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Effects of a customized biomechanical therapy on patients with medial compartment knee osteoarthritis = Effets d'une thérapeutique biomécanique sur des patients atteints de gonarthrose du compartiment fémorotibial interne

DREXLER M; ELBAZ R; MOR V; DEBI R; DEBBI EM; BAR HAIM S; LADOR R; SALAI M; SEGAL G
ANN PHYS REHABIL MED , 2012, vol. 55, n° 4, p. 213-228
Doc n°: 157240
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2012.01.002
Descripteurs : DE55 - PATHOLOGIE GENOU

Previous studies have shown that a customized biomechanical therapy
can improve symptoms of knee osteoarthritis. These studies were small and did not
compare the improvements across gender, age, BMI or initial severity of knee
osteoarthritis. The purpose of this study was to evaluate the effect of new
biomechanical therapy on the pain, function and quality of life of patients with
medial compartment knee osteoarthritis. METHODS:
Six hundred and fifty-four
patients with medial compartment knee osteoarthritis were examined before and
after 12 weeks of a personalized biomechanical therapy (AposTherapy). Patients
were evaluated using the Western Ontario and McMaster Osteoarthritis (WOMAC)
Index and SF-36 Health Survey. RESULTS: After 12 weeks of treatment, the
WOMAC-pain and WOMAC-function subscales were significantly lower compared to
baseline (both P</=0.001). All eight categories of the SF-36 health survey
significantly improved after treatment (all P</=0.001). Females and younger
patients showed greater improvements with therapy. CONCLUSIONS: Twelve weeks of a customized biomechanical therapy (AposTherapy) improved symptoms of patients with
medial compartment knee osteoarthritis. We recommend that this therapy will be
integrated in the management of knee osteoarthritis.
CI - Copyright (c) 2012 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS

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