Multimodal non-surgical intervention for individuals with knee osteoarthritis: a retrospective case series

James J. Young, Deborah Kopansky-Giles, Carlo Ammendolia

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Introduction: The purpose of this study is to review the pain and functional outcomes of a multimodal intervention in three patients with knee osteoarthritis (OA). This study explores how manual therapy can be delivered within an evidence-based framework for the management of knee OA.
Methods: Medical records were reviewed for three patients with knee OA who underwent a standardized multimodal intervention including education, exercise, and manual therapy. Changes in pain intensity and function from baseline to post-intervention were calculated and compared to thresholds for minimal clinically important differences.
Results: One participant met the threshold for clinically significant improvement in pain and two participants for function. No adverse events were reported.
Conclusion: Combined education, exercise, and manual therapy delivered over a 6-week period improved function in two of the three patients reviewed. Higher quality research is required to explore whether this multimodal intervention may improve outcomes in individuals with knee OA.
Original languageEnglish
JournalJournal of the Canadian Chiropractic Association
Volume63
Issue number2
Pages (from-to)92-99
ISSN0008-3194
Publication statusPublished - Aug 2019
Externally publishedYes

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Knee Osteoarthritis
Education
Medical Records
Research

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Multimodal non-surgical intervention for individuals with knee osteoarthritis: a retrospective case series. / Young, James J.; Kopansky-Giles, Deborah; Ammendolia, Carlo.

In: Journal of the Canadian Chiropractic Association, Vol. 63, No. 2, 08.2019, p. 92-99.

Research output: Contribution to journalJournal articleResearchpeer-review

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AU - Kopansky-Giles, Deborah

AU - Ammendolia, Carlo

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AB - Introduction: The purpose of this study is to review the pain and functional outcomes of a multimodal intervention in three patients with knee osteoarthritis (OA). This study explores how manual therapy can be delivered within an evidence-based framework for the management of knee OA.Methods: Medical records were reviewed for three patients with knee OA who underwent a standardized multimodal intervention including education, exercise, and manual therapy. Changes in pain intensity and function from baseline to post-intervention were calculated and compared to thresholds for minimal clinically important differences.Results: One participant met the threshold for clinically significant improvement in pain and two participants for function. No adverse events were reported.Conclusion: Combined education, exercise, and manual therapy delivered over a 6-week period improved function in two of the three patients reviewed. Higher quality research is required to explore whether this multimodal intervention may improve outcomes in individuals with knee OA.

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