Medical Rehabilitation Program for Knee Osteoarthritis: A Narrative Review

Refa Rahmaddiansyah✉, Riri Prima Yolanda, Rini Agustin
DOI: https://doi.org/10.25077/mka.v46.i11.p1887-1899.2024

Abstract

Osteoarthritis, a prevalent form of arthritis linked to bone degeneration, particularly affects the elderly population. In Indonesia, its prevalence rises with age, impacting various ethnic groups, notably women, and leading to substantial disability in individuals aged 65 and older. Vigilance is essential against potential complications like gastritis, bleeding, or kidney issues resulting from prolonged use of non-steroidal anti-inflammatory drugs (NSAIDs). The condition's pathophysiology involves joint aging, injuries, excessive use, genetic predisposition, obesity, and hormonal changes. Its clinical signs develop gradually but can accelerate due to injuries or joint strain, significantly reducing patient productivity and life quality. Managing osteoarthritis involves non-drug approaches like education, physical and exercise therapy, followed by medication and supportive devices. The treatment selection depends on severity and the number of affected joints, aiming to control pain, improve joint function, ease physical limitations, and hinder disease progression and complications. Prompt intervention with suitable modalities aligned with the patient's condition offers a favorable prognosis. Factors like muscle weakness, obesity, and depressive disorders can exacerbate osteoarthritis outcomes. Comprehensive management addressing these factors can significantly improve the prognosis and enhance the patient's quality of life.

Keywords

osteoarthritis; knee joint; degenerative disease; rehabilitation; physical therapy

Full Text:

PDF

References

Chen D, Shen J, Zhao W, Wang T, Han L, Hamilton JL, et al. Osteoarthritis: Toward a comprehensive understanding of pathological mechanism. Bone Res.2017;5.

Hall M, van der Esch M, Hinman RS, Peat G, de Zwart A, Quicke JG, et al. How does hip osteoarthritis differ from knee osteoarthritis? Osteoarthr. Cartil.2022;30(1).

Allen KD, Thoma LM, Golightly YM. Epidemiology of osteoarthritis. Osteoarthr Cartil 2022;30(2).

Njoto I. Epidemiologi, Potegenesis dan Faktor Resiko Osteoartritis. J Ilm Kedokt Wijaya Kusuma 2019;2(1).

Siddik M, Haryadi RD. The risk factors effect of knee osteoarthritis towards postural lateral sway. Indian J Forensic Med Toxicol 2020;14(2).

Wilkie R, Parmar SS, Blagojevic-Bucknall M, Smith D, Thomas MJ, Seale BJ, et al. Reasons why osteoarthritis predicts mortality: Path analysis within a Cox proportional hazards model. RMD Open 2019;5(2).

Vina ER, Kwoh CK. Epidemiology of osteoarthritis: Literature update. Curr. Opin. Rheumatol.2018;30(2).

Samvelyan HJ, Hughes D, Stevens C, Staines KA. Models of Osteoarthritis: Relevance and New Insights. Calcif. Tissue Int.2021;109(3).

Manlapaz DG, Sole G, Jayakaran P, Chapple CM. Risk Factors for Falls in Adults with Knee Osteoarthritis: A Systematic Review. PM R2019;11(7).

Hulshof CTJ, Colosio C, Daams JG, Ivanov ID, Prakash KC, Kuijer PPFM, et al. WHO/ILO work-related burden of disease and injury: Protocol for systematic reviews of exposure to occupational ergonomic risk factors and of the effect of exposure to occupational ergonomic risk factors on osteoarthritis of hip or knee and selected other musculoskeletal diseases. Environ Int 2019;125.

Aweid O, Haider Z, Saed A, Kalairajah Y. Treatment modalities for hip and knee osteoarthritis: A systematic review of safety. J Orthop Surg 2018;26(3).

Primorac D, Molnar V, Rod E, Jeleč Ž, Čukelj F, Matišić V, et al. Knee osteoarthritis: A review of pathogenesis and state-of-the-art non-operative therapeutic considerations. Genes (Basel).2020;11(8).

Drummer D, McAdam J, Seay R, Ferrando A, Bridges SL, Singh JA, et al. Osteoarthritis Progression: Mitigation and Rehabilitation Strategies. Front. Rehabil. Sci.2021;2.

Basedow M, Esterman A. Assessing appropriateness of osteoarthritis care using quality indicators: A systematic review. J. Eval. Clin. Pract.2015;21(5).

Skou ST, Roos EM. Good Life with osteoArthritis in Denmark (GLA:DTM): evidence-based education and supervised neuromuscular exercise delivered by certified physiotherapists nationwide. BMC Musculoskelet Disord 2017;18(1).

Mansfield PJ, Neumann DA. Structure and Function of the Ankle and Foot. In: Essentials of Kinesiology for the Physical Therapist Assistant. 2019.

Abulhasan JF, Grey MJ. Anatomy and physiology of knee stability. J. Funct. Morphol. Kinesiol.2017;2(4).

Norris M, Corbo G, Banga K, Johnson M, Sandig M, Smallman T, et al. The biomechanical and morphological characteristics of the ligamentum mucosum and its potential role in anterior knee pain. Knee 2018;25(6).

Hassebrock JD, Gulbrandsen MT, Asprey WL, Makovicka JL, Chhabra A. Knee ligament anatomy and biomechanics. Sports Med. Arthrosc.2020;28(3).

Paulsen F, Waschke J. Atlas Anatomi Manusia Sobotta. 24th ed. Singapore: Elsevier; 2019.

Tran J, Peng PWH, Gofeld M, Chan V, Agur AMR. Anatomical study of the innervation of posterior knee joint capsule: Implication for image-guided intervention. Reg Anesth Pain Med 2019;44(2).

