Acta Scientific Microbiology (ISSN: 2581-3226)

Review Article Volume 6 Issue 10

Osteoarthritis with its Physiotherapeutic Management

Anshu Singh1* and Basant Kumar Sinha2

1Sports Physiotherapist, Visiting consultant at AyurVAID Hospital, Bangalore, Karnataka, India

2Ex Professor and Head [Microbiology], Bihar Veterinary College, Patna, Bihar and Guest Faculty [Microbiology], Indian Institute of Health Education and Research, Patna, Bihar and [Biotechnology], Anugrah Narayan College, Patna, Bihar, India

*Corresponding Author: Anshu Singh, Sports Physiotherapist, Visiting consultant at AyurVAID Hospital, Bangalore, Karnataka, India.

Received: August 03, 2023; Published: September 15, 2023

Abstract

Osteoarthritis is the most common type of arthritis; it is a multi-factorial progressive and non-inflammatory degenerative disease of synovial joint. Degenerative changes led to irreversible destruction of articular cartilage and other tissue of joint. Inter-phalanges joint of finger and carpometacarpal joint of thumb, knee and hip joints are most commonly affected. There is unilateral involvement of joints , complaint of pain, loss of mobility, morning stiffness and decrease range of motion. The exact cause of osteoarthritis is unknown however current evidence says that major risk factor of Osteoarthritis are age, sex, races, genetic factor, joint trauma and occupation related stress over joint etc. On the basis of risk factor, it can be primary and secondary Osteoarthritis. Pharmacological treatment mostly steroids and NSAID (Non-Steroidal anti-inflammatory Drugs) drugs that provide symptomatic relieve from pain and inflammation next DMOADS (disease modifying Osteoarthritis drugs) are under develop and aim to modify the underline osteoarthritis to prevent long term disability. Surgical intervention may required for advanced stage of Osteoarthritis when pain is unbearable and disability pause the Activities of daily living(ADL). Physiotherapeutic management includes exercise therapy, electro-therapy along with electric modality, aqua therapy, agility and perturbation training, balance and proprioception.

Keywords: Osteoarthritis; Rheumatoid Arthritis; Crepitus; Heberden’s Node; Bouchard’s Node; Aquatic Therapy; Tai Chi

