Investigators claim that static magnets improve symptoms of pain and physical function in individuals with chronic knee pain

2010 ◽  
Vol 8 (2) ◽  
pp. 220-221
Keyword(s):  
Physical Function ◽  
Knee Pain ◽  
Chronic Knee Pain

scholarly journals Level of pain and physical function in patient with chronic knee pain visiting Dhulikhel hospital: A cross sectional study

2020 ◽  
Author(s):  
Binaya Kandel ◽  
Surakshya Badal
Keyword(s):  
Physical Function ◽  
Knee Pain ◽  
Rating Scale ◽  
Self Report ◽  
Patient Specific ◽  
Ageing Population ◽  
Functional Scale ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Chronic Knee Pain

Abstract Background Knee pain is one of the common causes of chronic pain mainly in the older adults.Chronic knee pain (CKP) is commonly due to arthritic changes (osteoarthritis). Chronic knee pain is a common and major health problem in ageing population. Knee pain is associated with high levels of disability. So early detection and treatment of pain related functional limitation is likely to have major influence on healthy ageing. The general objective of this study was to quantify the level of pain and physical function in patient with CKP. Methods Preliminary screening of population with chronic knee pain was taken and cross sectional descriptive study was done. Questionnaire with inclusion criteria was fulfilled with administration of Nepali version of Numerical Pain Rating Scale and Nepali version of Patient Specific Functional Scale on interview as well as self-report basis and the data was managed by SPSS version 23. Results 75.6% of female with chronic knee pain was found with the average pain level found to be 5 in N-NPRS scale.Among them 80.8% of chronic knee pain was due to knee osteoarthritis. Sitting function was found to be affected in 82.1% of population with mean Nepali version of Patient specific functional Scale score of 2. Similarly 80.8% reported going downstairs to be difficult due to knee pain with N-PSFS score of 2. Conclusion Pain and functional disability are the principle findings in patient with chronic knee pain for which they seek medical treatment .So the treatments should target on functional task with effective strategy. addressing disability. Focus on function is important for the development of optimal rehabilitation programs in patients with chronic knee pain.

scholarly journals Oral Versus Topical Ibuprofen for Chronic Knee Pain: A Prospective Randomized Pilot Study

2010 ◽  
Vol 5;13 (5;9) ◽  
pp. 457-467
Author(s):  
Sarani Tong-Ngork
Keyword(s):  
Patient Satisfaction ◽  
Pilot Study ◽  
Physical Function ◽  
Knee Pain ◽  
Pain Treatment ◽  
Short Form ◽  
Topical Gel ◽  
Chronic Knee Pain ◽  
Oral Ibuprofen ◽  
Mean Differences

Background: Topical ibuprofen provides an alternative treatment to oral ibuprofen for the treatment of chronic knee pain. Objective: To compare the efficacy of topical versus oral ibuprofen in chronic knee pain treatment. Study Design: Prospective, randomized, unblinded pilot study. Setting: A private pain management practice. Methods: Twenty patients received either ibuprofen tablets 3 times daily (2400 mg total) or 4% topical gel 4 times daily (320 mg total) for 2 weeks. Subjects completed the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, the Medical Outcomes Study 12-Item Short Form (SF-12v2) Health Survey, and a satisfaction questionnaire. Results: Comparison of WOMAC and SF-12v2 mean changes from baseline showed no differences between groups. Patient satisfaction and study treatment convenience were rated equivalently between groups. Within the topical group, significant improvements (P < 0.05) were experienced in the mean differences of WOMAC Pain scores from baseline to 2 weeks (-82.6, -158.3 to -6.8), WOMAC Stiffness scores from baseline to one week (-25.3, -50.0 to -0.6) and baseline to 2 weeks (-47.8, -95.7 to 0.1), WOMAC Physical Function scores from baseline to one week (-175.9, -348.6 to -3.2) and baseline to 2 weeks (-312.1, -580.5 to -43.7), and patient satisfaction scores from baseline to one week and baseline to 2 weeks. Within the oral group, significant improvements (P < 0.05) were experienced in mean differences of WOMAC Physical Function from baseline to one week (-342.6, -638.1 to -47.1) and baseline to 2 weeks (-323.2, -637.1 to -9.2). Limitations: As this was a preliminary investigation, the sample size of 20 subjects is a limitation in this study. Conclusion: Treatment of chronic knee pain with topical ibuprofen provided comparable clinical efficacy and patient satisfaction as oral ibuprofen in this pilot study. Key words: Topical ibuprofen, knee osteoarthritis, chronic pain

scholarly journals Effects of technology-supported exercise programs on the knee pain, physical function, and quality of life of individuals with knee osteoarthritis and/or chronic knee pain: A systematic review and meta-analysis of randomized controlled trials

