EFFICACY OF INTERMITTENT VACUUM THERAPY AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY TREATMENT IN PATIENTS WITH KNEE OSTEOARTHRITIS
DOI:
https://doi.org/10.22159/ijcpr.2024v16i4.5036Keywords:
Osteoarthritis, Indications, Intermittent vacuum therapyAbstract
Objective: Osteoarthritis (OA) is a severe joint disease that affects more than 60 percent of the elderly. It is highly prevalent and a leading cause of pain and disability worldwide. Symptoms can become increasingly debilitating over time and can greatly affect the quality of life, contributing to feelings of dependence and loss of autonomy in older people. Intermittent vacuum therapy (IVT) is a new technology which is now being used to treat vascular diseases of the legs, to accelerate rehabilitation, to reduce oedema in the lower extremities, to treat cellulite as well as other indications. The majority of the examinations of physiological effects of intermittent vacuum therapy is based on reactions to stable negative pressure in the lower body.
Methods: A total of 30 patients, 15 in group A (Conventional) and 15 in group B, were randomly selected based on inclusion and exclusion criteria. Outcome measures-VAS, WOMAC and Knee flexion ROM were assessed pre and post-intervention. The treatment was performed for 10 sessions.
Results: There was statistical significance seen in Group A (Conventional) and Group B (Interventional) in all outcome measures. However, treatment with Intermittent Vacuum therapy showed better results in comparison to conventional therapy. Data analysis was done using Paired T test.
Conclusion: Intermittent Vacuum Therapy along with conventional protocol showed significant improvement in the above outcome measures in O. A Knee patients. Therefore, Intermittent Vacuum Therapy can be incorporated as a part of rehabilitation in O. A Knee patients.
Downloads
References
Page CJ, Hinman RS, Bennell KL. Physiotherapy management of knee osteoarthritis. Int J Rheum Dis. 2011 May;14(2):145-51. doi: 10.1111/j.1756-185X.2011.01612.x, PMID 21518313.
Hayashi M, Koga S, Kitagawa T. Effectiveness of rehabilitation for knee osteoarthritis associated with isolated meniscus injury: a scoping review. Cureus. 2023 Feb 2;15(2):e34544. doi: 10.7759/cureus.34544, PMID 36879702.
Atalay SG, Durmus A, Gezginaslan O. The effect of acupuncture and physiotherapy on patients with knee osteoarthritis: a randomized controlled study. Pain Phys. 2021;24(3):E269-78. doi: 10.36076/ppj.2021/24/E269, PMID 33988943.
Liew JW, King lK, Mahmoudian A, Wang Q, Atkinson HF, Flynn DB, Appleton CT, Englund M, Haugen IK, Lohmander lS, Runhaar J. A scoping review of how early-stage knee osteoarthritis has been defined. Osteoarthritis and Cartilage. 2023 Sep;31(9):1234-41. doi: 10.1016/j.joca.2023.04.015.
Nagao M, Ishijima M, Kaneko H, Takazawa Y, Ikeda H, Kaneko K. Physical activity for knee osteoarthritis. Clin Calcium. 2017 Jan 1;27(1):25-30. PMID 28017942.
Emmert D, Rasche T, Stieber C, Conrad R, Mucke M. Knee pain-symptoms, diagnosis and therapy of osteoarthritis. MMW Fortschr Med. 2018 Sep;160(15):58-64. doi: 10.1007/s15006-018-0023-1, PMID 30206896.
Leenen E, Neumann L, Harth A, Jorres A, Weidemann A. Peritoneal dialysis catheter leakage following intermittent vacuum therapy. Clin Kidney J. 2018 Oct;11(5):724-5. doi: 10.1093/ckj/sfx142, PMID 30288269.
Wackenfors A, Sjogren J, Gustafsson R, Algotsson L, Ingemansson R, Malmsjo M. Effects of vacuum‐assisted closure therapy on inguinal wound edge microvascular blood flow. Wound Repair Regen. 2004 Nov;12(6):600-6. doi: 10.1111/j.1067-1927.2004.12602.x, PMID 15555050.
Parganlija D, Nieberg V, Sauer M, Rittweger J, Bloch W, Zange J. Lower body negative pressure enhances oxygen availability in the knee extensor muscles during intense resistive exercise in supine position. Eur J Appl Physiol. 2019 Jun 1;119(6):1289-303. doi: 10.1007/s00421-019-04113-w, PMID 30915538.
Hageman D, Fokkenrood HJ, Van Deursen BA, Gommans LN, Cancrinus E, Scheltinga MR. Randomized controlled trial of vacuum therapy for intermittent claudication. J Vasc Surg. 2020 May 1;71(5):1692-1701.e1. doi: 10.1016/j.jvs.2019.08.239, PMID 31690523.
Published
How to Cite
Issue
Section
Copyright (c) 2024 ALI Irani, Karan Gera
This work is licensed under a Creative Commons Attribution 4.0 International License.