Browse > Article
http://dx.doi.org/10.18857/jkpt.2019.31.5.317

The Effect of Knee Joint Traction Therapy on Pain, Physical Function, and Depression in Patients with Degenerative Arthritis  

Lee, Dong Kyu (Department of Physical Therapy, Sunhan Hospital)
Publication Information
The Journal of Korean Physical Therapy / v.31, no.5, 2019 , pp. 317-321 More about this Journal
Abstract
Purpose: To identify the effect of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis. Methods: In total, 30 patients with degenerative arthritis were randomly assigned to one of two groups: the experimental group, who underwent knee joint traction therapy, and the control group, who underwent general physical therapy (15 patients per group). Pain was measured using the visual analogue scale (VAS), physical function was measured using the Western ontario and McMaster universities osteoarthritis (WOMAC) index, and depression was measured using the Beck depression inventory (BDI). The VAS, WOMAC score, and BDI score were recorded before and after the 4-week treatment. Results: As a result of comparison within groups, the experimental and control group showed significant difference for VAS, WOMAC and BDI after the experiment (p<0.05). In comparison between the two groups, the experimental group in which knee joint traction was applied showed more significant change in VAS, WOMAC and BDI than the control group (p<0.05). Conclusion: This study showed that knee joint traction therapy was effective in improving pain, physical function, and depression in patients with degenerative arthritis.
Keywords
Knee joint traction; VAS; WOMAC; BDI;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Zhang W, Moskowitz RW, Nuki G et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage. 2008;16(2):137-62.   DOI
2 Krause M, Refshauge KM, Dessen M et al. Lumbar spine traction: evaluation of effects and recommended application for treatment. Man Ther. 2000;5(2):72-81.   DOI
3 Zusman M. The absolute visual analogue scale (AVAS) as a measure of pain intensity. Aust J Physiother. 1986;32(4):244-6.   DOI
4 Intema F, Van Roermund PM, Marijnissen AC et al. Tissue structure modification in knee osteoarthritis by use of joint distraction: an open 1-year pilot study. Ann Rheum Dis. 2011;70(8):1441-6.   DOI
5 Alpayci M, Ozkan Y, Yazmalar L et al. A randomized controlled trial on the efficacy of intermittent and continuous traction for patients with knee osteoarthritis. Clin Rehabil. 2013;27(4):347-54.   DOI
6 van Valburg AA, van Roermund PM, Marijnissen AC et al. Joint distraction in treatment of osteoarthritis: a two-year follow-up of the ankle. Osteoarthritis Cartilage. 1999;7(5):474-9.   DOI
7 Bjordal JM, Johnson MI, Lopes-Martins RA. Short-term efficacy of physical interventions in osteoarthritic knee pain. A systematic review and meta-analysis of randomised placebo-controlled trials. BMC Musculoskelet Disord. 2007;8(1):51.   DOI
8 van Nguyen J, Marks R. Pulsed electromagnetic fields for treating osteo-arthritis. Physiotherapy. 2002;88(8):458-70.   DOI
9 Khademi-Kalantari K, Mahmoodi Aghdam S, Akbarzadeh Baghban A et al. Effects of non-surgical joint distraction in the treatment of severe knee osteoarthritis. J Bodyw Mov Ther. 2014;18(4):533-9.   DOI
10 de Leva P. Adjustments to Zatsiorsky-Seluyanov's segment inertia parameters. J Biomech. 1996;29(9):1223-30.   DOI
11 Lee DK, Lee NY. Case study of continuous knee joint traction treatment on the pain and quality of life of patients with degenerative gonarthritis. J Phys Ther Sci. 2018;30(6):848-9.   DOI
12 Lee NY, Kwon CS, Kim SY. The effect of mechanical traction on pain and physical function in patients with knee osteoarthritis. Phys Ther Korea. 2015;22(3):23-32.   DOI
13 Krause M, Refshauge KM, Dessen M et al. Lumbar spine traction: Evaluation of effects and recommended application for treatment. Man Ther. 2000;5(2):72-81.   DOI
14 Twomey LT. Sustained lumbar traction. An experimental study of long spine segments. Spine (Phila Pa 1976). 1985;10(2):146-9.   DOI
15 Plagenhoef S, Evans FG, Abdelnour T. Anatomical data for analyzing human motion Res Q Exerc Sport. 1983;54(2):169-78.   DOI
16 Lee JH, Cho HS, Song IY. Effectiveness of shortwave therapy in management of knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials. J Kor Phys Ther. 2014;26(5):331-43.   DOI
17 Altman RD, Moskowitz R. Intraarticular sodium hyaluronate (Hyalgan) in the treatment of patients with osteoarthritis of the knee: a randomized clinical trial. Hyalgan Study Group. J Rheumatol. 1998;25(11):2203-12.
18 Migliore A, Procopio S. Effectiveness and utility of hyaluronic acid in osteoarthritis. Clin Cases Miner Bone Metab. 2015;12(1):31-3.   DOI
19 Park SJ, Lee JH. Effect of joint mobilization and kinesio taping on pain, range of motion, and knee function in patients with knee osteoarthritis. J Kor Phys Ther. 2016;28(5):279-85.   DOI
20 Felson DT, Anderson JJ. Across-study evaluation of association between steroid dose and bolus steroids and avascular necrosis of bone. Lancet. 1987;1(8538):902-6.   DOI
21 McKay C, Prapavessis H, Doherty T. The effect of a prehabilitation exercise program on quadriceps strength for patients undergoing total knee arthroplasty: a randomized controlled pilot study. PM R. 2012;4(9):647-56.   DOI
22 Turner JA, Ersek M, Kemp C. Self-efficacy for managing pain is associated with disability, depression, and pain coping among retirement community residents with chronic pain. J Pain. 2005;6(7):471-9.   DOI
23 Hochberg MC, Altman RD, April KT et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012;64(4):465-74.   DOI
24 Yildiriim MA, Ucar D, Ones K. Comparison of therapeutic duration of therapeutic ultrasound in patients with knee osteoarthritis. J Phys Ther Sci. 2015;27(12):3667-70.   DOI