Abstract
Background: Osteoarthritis (OA) is the most prevalent and far common debilitating form of arthritis which can be defined as a degenerative condition affecting synovial joint. Physical agents can fight the painful process such as cold or contrast hydrotherapy Aim. Evaluate the effect of cold application versus contrast hydrotherapy on pain control, functional abilities and quality of life. Setting: The study was conducted at Assuit University Hospital in out patients’ clinics. Subjects: 180 adult patients with knee osteoarthritis. Tools: were selected four tools Tool I: Bio-socio demographic characteristics Tool II: 0-10 Numeric pain rating scale. Tool II1: health assessment questionnaire. Tool IV: WHOQOL-BREF Results: decreased mean of pain score between contrast group than cold group (3.5 ± 2.1 vs 7.0 ± 1.9 respectively, improve mean HAQ disability index score intervention was 17.9 ± 6.3 &12.7 ± 5.9 between cold and contrast hydrotherapy respectively and increasing mean between contrast group than cold group regarding all domain of quality of life. Conclusion: greater pain relief and functional improvements found when subjects used contrast therapy. Recommendation: Superficial contrast therapy should be included in the early effort to manage patients with osteoarthritis.
Highlights
Osteoarthritis is a heterogeneous disease, involving complex and interacting mechanical, biological, biochemical, molecular, and enzymatic feedback loops with cartilage degeneration as the common, final event [1,2]
Preparatory phase (Assessment phase): The researcher interviewing the patients with knee osteoarthritis in the out orthopedic out patients’ clinics to explain purpose and nature of the study and to get their oral consent to participate in the study
Fisher' exact test, Pearson chi- square test, Significance level p at 0.05. This table showed 73.3% vs 60% of studied sample their age was ranged between 41- 65 years, 56.7% vs 54.4 % was female, 75.6% vs 82.2% married, 70% vs 67.8% lives in rural areas, 60% vs 58.9% was illiterate among both contrast and cold groups respectively with no statistical significance differences
Summary
Osteoarthritis is a heterogeneous disease, involving complex and interacting mechanical, biological, biochemical, molecular, and enzymatic feedback loops with cartilage degeneration as the common, final event [1,2] Despite this degeneration, OA is an active process and a network of mechanisms reacting to stress or injury on the joint [2,3]. Osteoarthritis (OA) is a progressive disease characterized by degeneration of articular cartilage and alteration of joint tissues, resulting in pain, stiffness and disability [1]. It is seventh in disease load studies conducted in Turkey and constitutes 2.9% of the total disease load [6]. Recommendation: Superficial contrast therapy should be included in the early effort to manage patients with osteoarthritis
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