MULTIMODAL MANUAL THERAPY IS THE SOLUTION FOR OSTEOARTHRITIS? - A CASE STUDY

Introduction Osteoarthritis (OA) is the most common chronic degenerative joint disorder and is characterized by increasing joint pain, stiffness and limitations of range of motion (ROM). In order to reduce pain and disability by OA knee, the physical exercises with mobilization were tailored by physiotherapists to the knee osteoarthritis patients. Most of the patients do not receive any form of physical therapy prior to the total knee replacement but it is important to take. OA is the second most common degenerative problem and it is the most frequent joint disease with a prevalence of 22%-39% in India. It is more common in women than men. Methodology A patient with osteoarthritis was selected for this case study suffering from pain and knee dysfunction who met all the criteria for inclusion. The CARE guidelines were followed during the whole duration of this study. To evaluate the results, total five outcome measures were used. It has been included that Knee injury and Osteoarthritis Outcome Score, WOMAC scale, NPRS, ROM, and muscle strength. The measures would be taken before and after the end of treatment. Results There was significant improvement in the patient’s condition after the treatment. The scores in the outcome measures used showed significant improvement when the scores were assessed initially and later. Even the quality of life of the patient also improved. Conclusion The Multimodal therapy which included combine use of electrotherapy, manual therapy, Exercise therapy have significant impact on the knee osteoarthritis patients. Patient was able to do their activities with few symptoms.