2020 ◽  
Author(s):  
Tianrong Chen ◽  
Calvin Kalun Or ◽  
Jiayin Chen
Keyword(s):  
Quality Of Life ◽  
Randomized Controlled Trials ◽  
Physical Function ◽  
Knee Pain ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Exercise Programs ◽  
Randomized Controlled ◽  
Chronic Knee Pain

Abstract Objective The study sought to examine the effects of technology-supported exercise programs on the knee pain, physical function, and quality of life of individuals with knee osteoarthritis and/or chronic knee pain by a systematic review and meta-analysis of randomized controlled trials. Materials and Methods We searched MEDLINE, EMBASE, CINAHL Plus, and the Cochrane Library from database inception to August 2020. A meta-analysis and subgroup analyses, stratified by technology type and program feature, were conducted. Results Twelve randomized controlled trials were reviewed, all of which implemented the programs for 4 weeks to 6 months. Telephone, Web, mobile app, computer, and virtual reality were used to deliver the programs. The meta-analysis showed that these programs were associated with significant improvements in knee pain (standardized mean difference [SMD] = −0.29; 95% confidence interval [CI], −0.48 to −0.10; P = .003) and quality of life (SMD = 0.25; 95% CI, 0.04 to 0.46; P = .02) but not with significant improvement in physical function (SMD = 0.22; 95% CI, 0 to 0.43; P = .053). Subgroup analyses showed that some technology types and program features were suggestive of potential benefits. Conclusions Using technology to deliver the exercise programs appears to offer benefits. The technology types and program features that were associated with health values have been identified, based on which suggestions are discussed for the further research and development of such programs.

scholarly journals Chronic widespread pain and its associations with quality of life and function at a 20- year follow-up of individuals with chronic knee pain at inclusion

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Stefan Bergman ◽  
Carina Thorstensson ◽  
Maria L. E. Andersson
Keyword(s):  
Quality Of Life ◽  
Physical Function ◽  
Knee Pain ◽  
Population Based ◽  
Chronic Widespread Pain ◽  
Widespread Pain ◽  
Chronic Knee Pain ◽  
Radiographic Changes

Abstract Objective To study the prevalence of chronic widespread pain (CWP) and chronic regional pain (CRP), and their association to quality of life, pain, physical function at a 20-year follow-up in a population based cohort with chronic knee pain at inclusion. Methods 121 individuals (45% women, mean age 64 years, range 54–73) with chronic knee pain from a population-based cohort study, answered a questionnaire and had radiographic knee examination at a 20-year follow-up. The responders were divided into three groups according to reported pain; individuals having no chronic pain (NCP), chronic widespread pain (CWP) and chronic regional pain (CRP). Pain and physical function were assessed using Knee injury and Osteoarthritis Outcome Score (KOOS). Health related quality of life (HRQL) was assessed with Euroqol-5D-3 L (EQ5D) and Short form 36 (SF36). The associations between pain groups and KOOS, EQ5D, and SF36 were analysed by multiple logistic regression, controlled for age, gender and radiographic changes indicating knee osteoarthritis (OA). Results The prevalence of CWP was 30%, and CWP was associated to worse scores in all KOOS subscales, controlled for age, gender and radiographic changes. CWP was also associated to worse scores in EQ-5D and in seven of the SF-36 subgroups, controlled for age, gender and radiographic changes. Conclusion One third of individuals with chronic knee pain met the criteria for CWP. CWP was associated with patient reported pain, function and HRQL. This suggest that it is important to assess CWP in the evaluation of patients with chronic knee pain, with and without radiographic knee OA.

scholarly journals Effects of a 12-Week Digital Care Program for Chronic Knee Pain on Pain, Mobility, and Surgery Risk: Randomized Controlled Trial (Preprint)

2017 ◽  
Author(s):  
Gabriel Mecklenburg ◽  
Peter Smittenaar ◽  
Jennifer C Erhart-Hledik ◽  
Daniel A Perez ◽  
Simon Hunter
Keyword(s):  
Randomized Controlled Trial ◽  
Physical Function ◽  
Knee Pain ◽  
Psychosocial Support ◽  
Controlled Trial ◽  
Care Program ◽  
Control Group ◽  
Randomized Controlled ◽  
Chronic Knee Pain ◽  
Secondary Outcomes

