the referential Hospital in Yaoundé-Cameroon”. East African Medical Journal, XXXXXXXXIV (9), pp. 404-409, 2007.
. National Collaborating Center for Chronic Conditions, Osteoarthritis: national clinical guideline for care and management in adults, Royal College of Physicians, London, 2008.
. WHO Technical Report Series, The Burden of Musculoskeletal conditions at the start of the new millennium, Report of WHO Scientific group. 919, Geneva, 2003.
. Keith, K.W., Chan & Ricky W.K. Wu. “Symptoms, Signs, and Quality of Life (QoL) in Osteoarthritis” (OA), (Ed.), ISBN:978-953-51-0063-8. InTech, pp. 25-41, 2012.
. Commissioning Guide, Painful Osteoarthritis of the Knee, The Royal College of Surgeons of England, 35-43 Lincoln’s Inn Fields, London WC2A 3PE; 2013.
. Yair, B. “Knee Osteoarthritis Project treatment versus conventional physical therapy in the treatment of knee OA Patients”, 2012. Retrieved from https://clinicaltrials.gov/show/NCT01490606
. Frederic, M. Epidemiology of Osteoarthritis. In: Johanne, M. P. & Jean, Understanding Osteoarthritis from bench to bedside, Research Sign Post, Kerala, India, pp. 1-26, 2011.
. WHO, Ageing, and Health, Fact sheet N°404, September 2015, Retrieved from http://www.who.int/mediacentre/factsheets/fs404/en/
. American Academy of Orthopedic Surgeons, Treatment of osteoarthritis of the knee: Evidence-based Guideline (2nd ed.). Rosemont, Chicago, USA. 2013p.
. McAlindon, T. E., Bannuru, R. R, Sullivan, M. C, Arden, N. K, Berenbaum, F, Zeinstra, S. M. B …Underwood, M. “OARSI Guidelines for the non-surgical management of knee osteoarthritis, Osteoarthritis and Cartilage”. Osteoarthritis and Cartilage Journal, XXII, pp. 363-388, 2014.
. National Institute for Health and Care Excellence, Management of Osteoarthritis. NICE Pathways, Manchester, 2015.
. Sharma, N. K. (2016). KKMT® Mobilization- The Upper Extremities: A New School of Thought in Manual Therapy. Seattle, USA: Createspace.
. Lolita, F. A & Sharma, N. K. (2016). The effectiveness of KKMT 3D Mobilization Vs Mulligan Mobilization in Knee Pain, (2016). Seattle, USA: Createspace
. Ngwa, H. D. & Sharma, N. K. (2016). Comparing the effectiveness of Mulligan MWM and KKMT mobilization techniques in the management of non-specific shoulder pain amongst individuals attending the Bamenda Regional Hospital, Cameroon. Amazon.fr. 2016, 50p.
. Alamri, S. A. (2011). “Exercises versus Manual Therapy in Elderly Patients with Knee Osteoarthritis. Master’s thesis: in Physical Therapy. King Saud University, Riyadh, 109p.
. Ahmad, A. & Daud, M. “A comparative study of joint mobilization and conventional physiotherapy in knee osteoarthritis”. International Journal of Physiotherapy, III (2), pp. 159-162, 2016.