Physiotherapy clinic in Tambaram Are you Looking f...

Physiotherapy clinic in Tambaram Are you Looking for Physiotherapy Treatment in Tambaram, Sunshine Super Speciality Physiotherapy Clinic, We Provide Electrotherapy, Exercise and Manual Therapy, Orthopedic, Neuro, Cardio, Pediatric, Sports and Geriatric Rehabilitation, Post Operative Physiotherapy Treatment, Fracture Rehabilitation, pain free movement. Just published in “Annals of Internal Medicine” 🔥 High- Versus Low-Dose Exercise Therapy for Knee Osteoarthritis 🦵 🦵 🦵 👉 Knee osteoarthritis is a common disorder that can result in chronic joint pain, knee stiffness, decreased function, reduced quality of life (QoL), and sick leave (https://pubmed.ncbi.nlm.nih.gov/29730615/) 👉 Exercise is the preferred treatment (https://www.oarsijournal.com/article/S1063-4584(14)00016-8/fulltext, https://pubmed.ncbi.nlm.nih.gov/32661322/) and is recommended in treatment guidelines (https://pubmed.ncbi.nlm.nih.gov/24387819/) and systematic reviews (https://pubmed.ncbi.nlm.nih.gov/25569281/). 👉 Medical exercise therapy (MET) was developed in Norway during the 1960s from the biopsychosocial model (https://pubmed.ncbi.nlm.nih.gov/26010954/) and is based on the principle of self-paced exercises, where the patient sets the dose of the exercises together with a therapist (https://pubmed.ncbi.nlm.nih.gov/26010954/, https://pubmed.ncbi.nlm.nih.gov/29730615/). 👉 Exercise dose is characterized by type, intensity, duration, and frequency together with a total number of sets and exercises (https://pubmed.ncbi.nlm.nih.gov/24722964/, https://pubmed.ncbi.nlm.nih.gov/32890744/). Wide variability in the exercise content prescribed and reported in the literature has made it difficult to identify an optimal exercise dose (https://pubmed.ncbi.nlm.nih.gov/32890744/, https://pubmed.ncbi.nlm.nih.gov/29320945/) that can be agreed upon (https://pubmed.ncbi.nlm.nih.gov/25569281/, https://pubmed.ncbi.nlm.nih.gov/34098998/). 👉 Torstensen et al. (https://pubmed.ncbi.nlm.nih.gov/36689746/) compared high-dose versus low-dose exercise therapy with regard to knee function, pain, and quality of life (QoL) in patients with long-term symptomatic knee osteoarthritis. 👉 189 patients with diagnosed knee osteoarthritis and a history of pain and decreased knee function were assigned to high-dose therapy (n = 98; 11 exercises; 70 to 90 minutes, 3 sets, 30 reps) or low-dose therapy (n = 91; 5 exercises; 20 to 30 minutes, 2 sets, 10 reps). 👉 Global (aerobic), semiglobal (multisegmental), and local (joint-specific) exercises were performed 3 times a week for 12 weeks under supervision of a physiotherapist. Results 📊 Both groups improved over time, but there were no benefits of high-dose therapy in most comparisons. One exception was the KOOS score for function in sports and recreation, where high-dose therapy was superior at the end of treatment and at 6-month follow-up (11 points difference between groups) . A small benefit in quality of life (QoL) at 6 and 12 months was also observed. 📌 Conclusion: The results do not support the superiority of high-dose exercise over low-dose exercise for most outcomes. However, small benefits with high-dose exercise were found for knee function in sports and recreation and for QoL. Therefore, according to the authors, “the use of exercise treatment in chronic pain conditions should be viewed as a form of cognitive therapy, where the goal is to modulate pain and thus patients' thoughts and feelings about it rather than increasing muscle strength and endurance (https://pubmed.ncbi.nlm.nih.gov/33939358/).” SUNSHINE ® SUPER SPECIALITY PHYSIOTHERAPY CLINIC - #DrParthiban #Sunshinephysioclinic.in #Physiotherapyclinicintambaram DR.M.P. PARTHIBAN.M.P.T (Ortho), Chief Orthopedic Physiotherapist, Call for Appointments: - 9345122177 East Tambaram, CHENNAI