The Effectiveness of Thai Exercise with Traditional Massage on the Pain, Walking Ability and QOL of Older People with Knee Osteoarthritis: A Randomized Controlled Trial in the Community (original) (raw)
Related papers
2021
Knee osteoarthritis is a chronic, incurable disease that results in difficulties for patients and a decrease in their quality of life. There are currently two treatment approaches for knee osteoarthritis: symptomatic medication and knee arthroplasty. Therefore, the researchers are interested in studying Thai traditional treatment as another alternative for patients with knee osteoarthritis. The objectives of this study were 1) to study the background of treatment of patients with knee osteoarthritis using Thai traditional medicine; 2) to study the current condition and health problems of patients with knee osteoarthritis treated with Thai traditional medicine; 3) to study the health promotion guidelines for patients with knee osteoarthritis treated with Thai traditional medicine at Prapokklao Hospital, Chanthaburi Province. In this study, the data collection was performed through interviews, observations, focus group discussions with Thai traditional medicine doctors and folk healer...
The Effectiveness of Thai Massage and Joint Mobilization
International Journal of Therapeutic Massage & Bodywork: Research, Education, & Practice, 2017
Background: Non-specific low back pain (LBP) is a common health problem resulting from many risk factors and human behaviors. Some of these may interact synergistically and have been implicated in the cause of low back pain. Massage both traditional Thai massage and joint mobilization as a common practice has been shown to be effective for some subgroup of nonspecific LBP patients. Purpose and Setting: The trial compared the effectiveness between traditional Thai massage and joint mobilization for treating nonspecific LBP. Some associated factors were included. The study was conducted at the orthopedic outpatient department,
An innovative leg self-exercise to reduce knee pain severity among the elderly people in Thailand
International journal of public health science, 2024
Osteoarthritis (OA) is a prevalent health issue that has consistently risen in occurrence among the elderly in Thailand. This issue holds significant importance within Thailand's healthcare system. This research was allocated to the quasi-experimental study aimed at assessing the effectiveness of leg self-exercises for reducing knee pain severity among the elderly. The total sample size was 108 elderly people recruited into the study with an Oxford Knee Score (OKS) between 20 and 48. The participants were divided into two groups: the intervention group received leg self-exercise with a plank for six weeks, and the control group: received health education booklets. All parameters were compared between and within each group using the independent t-test and paired sample t-test in data analysis. At the threemonth follow-up, the results revealed that the OKS and self-exercise behavior in the intervention group had considerably increased more than those in the control group (p<0.001). Compared with the baseline and threemonth follow-up, the within comparison, the OKS, and self-exercise behavior were significantly improved (p<0.001). The leg self-exercise with the plank program can lessen the degree of knee discomfort in the elderly and be used to impose and produce recommendations for supporting healthy policies.
Journal of Traditional Chinese Medicine, 2016
OBJECTIVE: Chinese massage (Tui Na) is one of the most popular Traditional Chinese Medicine remedies for knee osteoarthritis (OA). Several studies have subjectively evaluated the effect of Chinese massage on knee OA through self-assessment questionnaires; however, very few studies have objectively assessed the effect by measuring knee muscle strength. The purpose of this study was to assess the efficacy of Chinese massage in improving knee extensor and flexor muscle strength in patients with knee OA. METHODS: Thirty patients with knee OA received Chinese massage therapy three times per week for 2 weeks. Patients completed pre-and post-treatment Visual Analogue Scale (VAS) pain questionnaires, and pre-and post-treatment knee muscle strength was evaluated using the Biodex Multi-Joint System 3. Isokinetic muscle strength measurements were performed at 60 degrees/s and 180 degrees/s. The peak torque (PT), peak torque/body weight (PT/BW), total work (TW), average power (AP), hamstring/quadriceps (H/Q), and range of motion (ROM) values were recorded separately for flexors and extensors. RESULTS: Chinese massage therapy significantly improved knee pain as assessed by the VAS in patients with knee OA (P < 0.05). Post-treatment values were significantly greater than pre-treatment values in the extensor muscles for PT (right P = 0.013, left P = 0.001), PT/BW (right P = 0.008, left P = 0.001) and TW (right P = 0.036, left P = 0.004) at 60 degrees/s. The AP increased significantly after treatment in the flexor muscles in the right knee (P = 0.009) and the extensor muscles in the left knee (P = 0.001). There were no significant differences in pre-and post-treatment ROM and H/Q at 60 degrees/s and 180 degrees/s. CONCLUSION: Chinese massage therapy decreased pain and may improve extensor muscle strength in patients with knee OA, but does not appear to improve ROM.