Lewandowski CM. Clinical Kinesiology and Anatomy 5ed. 2015.

Lippert LS. Clinical Kinesiology and Anatomy. 2011.

Coaccioli S, Sarzi-Puttini P, Zis P, Rinonapoli G, Varrassi G. Osteoarthritis: New Insight on Its Pathophysiology. J. Clin. Med.2022;11(20).

Yunus MHM, Nordin A, Kamal H. Pathophysiological perspective of osteoarthritis. Med.2020;56(11).

Jang S, Lee K, Ju JH. Recent updates of diagnosis, pathophysiology, and treatment on osteoarthritis of the knee. Int. J. Mol. Sci.2021;22(5).

Charlesworth J, Fitzpatrick J, Perera NKP, Orchard J. Osteoarthritis- a systematic review of long-term safety implications for osteoarthritis of the knee. BMC Musculoskelet Disord 2019;20(1).

Esser S, Bailey A. Effects of exercise and physical activity on knee osteoarthritis. Curr Pain Headache Rep 2011;15(6).

Ko T, Lee S, Lee D. Manual therapy and exercise for OA knee: Effects on muscle strength, proprioception, and functional performance. J Phys Ther Sci 2009;21(4).

Küçükdeveci AA. Rehabilitation interventions in osteoarthritis. Best Pract. Res. Clin. Rheumatol.2023;

Uthman OA, Van Der Windt DA, Jordan JL, Dziedzic KS, Healey EL, Peat GM, et al. Exercise for lower limb osteoarthritis: Systematic review incorporating trial sequential analysis and network meta-analysis. BMJ 2013;347(7928).

Wellsandt E, Golightly Y. Exercise in the management of knee and hip osteoarthritis. Curr. Opin. Rheumatol.2018;30(2).

Abdel-aziem AA, Soliman ES, Mosaad DM, Draz AH. Effect of a physiotherapy rehabilitation program on knee osteoarthritis in patients with different pain intensities. J Phys Ther Sci 2018;30(2).

Afzali T, Fangel MV, Vestergaard AS, Rathleff MS, Ehlers LH, Bach Jensen M. Cost-effectiveness of treatments for non-osteoarthritic knee pain conditions: A systematic review. PLoS One 2018;13(12).

Sengul A, Yavuzer MG, Keles O, Tunali AN, Tuncer D. Isometric Quadriceps Exercises for Patients with Knee Osteoarthritis: A Randomized Controlled Trial Comparing Knee Joint Position Flexion versus Extension. Rehabil Res Pract 2022;2022.

Lai Z, Zhang Y, Lee S, Wang L. Effects of strength exercise on the knee and ankle proprioception of individuals with knee osteoarthritis. Res Sport Med 2018;26(2).

Kim DK, Hwang JH, Park WH. Effects of 4 weeks preoperative exercise on knee extensor strength after anterior cruciate ligament reconstruction. J Phys Ther Sci 2015;27(9).

Brosseau L, Taki J, Desjardins B, Thevenot O, Fransen M, Wells GA, et al. The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part three: Aerobic exercise programs ∗. Clin Rehabil 2017;31(5).

Hall M, Allison K, Hinman RS, Bennell KL, Spiers L, Knox G, et al. Effects of adding aerobic physical activity to strengthening exercise on hip osteoarthritis symptoms: protocol for the PHOENIX randomised controlled trial. BMC Musculoskelet Disord 2022;23(1).

Küçükdeveci AA. Nonpharmacological treatment in established rheumatoid arthritis. Best Pract. Res. Clin. Rheumatol.2019;33(5).

Wu Y, Zhu F, Chen W, Zhang M. Effects of transcutaneous electrical nerve stimulation (TENS) in people with knee osteoarthritis: A systematic review and meta-analysis. Clin Rehabil 2022;36(4).

Amalia NH, Siddik M, Sanyoto DD, Putranto BD, Putera HD. Literature Review: Perbandingan Efektivitas Pemberian Microwave Diathermy dengan Infra Red terhadap Pengurangan Nyeri Osteoartritis Lutut. Homeostasis 2022;5(2):435.

Beaudreuil J, Bendaya S, Faucher M, Coudeyre E, Ribinik P, Revel M, et al. Clinical practice guidelines for rest orthosis, knee sleeves, and unloading knee braces in knee osteoarthritis. Jt. Bone Spine2009;76(6).

Alfatafta HH, Hutchins S, Liu A, Jones R. Effect of a knee-ankle-foot orthosis on knee kinematics and kinetics in an individual with varus knee alignment. J Prosthetics Orthot 2016;28(4).

Moller F, Ortíz-Muñoz L, Irarrázaval S. Offloader knee braces for knee osteoarthritis. Medwave 2021;21(3).

Katz JN, Arant KR, Loeser RF. Diagnosis and Treatment of Hip and Knee Osteoarthritis: A Review. JAMA - J. Am. Med. Assoc.2021;325(6).

Alrushud AS, Rushton AB, Bhogal G, Pressdee F, Greig CA. Effect of a combined programme of dietary restriction and physical activity on the physical function and body composition of obese middle-aged and older adults with knee OA (DRPA): Protocol for a feasibility study. BMJ Open 2018;8(12).

Zak M, Pasiyeshvili L. CHRONIC GASTRITIS CLINICAL FEATURES AND STOMACH FUNCTIONAL STATE DURING NONSTEROIDAL ANTI-INFLAMMATORY DRUGS ADMINISTRATION IN PATIENTS WITH OSTEOARTHRITIS. EUREKA Heal Sci 2016;5.



Bookmark and Share
-->