EFFICACY OF INTERMITTENT VACUUM THERAPY AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY TREATMENT IN PATIENTS WITH KNEE OSTEOARTHRITIS

Ali Irani, Karan Gera, Radhika Ramesh Sawal, Arnaaz Doctor, Parveen Singh, Harry Mehta
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Abstract

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.
间歇真空疗法作为膝关节骨关节炎患者常规物理治疗的辅助疗法的疗效
目的:骨关节炎(OA)是一种严重的关节疾病,影响着 60% 以上的老年人。骨关节炎发病率很高,是导致全球疼痛和残疾的主要原因之一。随着时间的推移,其症状会越来越使人衰弱,并极大地影响生活质量,导致老年人产生依赖感并丧失自主能力。间歇真空疗法(IVT)是一项新技术,目前正被用于治疗腿部血管疾病、加速康复、减轻下肢水肿、治疗橘皮组织以及其他适应症。对间歇性真空疗法生理效应的研究大多基于下半身对稳定负压的反应:方法:根据纳入和排除标准随机选取 30 名患者,其中 A 组(传统疗法)15 名,B 组 15 名。在干预前和干预后对结果测量-VAS、WOMAC 和膝关节屈曲 ROM 进行评估。治疗共进行了 10 次:结果:A组(传统疗法)和B组(介入疗法)在所有结果测量中均有统计学意义。然而,与传统疗法相比,间歇性真空疗法的效果更好。数据分析采用配对 T 检验:间歇性真空疗法和传统疗法对 O. A 型膝患者的上述疗效均有明显改善。因此,间歇性真空疗法可作为 O. A 型膝关节患者康复治疗的一部分。
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