Effects of orthopaedic manual therapy in knee osteoarthritis: a systematic review and meta-analysis

Physiotherapy
Shahnawaz AnwerJean-Michel Brismée

Abstract

This systematic review to aimed to evaluate the effects of orthopaedic manual therapy (OMT) on pain, improving function, and physical performance in patients with knee osteoarthritis (OA). Four databases (PubMed, Web of Science, CENTRAL, and CINAHL) were searched. Trials were required to compare OMT alone or OMT in combination with exercise therapy, with exercise therapy alone or control. Data extraction and risk assessment were done by two independent reviewers. Outcome measures were visual analogue scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score, WOMAC function score, WOMAC global score, and stairs ascending-descending time. Eleven randomized controlled trials were included (494 subjects), four of which had a PEDro score of 6 or higher, indicating adequate quality. The results of the meta-analysis indicated that reduction of VAS score in OMT compared with the control group was statistically insignificant (SDM: -0.59; 95% CI: -1.54 to -0.36; P=0.224). The reduction of VAS score in OMT compared with exercise therapy group was statistically significant (SDM: -0.78; 95% CI: -1.42 to -0.17; P=0.013). The reduction of WOMAC pain score in OMT compared with the exercise therapy group was...Continue Reading

Citations

Aug 5, 2020·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Cheryl HawkJohn Weeks
Sep 3, 2020·The Journal of the American Osteopathic Association·Dylan ShaferMichael A Seffinger
Aug 9, 2020·Scientific Reports·F M Conesa-BuendíaArantxa Ortega-De Mues
Dec 23, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Sezen Karaborklu ArgutOnder I Kilicoglu
Jul 28, 2021·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Cheryl HawkDaniel Redwood
Jul 3, 2021·The Journal of Orthopaedic and Sports Physical Therapy·Daniel I Rhon, Gail D Deyle
Nov 4, 2021·Sports Medicine and Arthroscopy Review·Leah CarreñoMichael Crowell

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