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AB1467-HPR Nsai and effectiveness of physiotherapy in the treatment of gonarthrosis
  1. E. Zaimi Petrela1,
  2. E. Zaimi1,
  3. T. Backa Cico1,
  4. E. Zicishti2
  1. 1University of Tirana, Faculty of Medicine
  2. 2UHCT “Mother Teresa”, Tirana, Albania

Abstract

Background Gonarthrosis is a progressive chronic arthropatic disease of the knee which includes degenerative changes of the knee cartilage and hypertrophic changes of the bone tissue around of the articulare surface.

Objectives The purpose of this study was to compare outcomes between differents types of treatment for gonarthrosis, NSAI, NSAI+analgesic ans NSAI+analgesic+ physiotherapy

Methods We studied 59 patients diagnosed with gonarthtrosis, at the American Hospital of Tirana, during the period December 2010-December 2011. Patients were divided randomly into three groups according to the type of treatment: patients treated only with NSAI (G1), patients treated with NSAI plus analgesics (G2) and patients treated with NAIS plus analgesic plus physiotherapy (G3). The success or not of the treatment was made by the physician, through the evaluation of pain scale and mobility of the joint.Statistical analyses was made with SPSS19.0. P values ≤0.05 was considered significant.

Results 76.3% of patients (n=45) were female, mean age 59.1±10.6 and 23.7% (n=14) were male, mean age 59.7±9.4, (without any statistically significant difference in age between males and females, t =- 1.98, df =57,p=0844). 28.8% of patients were diagnosed with unilateral gonarthrosis and 71.2% with bilateral gonarthrosis. 20 patients (33.9%) were in G1, 20 patients (33.9%)were inG2, and 19 patients (32.2%)were in G3. It is worth mentioning that all patients had positive result of the treatment, actually 28.8% of patients (n=17) were assessed having good results of the treatment (less pain and better mobility of the knee, than before treatment) and 71.2% (n=42) of patients were assessed having very good results of treatment (absence of pain and better mobility in the knee, than before treatment). There was a statistical significant correlation between types and outcomes of the treatment (r =0,422, p=0.001, n=59). We found that 94.7%(n=18) of G3 patients had very good results after treatment, while 75%(n=15) of G2 patients had very good results after treatment and only 45% (n=9) of G1 patients had very good results after treatment (Chi2 =11,9, df =2, p=0.003).

Conclusions The use of analgesic and physiotherapy improve the effectof NSAI in gonarthrosis.

  1. Gail D Deyle, et al: Physical Therapy Treatment Effectiveness for Osteoarthritis of the Knee: A Randomized Comparison of Supervised Clinical Exercise and Manual Therapy Procedures Versus a Home Exercise Program, Physical Therapy December 2005 vol. 85 no. 12 1301-1317

  2. Bradley JD, et al. Tidal irrigation as treatment for knee osteoarthritis: a sham-controlled, randomized, double-blinded evaluation. Arthritis Rheum 2002;46:100–108. CrossRefMedline

  3. Griffin MR, et al. Nonsteroidal anti-inflammatory drug use and increased risk for peptic ulcer disease in elderly persons. Ann Intern Med 1991;114:257–263.

Disclosure of Interest None Declared

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