A comparison of home-based exercise programs with and without self-manual therapy in individuals with knee osteoarthritis in community

• Main Authors: Kornkamon Cheawthamai, Mantana Vongsirinavarat, Vimonwan Hiengkaew, Sasithorn Saengrueangrob
• Other Authors: Mahidol University. Faculty of Physical Therapy
• Format: Article
• Language: English
• Published: 2018
• Subjects: Knee osteoarthritis; Self-manual therapy; Home-based exercise; Physical therapy; Community
• Online Access: https://repository.li.mahidol.ac.th/handle/123456789/10937
• Institution: Mahidol University

Objective: The present study aimed to compare the effectiveness of the treatment programs of home-based exercise with and without self-manual therapy in individuals with knee osteoarthritis (knee OA) in community. Material and Method: Forty-three participants with knee OA were randomly assigned in groups. All participants received the same home-based exercise program with or without self-manual therapy over 12 weeks. Outcome measures were pain intensity, range of motions, six-minute walk test distance, the knee injury and osteoarthritis outcome score (KOOS), shortform 36 (SF-36) and satisfaction. Results: The results showed that the self-manual therapy program significantly decreased pain at 4 weeks, increased flexion and extension at 4 and 12 weeks, and improved the KOOS in pain item and SF-36 in physical function and mental health items. The home-based exercise group showed significant increase of the six-minute walk distance at 4 and 12 weeks, improvements in the KOOS in pain and symptom items and SF-36 in the physical function and role-emotional items. Conclusion: Overall, the results favored a combination of self-manual therapy and home-based exercise for patients with knee OA, which apparently showed superior benefits in decreasing pain and improving active knee range of motions.