Comparison of different rehabilitation approaches effectiveness in individuals with knee osteoarthritis

Purpose: To investigate the effects of different rehabilitation practices on the range of motion, muscle strength, pain, physical function and quality of life in patients with knee Osteoarthritis (OA). Methods: Thirty patients between the ages of 40-65 with knee OA were included in the study and divided into 3 groups. Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound, hotpack/coldpack and home exercise program were given to the Group 1 (N=10) for 15 days. Group 2 (N=10) received three doses of Platelet-Rich Plasma (PRP) followed by home exercise program for 15 days. The Control Group (N=10) received only home exercise program for 15 days. All individuals were evaluated using goniometer for range of motion (ROM), manual muscle test for M. Quadriceps femoris muscle strength, Visual Analogue Scale for pain, The Western Ontario and McMaster Universities Arthritis (WOMAC) Scale for physical function and Short Form-12 Quality of Life Scale Mental (SF-12 - MC) and Physical Component (SF-12 - PC) for quality of life at baseline and end of treatment. Results: Statistically significant difference was found at pain and WOMAC score at the time of activity in all groups. Statistically significant difference was found at ROM and SF-12 MC score in group 1 and 2, at resting pain and SF-12 PC score in control group (p<0.05). Conclusion: Electrotherapy treatment and PRP approach as an adjunct to knee OA to knee OA treatment, it is thought that home exercise program can be used to relieve symptoms and improve quality of life in knee OA