References

  1. Azizi S., et al. “Randomized controlled trial of aquatic exercise for treatment of knee osteoarthritis in elderly people”. Interventional Medicine and Applied Science 3 (2019): 161-167.
  2. Bennell KL and Hinman RS. “A review of the clinical evidence for exercise in osteoarthritis of the hip and knee”. Journal of Science and Medicine in Sport 1 (2011): 4-9.
  3. Blagojevic M., et al. “Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis”. Osteoarthritis Cartilage 18 (2010): 24-33.
  4. Busija L bridgett L., et al. “Osteoarhritis”. Best Practice and Research: Clinical Rheumatology 6 (2010): 757-768.
  5. C Gay., et al. “Educating patients about the benefits of physical activity and exercise for their hip and knee osteoarthritis. Systematic literature review”. Annals of Physical and Rehabilitation medicine 59 (2016): 174-183.
  6. Cameron KL., et al. “Incidence of physician-diagnosed osteoarthritis among active duty United States military service members”. Arthritis and Rheumatology10 (2011): 2974-2982.
  7. Crofford L J. “Use of NSAID in treating patients with arthritis”. Arthritis Research and Therapy 15 (2013):
  8. Coggon D., et al. “Knee osteoarthritis and obesity". International Journal of Obesity and Related Metabolic Disorders 5 (2001): 622-627.
  9. Cross M., et al. “The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study". Annals of the Rheumatic Diseases7 (2014): 1323-1330.
  10. Coudeyre E., et al. “Isokinetic muscle strengthening for knee osteoarthritis: A systematic review of randomized controlled trials with meta-analysis”. Annals of Physical and Rehabilitation Medicine 3 (2016): 207-215.
  11. Das Siddharth Kumar and Farooqi Abid. “Best Practice and Research Clinical Rheumatology”. Elesevier 22 (2008): 657-675.
  12. Deveza LA., et al. “Phenotypes of Osteoarthritis: Current State and Future Implications”. Clinical and Experimental Rheumatology 5 (2005): 64-72.
  13. Deyle GD., et al. “Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee”. The New England Journal of Medicine 15 (2020): 1420-1429.
  14. Dantas LO., et al. “Knee osteoarthritis: key treatments and implications for physical therapy”. Brazilian Journal of Physical Therapy 2 (2021): 135-146.
  15. Duclos M. “Osteoarthritis, obesity and type 2 diabetes: The weight of waist circumference”. Annals of Physical and Rehabilitation Medicine3 (2016): 157-160.
  16. Esser S and Bailey A. “Effects of exercise and physical activity on knee osteoarthritis”. Current Pain and Headache Reports 6 (2011): 423-430.
  17. Felson DT. “Identifying Different Osteoarthritis Phenotypes Through Epidemiology”. Osteoarthritis Cartilage5 (2010): 601-604.
  18. Fitzgerald GK., et al. “Agility and perturbation training techniques in exercise therapy for reducing pain and improving function in people with knee osteoarthritis: a randomized clinical trial”. Physical Therapy 4 (2011): 452-469.
  19. Flynn John A., et al. “Oxford American Handbook of Clinical Medicine”. OUP USA (2013): 400.
  20. Frallonardo P., et al. “Basic calcium phosphate and pyrophosphate crystals in early and late osteoarthritis: relationship with clinical indices and inflammation”. Clinical Rheumatology 37 (2018): 2847-2853.
  21. Fransen M., et al. “Exercise for osteoarthritis of the knee”. Cochrane Database System Review 1 (2015): CD004376.
  22. Grässel S and Muschter D. “Recent advances in the treatment of osteoarthritis”. F1000 Research 9 (2020): F1000 Faculty Rev-325.
  23. Howker G., et al. “Understanding of the pain experiencing in hip and knee osteoarthritis an OARSI/OMERACT initiative”. Osteoarthiritis Cartilage 16 (2008): 415-422.
  24. Hunter DJ., et al. “The symptoms of osteoarthritis and the gensis of pain”. Medical Clinics of North America 93 (2009): 83-100.
  25. Hurley M., et al. “Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review”. Cochrane Database System Review4 (2018): CD010842.
  26. Hinman RS., et al. “Does telephone-delivered exercise advice and support by physiotherapists improve pain and/or function in people with knee osteoarthritis? Telecare randomised controlled trial”. British Journal of Sports Medicine 13 (2020): 790-797.
  27. Henrotin Y., et al. “Osteoarthritis biomarkers derived from cartilage extracellular matrix: Current status and future perspectives”. Annals of Physical and Rehabilitation Medicine 3 (2019): 145-148.
  28. Kloek CJJ., et al. “Effectiveness of a Blended Physical Therapist Intervention in People With Hip Osteoarthritis, Knee Osteoarthritis, or Both: A Cluster-Randomized Controlled Trial”. Physical Therapy7 (2018): 560-570.
  29. Kohn MD., et al. “Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis”. Clinical Orthopaedics and Related Research 474 (2016): 1886-1893.
  30. Luan L., et al. “Knee osteoarthritis pain and stretching exercises: a systematic review and meta-analysis”. Physiotherapy 114 (2022): 16-29.
  31. Loeser RF., et al. “Osteoarthritis: A Disease of the Joint as an Organ”. Arthritis and Rheumatology6 (2012): 1697-1707.
  32. Law RJ., et al. “A lifestyle management programme focused on exercise, diet and physiotherapy support for patients with hip or knee osteoarthritis and a body mass index over 35: A qualitative study”. Musculoskeletal Care1 (2017): 145-151.
  33. Markhardt BK., et al. “The Clinical Significance of Osteophytes in Compartments of the Knee Joint With Normal Articular Cartilage”. AJR American Journal of Roentgenology 4 (2018): W164-W171.
  34. Maani A., et al. “Osteoarthritis of the Knee: Recent Advances and Management During COVID-19 Era”. 11.1 (2020).
