بررسي نتايج درمان توانبخشي بيماران مبتلا به استيوآرتريت زانو

EVALUATION OF REHABILITATION RESULTS ON KNEE OSTEOARTHRITIS PATIENTS

Background & Aim : Knee osteoarthritis is one of the common elderly conditions which irrespective of the causes, has similar pathologic and clinical features. OA can involve three compartements of knee joints, medical and lateral tibiofemoral and patellofemoral compartements. Main clinical findings are pain, swelling and stiffness. No definite treatment and management is based on reduction of symptoms and decreasing disease progress. Analgesic drugs and intraarticular injections cause sedation temporarely so physical therapy is considered as the most effective treament on knee with OA. Physical therapy aims are: Sedation of pain, stiffness, force, joint biomechanicʹs condition, reduction of excess load and improvement of range of motion. To reach these aims, heating and electrical stimulation modalities and proper isometric exercises are used. Materials & Methods : Seventy patients with OA of knee who did not use drugs, managed with physiotherapy and eveluated in physical medicine & rehabilitation department. Patients got 10 sessions physiotherapy and pain, quadriceps muscle force graded before & after physical therapy, then all data were assesed with SPSS. Results : Evaluation of data showed : reduction of pain was little at 8.6% of patients, 65.7% moderate & 25.7% high. Quadriceps force improvement was little at 11.4% of patients, 62.8% moderates, 25.7% high. Pain reduction & force improvement also evaluated based on age and gender . Discussion : This research showed, female patients proportion to males was 3.5 which is compatible with references. Pain reduction & force improvement have complete compatibility. AS OA is a senile condition with more prevalence after 50 years, rehabilitation is more effective at these ages.