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The Efficacy of Manual Therapy in Patients with Knee Osteoarthritis: A Systematic Review

Background and objectives: Osteoarthritis (OA) is among the most common degenerative diseases that induce pain, stiffness and reduced functionality. Various physiotherapy techniques and methods have been used for the treatment of OA, including soft tissue techniques, therapeutic exercises, and manua...

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Autores principales: Tsokanos, Alexios, Livieratou, Elpiniki, Billis, Evdokia, Tsekoura, Maria, Tatsios, Petros, Tsepis, Elias, Fousekis, Konstantinos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8304320/
https://www.ncbi.nlm.nih.gov/pubmed/34356977
http://dx.doi.org/10.3390/medicina57070696
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author Tsokanos, Alexios
Livieratou, Elpiniki
Billis, Evdokia
Tsekoura, Maria
Tatsios, Petros
Tsepis, Elias
Fousekis, Konstantinos
author_facet Tsokanos, Alexios
Livieratou, Elpiniki
Billis, Evdokia
Tsekoura, Maria
Tatsios, Petros
Tsepis, Elias
Fousekis, Konstantinos
author_sort Tsokanos, Alexios
collection PubMed
description Background and objectives: Osteoarthritis (OA) is among the most common degenerative diseases that induce pain, stiffness and reduced functionality. Various physiotherapy techniques and methods have been used for the treatment of OA, including soft tissue techniques, therapeutic exercises, and manual techniques. The primary aim of this systemic review was to evaluate the short-and long-term efficacy of manual therapy (MT) in patients with knee OA in terms of decreasing pain and improving knee range of motion (ROM) and functionality. Materials and Methods: A computerised search on the PubMed, PEDro and CENTRAL databases was performed to identify controlled randomised clinical trials (RCTs) that focused on MT applications in patients with knee OA. The keywords used were ‘knee OA’, ‘knee arthritis’, ‘MT’, ‘mobilisation’, ‘ROM’ and ‘WOMAC’. Results: Six RCTs and randomised crossover studies met the inclusion criteria and were included in the final analysis. The available studies indicated that MT can induce a short-term reduction in pain and an increase in knee ROM and functionality in patients with knee OA. Conclusions: MT techniques can contribute positively to the treatment of patients with knee OA by reducing pain and increasing functionality. Further research is needed to strengthen these findings by comparing the efficacy of MT with those of other therapeutic techniques and methods, both in the short and long terms.
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spelling pubmed-83043202021-07-25 The Efficacy of Manual Therapy in Patients with Knee Osteoarthritis: A Systematic Review Tsokanos, Alexios Livieratou, Elpiniki Billis, Evdokia Tsekoura, Maria Tatsios, Petros Tsepis, Elias Fousekis, Konstantinos Medicina (Kaunas) Review Background and objectives: Osteoarthritis (OA) is among the most common degenerative diseases that induce pain, stiffness and reduced functionality. Various physiotherapy techniques and methods have been used for the treatment of OA, including soft tissue techniques, therapeutic exercises, and manual techniques. The primary aim of this systemic review was to evaluate the short-and long-term efficacy of manual therapy (MT) in patients with knee OA in terms of decreasing pain and improving knee range of motion (ROM) and functionality. Materials and Methods: A computerised search on the PubMed, PEDro and CENTRAL databases was performed to identify controlled randomised clinical trials (RCTs) that focused on MT applications in patients with knee OA. The keywords used were ‘knee OA’, ‘knee arthritis’, ‘MT’, ‘mobilisation’, ‘ROM’ and ‘WOMAC’. Results: Six RCTs and randomised crossover studies met the inclusion criteria and were included in the final analysis. The available studies indicated that MT can induce a short-term reduction in pain and an increase in knee ROM and functionality in patients with knee OA. Conclusions: MT techniques can contribute positively to the treatment of patients with knee OA by reducing pain and increasing functionality. Further research is needed to strengthen these findings by comparing the efficacy of MT with those of other therapeutic techniques and methods, both in the short and long terms. MDPI 2021-07-07 /pmc/articles/PMC8304320/ /pubmed/34356977 http://dx.doi.org/10.3390/medicina57070696 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Tsokanos, Alexios
Livieratou, Elpiniki
Billis, Evdokia
Tsekoura, Maria
Tatsios, Petros
Tsepis, Elias
Fousekis, Konstantinos
The Efficacy of Manual Therapy in Patients with Knee Osteoarthritis: A Systematic Review
title The Efficacy of Manual Therapy in Patients with Knee Osteoarthritis: A Systematic Review
title_full The Efficacy of Manual Therapy in Patients with Knee Osteoarthritis: A Systematic Review
title_fullStr The Efficacy of Manual Therapy in Patients with Knee Osteoarthritis: A Systematic Review
title_full_unstemmed The Efficacy of Manual Therapy in Patients with Knee Osteoarthritis: A Systematic Review
title_short The Efficacy of Manual Therapy in Patients with Knee Osteoarthritis: A Systematic Review
title_sort efficacy of manual therapy in patients with knee osteoarthritis: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8304320/
https://www.ncbi.nlm.nih.gov/pubmed/34356977
http://dx.doi.org/10.3390/medicina57070696
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