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document
Efficacy of physiotherapy management of knee joint osteoarthritis : a randomised , double blind , placebo controlled trial . OBJECTIVE To determine whether a multimodal physiotherapy programme including taping , exercises , and massage is effective for knee osteoarthritis , and if benefits can be maintained with self management . METHODS Randomised , double blind , placebo controlled trial ; 140 community volunteers with knee osteoarthritis participated and 119 completed the trial . Physiotherapy and placebo interventions were applied by 10 physiotherapists in private practices for 12 weeks . Physiotherapy included exercise , massage , taping , and mobilisation , followed by 12 weeks of self management . Placebo was sham ultrasound and light application of a non-therapeutic gel , followed by no treatment . Primary outcomes were pain measured by visual analogue scale and patient global change . Secondary measures included WOMAC , knee pain scale , SF-36 , assessment of quality of life index , quadriceps strength , and balance test . RESULTS Using an intention to treat analysis , physiotherapy and placebo groups showed similar pain reductions at 12 weeks : -2.2 cm ( 95 % CI , -2.6 to -1.7 ) and -2.0 cm ( -2.5 to -1.5 ) , respectively . At 24 weeks , pain remained reduced from baseline in both groups : -2.1 ( -2.6 to -1.6 ) and -1.6 ( -2.2 to -1.0 ) , respectively . Global improvement was reported by 70 % of physiotherapy participants ( 51/73 ) at 12 weeks and by 59 % ( 43/73 ) at 24 weeks . Similarly , global improvement was reported by 72 % of placebo participants ( 48/67 ) at 12 weeks and by 49 % ( 33/67 ) at 24 weeks ( all p > 0.05 ) . CONCLUSIONS The physiotherapy programme tested in this trial was no more effective than regular contact with a therapist at reducing pain and disability .
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Intervention_Physical
physiotherapy management
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Intervention_Control
placebo
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Intervention_Physical
multimodal physiotherapy programme
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Intervention_Physical
taping
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Intervention_Physical
exercises
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Intervention_Physical
massage
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Intervention_Control
placebo
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Intervention_Physical
Physiotherapy
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Intervention_Control
placebo
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Intervention_Physical
Physiotherapy included exercise
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Intervention_Physical
massage
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Intervention_Physical
taping
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Intervention_Physical
mobilisation
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Intervention_Control
Placebo
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Intervention_Control
sham ultrasound and light application of a non-therapeutic gel , followed by no treatment
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Intervention_Physical
physiotherapy programme
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Outcome_Pain
pain measured
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Outcome_Other
visual analogue scale and patient global change
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Outcome_Pain
.
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Outcome_Other
WOMAC
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Outcome_Pain
knee pain scale
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Outcome_Other
SF-36
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Outcome_Other
assessment of quality of life index
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Outcome_Other
quadriceps strength
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Outcome_Other
balance test
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Outcome_Pain
pain reductions
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Outcome_Pain
pain remained reduced
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Outcome_Other
Global improvement
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Outcome_Other
global improvement
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Participant_Condition
knee joint osteoarthritis
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Participant_Condition
knee osteoarthritis
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Participant_Sample-size
140
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Participant_Condition
knee osteoarthritis
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Participant_Sample-size
119