Turkish Journal of Physical Medicine and Rehabilitation
Osteopathic manipulative treatment improves function and relieves pain in knee osteoartritis: A randomised single blind controlled trial
Turgay Altınbilek 1 ,Sadiye Murat 2 ,Yasemin Yumuşakhuylu 2 ,Afitap İçağasıoğlu 2
1 Department of Physiotherapy and Rehabilitation, İstanbul Kültür University, Faculty of Health Sciences, İstanbul, Turkey
2 Department of Physical Medicine and Rehabilitation, İstanbul Medeniyet University, Göztepe Training and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tftrd.2018.1384 Objectives: Osteopathic manipulative treatment (OMT) has been adviced as a therapy for patients with musculoskeletal diseases, especially for osteoarthritis (OA). We aimed to compare the efficacy of OMT to exercise treatment in the knee OA.

Patients and methods: 100 patients with stage 2-3 bilateral knee OA enrolled to the study and randomized into 2 groups. Group 1 performed exercise and received OMT and group 2 just performed exercise. We assessed the clinical parameters with Western Ontario MacMaster Questionnaire (WOMAC) pain score, WOMAC joint stiffness score, WOMAC physical function score, Visual Analog Scale (VAS) and 50-meter walking time. All patients assessed at the beginning of the study, just after the treatment and 4 weeks after the treatment.

Results: There was no difference between groups in terms of physical examination and clinical assesment parameters before treatment. Functional improvement (p<0,05) and pain relief (p<0,05) was significantly more in OMT+exercise group.

Conclusion: OMT is a particular treatment used by osteopathic physicians to complement conventional treatment of OA of the knee, in addition to the conservatif treatment OMT can be used. Keywords : Exercise therapy; function; gonarthrosis; manipulation; osteoarthritis; pain