ROLE OF WEIGHT REDUCTION VERSUS PHYSICAL THERAPY IN MANAGEMENT OF OBESE PATIENTS WITH KNEE OSTEOARTHRITIS.

  • Department of Rheumatology and Rehabilitation, Faculty of medicine Zagazig University.
  • Ministery of Health ,Egypt.
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Objective: the aim of our work was to study the effects of physical therapy versus weight reduction and their combined effects in obese patients with knee OA. Methods: 156 obese patients (137 females and 19 males) with knee OA were recruited. their BMIs ranged from 30.2 to 50.8. Patients were randomized to three groups: Group I: underwent physical therapy only. Group II: underwent weight reduction only. Group III: underwent combined physical therapy and weight reduction. Changes in body weight and body composition were examined as independent predictors of changes in knee OA symptoms. Symptoms were monitored by the Western Ontario and McMaster Universities? (WOMAC) OA index. Results: the mean changes of group II and III (-16.9 ?2.7 and -15.7 ?2) were highly significant respectively while mean change of group I (-0.6 ?0.4) was non significant. Group II had the best improvement of BMI with mean change of (-6.6 ?0.8) followed by group III (-4.9 ?0.7 ) while group I had the worst (-0.3 ?0.2) . The total WOMAC index improved within each group after two and four months from baseline (p < 0.001), The best mean change of WOMAC score was found in group III (-14.8 ?49). Conclusion: Combination of both weight reduction and physical therapy gives better results as regard improving knee pain and function in patients with OA, reduces disability and improves quality of life compared to each method alone

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[Heba A. Seliem, Eman E. El-Shahawy, Samah F. Abbas and Asmaa A.Baz. (2017); ROLE OF WEIGHT REDUCTION VERSUS PHYSICAL THERAPY IN MANAGEMENT OF OBESE PATIENTS WITH KNEE OSTEOARTHRITIS. Int. J. of Adv. Res. 5 (Jan). 2581-2588] (ISSN 2320-5407). www.journalijar.com

Heba A. Seliem

DOI:

Article DOI: 10.21474/IJAR01/3047      
DOI URL: https://dx.doi.org/10.21474/IJAR01/3047

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