  35. Morkash Harold WIlson and Young Charles Mackworth, 2020. “Non surgical regional therapy for osteoarthritis: An update and review of the literature” (2020).
  36. Marwa Mohamed Alawady Elsheikh., et al. “The effect of balance training in knee osteoarthritis”. Journal of Advances in Medicine and Medical Research (2020): 246-255.
  37. Martel-Pelletier J., et al. “Osteoarthritis”. Nature Reviews Disease Primers 2 (2016):
  38. McCarty DJ and Koopman WJ. “Arthritis and allied conditions”. Lea and Febige: Philidelphia, London, (1993).
  39. Mora JC., et al. “Knee Osteoarthritis: Pathophysiology and current treatment modalities”. Journal of Pain Research 11 (2018): 2189-2196.
  40. McAlindon TE., et al. “OARSI guidelines for the non-surgical management of knee osteoarthritis”. Osteoarthritis Cartilage 3 (2014): 363-388.
  41. Malone Terry R., et al. “Orthopedic ans Sports Physical Therapy: Mosby” (1997).
  42. Nguyen C., et al. “Rehabilitation (exercise and strength training) and osteoarthritis: A critical narrative review”. Annals of Physical and Rehabilitation Medicine 3 (2016): 190-195.
  43. Neogi T. “The epidemiology and impact of pain in osteoarthritis”. Osteoarthritis Cartilage 21 (2013): 1145-1153.
  44. Neogi T., et al. “Constituency of knee pain: correlates and association with function”. Osteoarthritis Cartilage 18 (2010): 1250-1255.
  45. Nijs J., et al. “Behavioral Graded Activity+ (BGA+) for Osteoarthritis: A Paradigm Shift from Disease-Based Treatment to Personalized Activity Self-Management”. Journal of Clinical Medicine 6 (2020): 1793.
  46. Nelligan RK., et al. “Effects of a Self-directed Web-Based Strengthening Exercise and Physical Activity Program Supported by Automated Text Messages for People With Knee Osteoarthritis: A Randomized Clinical Trial”. JAMA Internal Medicine 6 (2021): 776-785.
  47. Peach CA., et al. “Recent advances in the genetic investigation of osteoarthritis”. Trends in Molecular Medicine's 11 (2005): 186-191.
  48. Preece SJ., et al. “A new integrated behavioural intervention for knee osteoarthritis: development and pilot study”. BMC Musculoskeletal Disorder 1 (2021): 526.
  49. Rhon D., et al. “Manual physical therapy and perturbation exrecise in knee osteoarthritis”. Journal of Manual and Manipulative Therapy 4 (2013): 220-228.
  50. Roemer FW., et al. “State of the Art: Imaging of Osteoarthritis-Revisited 2020”. Radiology 1 (2020): 5-21.
  51. Singh Anshu., et al. “A literature Review To Find Out The Effectivness of Jack Knife Stretching in Hamstring Tightness”. IJCRT11 (2023): 2220-2882.
  52. Seidman Aaron J and Limaiem Faten. "Synovial Fluid Analysis". StatPearls, StatPearls Publishing (2019).
  53. Shamsi Sharick., et al. “Effectiveness of physiotherapy management in knee OA: A systematic review”. Indian journal of Medical Specialities 11 (2020): 185-191.
  54. Shamsi S., et al. “Effectiveness of physiotherapy management in knee osteoarthritis: A systematic review”. Indian Journal of Medical Specialities 11 (2020): 185-191.
  55. Sinusas K . "Osteoarthritis: diagnosis and treatment". American Family Physician1 (2012): 49-56.
  56. Sumathi G., et al. “Effect of therapeutic Exercise Vs Retro walking in individuals with knee osteoarthritis”. International Journal of Health and Science 9 (2019): 130-136.
  57. Tsokanos A., et al. “The Efficacy of Manual Therapy in Patients with Knee Osteoarthritis: A Systematic Review”. Medicina (Kaunas)7 (2021): 696.
  58. Tanaka R., et al. “Efficacy of strengthening or aerobic exercise on pain relief in people with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials”. Clinical Rehabilitation 12 (2013): 1059-1071.
  59. Tanamas SK., et al. “Sex hormones and structural changes in osteoarthritis: a systematic review". Maturitas2 (2011): 141-156.
  60. Tsokanos A., et al. “The Efficacy of Manual Therapy in Patients with Knee Osteoarthritis: A Systematic Review”. Medicina7 (2021): 696.
  61. Vos T., et al. “Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010". Lancet9859 (2012): 2163-2196.
  62. Veenhof C., et al. “Effectiveness of behavioral graded activity in patients with osteoarthritis of the hip and/or knee: A randomized clinical trial”. Arthritis and Rheumatology 6 (2006): 925-934.
  63. Wu CW., et al. “Validation of American College of Rheumatology classification criteria for knee osteoarthritis using arthroscopically defined cartilage damage scores”. Seminars in Arthritis and Rheumatism 35 (2005): 197-201.
  64. Wang X., et al. “What is the role of imaging in the clinical diagnosis of osteoarthritis and disease management?” Rheumatology (Oxford) 57 (2018): iv51-iv60.
  65. Wu CW., et al. “Validation of American College of Rheumatology classification criteria for knee osteoarthritis using arthroscopically defined cartilage damage scores”. Seminars in Arthritis and Rheumatism3 (2005): 197-201.
  66. Xie SH., et al. “Effect of Internet-Based Rehabilitation Programs on Improvement of Pain and Physical Function in Patients with Knee Osteoarthritis: Systematic Review and Meta-analysis of Randomized Controlled Trials”. Journal of Medical Internet Research 1 (2021): e21542.
  67. Zhang W., et al. “OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines”. Osteoarthritis Cartilage 2 (2008): 137-162.

Citation

Citation: Anshu Singh and Basant Kumar Sinha. “Osteoarthritis with its Physiotherapeutic Management". Acta Scientific Microbiology 6.10 (2023): 15-21.

Copyright

Copyright: © 2023 Anshu Singh and Basant Kumar Sinha. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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