Massage Therapy and Quality of Life in Osteoarthritis of the Knee: A Qualitative Study
Pain medicine (Malden, Mass.), 2016
We hypothesized that participants receiving Swedish massage would experience benefits such as stress reduction and enhanced quality of life, in addition to the osteoarthritis-specific effects assessed in a randomized controlled clinical trial. Qualitative methods were used to explore a deeper contextual understanding of participants' experiences with massage and osteoarthritis, in addition to the quantitative data collected from primary and secondary outcome measures of the dose-finding study. Two community hospitals affiliated with academic health centers in Connecticut and New Jersey. Eighteen adults who previously participated in a dose-finding clinical trial of massage therapy for osteoarthritis of the knee. Face-to-face and telephone interviews using a standardized interview guide. Triangulation of qualitative and quantitative data allowed for a more thorough understanding of the effects of massage therapy. Three salient themes emerged from our analysis. Participants discus...
Massage Therapy for Osteoarthritis of the Knee
Archives of Internal Medicine, 2006
Background: Massage therapy is an attractive treatment option for osteoarthritis (OA), but its efficacy is uncertain. We conducted a randomized, controlled trial of massage therapy for OA of the knee.
Efficacy and Safety of Massage for Osteoarthritis of the Knee: a Randomized Clinical Trial
Journal of General Internal Medicine
BACKGROUND: Current treatment options for knee osteoarthritis have limited effectiveness and potentially adverse side effects. Massage may offer a safe and effective complement to the management of knee osteoarthritis. OBJECTIVE: Examine effects of whole-body massage on knee osteoarthritis, compared to active control (lighttouch) and usual care. DESIGN: Multisite RCT assessing the efficacy of massage compared to light-touch and usual care in adults with knee osteoarthritis, with assessments at baseline and weeks 8, 16, 24, 36, and 52. Subjects in massage or light-touch groups received eight weekly treatments, then were randomized to biweekly intervention or usual care to week 52. The original usual care group continued to week 24. Analysis was performed on an intention-to-treat basis. PARTICIPANTS: Five hundred fifty-one screened for eligibility, 222 adults with knee osteoarthritis enrolled, 200 completed 8-week assessments, and 175 completed 52week assessments. INTERVENTION: Sixty minutes of protocolized full-body massage or light-touch. MAIN MEASURES: Primary: Western Ontario and McMaster Universities Arthritis Index. Secondary: visual analog pain scale, PROMIS Pain Interference, knee range of motion, and timed 50-ft walk. KEY RESULTS: At 8 weeks, massage significantly improved WOMAC Global scores compared to light-touch (− 8.16, 95% CI = − 13.50 to − 2.81) and usual care (− 9.55, 95% CI = − 14.66 to − 4.45). Additionally, massage improved pain, stiffness, and physical function WOMAC subscale scores compared to light-touch (p < 0.001; p = 0.04; p = 0.02, respectively) and usual care (p < 0.001; p = 0.002; p = 0.002; respectively). At 52 weeks, the omnibus test of any group difference in the change in WOMAC Global from baseline to 52 weeks was not significant (p = 0.707, df = 3), indicating no significant difference in change across groups. Adverse events were minimal. CONCLUSIONS: Efficacy of symptom relief and safety of weekly massage make it an attractive short-term treatment option for knee osteoarthritis. Longer-term biweekly dose maintained improvement, but did not provide additional benefit beyond usual care post 8-week treatment. TRIAL REGISTRATION: clinicaltrials.gov NCT01537484