BACKGROUND Chronic knee pain, most commonly caused by knee osteoarthritis, is a prevalent condition which in most cases can be effectively treated through conservative, non-surgical care involving exercise therapy, education, psychosocial support, and weight loss. However, most people living with chronic knee pain do not receive adequate care, leading to unnecessary use of opiates and surgical procedures. OBJECTIVE Assess the efficacy of a remotely delivered digital care program for chronic knee pain. METHODS We enrolled 162 participants into a randomized controlled trial between January and March 2017. Participants were recruited from participating employers using questionnaires for self-assessment of their knee pain, and randomized into treatment (n=101) and control (n=61) groups. Participants in the treatment group were enrolled in the Hinge Health digital care program for chronic knee pain. This is a remotely delivered, home-based 12-week intervention that includes sensor-guided exercise therapy, education, cognitive behavioral therapy, weight loss, and psychosocial support through a personal coach and team-based interactions. The control group received three education pieces regarding self-care for chronic knee pain. Both groups had access to treatment-as-usual. The primary outcome was the Knee Injury and Osteoarthritis Outcome Score (KOOS) Pain subscale and KOOS Physical Function Shortform (KOOS-PS). Secondary outcomes were visual analog scales (VAS) for pain and stiffness respectively, surgery intent, and self-reported understanding of the condition and treatment options. Outcome measures were analyzed by intention to treat (excluding 7 control participants who received the digital care program due to administrative error) and per protocol. RESULTS In an intent-to-treat analysis the digital care program group had a significantly greater reduction in KOOS Pain compared to the control group at the end of the program (greater reduction of 7.7, 95% CI 3.0 to 12.3, P=.002), as well as a significantly greater improvement in physical function (7.2, 95% CI 3.0 to 11.5, P=.001). This was also reflected in the secondary outcomes VAS pain (12.3, 95% CI 5.4 to 19.1, P<.001) and VAS stiffness (13.4, 95% CI 5.6 to 21.1, P=.001). Participants’ self-reported likelihood (from 0% to 100%) of having surgery also reduced more strongly in the digital care program group compared to the control group over the next 1 year (–9.4 percentage points, pp, 95% CI –16.6 to –2.2, P=.01), 2 years (–11.3 pp, 95% CI –20.1 to –2.5, P=.01), and 5 years (–14.6 pp, 95% CI –23.6 to –5.5, P=.002). Interest in surgery (from 0 to 10) also reduced more so in the digital care program compared to control group (–1.0, 95% CI –1.7 to –0.2, P=.01). Participants’ understanding of the condition and treatment options (on a scale from 0 to 4) increased more substantially for participants in the digital care program than those in the control group (0.9, 95% CI 0.6 to 1.3, P<.001). In an analysis on participants that completed the intervention (per protocol analysis) all primary and secondary outcomes remained significant at greater effect magnitudes compared to intention to treat, with those completing the program showing a 61% (95% CI 48 to 74) reduction in VAS pain compared to 21% (95% CI 5 to 38) in the control group (P<.001). Accounting for the cost of administering the program, we estimate net cost savings on surgery alone of US $4340 over 1 year and $7900 over 5 years for those participants completing the digital care program compared to those in the control group receiving treatment-as-usual. In an exploratory subgroup analysis including only participants exhibiting clinical symptoms of osteoarthritis the program proved equally effective. CONCLUSIONS This trial provides strong evidence that a comprehensive 12-week digital care program for chronic knee pain, including osteoarthritis, yields significantly improved outcomes for pain, physical function, stiffness, surgery risk, and understanding of the condition, compared to a control group. CLINICALTRIAL International Standard Randomized Controlled Trial Number (ISRCTN) 13307390; http://www.isrctn.com/ISRCTN13307390 (Archived by WebCite at http://www.webcitation.org/6ycwjGL73)

scholarly journals 75. How do GPs Explain Chronic Knee Pain in Older Adults? Preliminary Results from a National Pilot GP Questionnaire Survey

Rheumatology ◽  
2014 ◽  
Vol 53 (suppl_1) ◽  
pp. i83-i83
Author(s):  
Elizabeth Cottrell ◽  
Elaine Thomas ◽  
Trishna Rathod ◽  
Edward Roddy ◽  
Mark Porcheret ◽  
...  
Keyword(s):  
Older Adults ◽  
Knee Pain ◽  
Questionnaire Survey ◽  
Preliminary Results ◽  
Chronic Knee Pain
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