Effect of Heat Application, Physical Exercise, and Combined Intervention on Pain, Morning Stiffness, and Activity Level among Patients with Knee Osteoarthritis | ||||
| Egyptian Journal of Health Care | ||||
| Volume 13, Issue 3, September 2022, Page 1511-1524 PDF (278.06 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.267729 | ||||
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| Authors | ||||
| Shereen Abd El-Moneam Ahmed1; Wafaa Ismail Shereif2; Zeinab Gamal Mohamed Ellatif Abouelezz3; Eman Mohammed Ahmed Mohammed4 | ||||
| 1Assistant. Prof of Medical-Surgical Nursing, Faculty of Nursing, Suez-Canal University, Egypt | ||||
| 2Professor of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt | ||||
| 3Fellow Medical-Surgical Nursing, Student Hospital-Mansoura University and Lecturer of Medical Surgical Nursing, Faculty of Nursing, Misr University for Science and Technology, Egypt | ||||
| 4Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni -Suef University, Egypt | ||||
| Abstract | ||||
| Background: Knee osteoarthritis (OA) is a common progressive, multifactorial, long-term chronic joint disease, characterized by deterioration of joint cartilage, leading to chronic pain, stiffness, and functional disability. The aim of the study: was to evaluate the effects of heat application, physical exercises, and combined interventions on pain, morning stiffness, and activity level among patients with knee osteoarthritis. Research design: A quasi-experimental design was utilized to conduct the current study. Setting: This study was conducted at the orthopedic outpatient clinics of Suez Canal University Hospital. Subjects: A purposive sample of 120 adult patients were randomly classified into three equal groups (heat application group, physical exercise group, and combined intervention group), which are included in the study. Tools of data collection: Two tools were used for data collection. Tool I: A structured interview questionnaire to assess patients' demographic data, as well as current and past health history; Tool II: Knee Injury and Osteoarthritis Outcome Score (KOOS) to assess patient-relevant outcomes following knee injury. Results: revealed a statistically significant difference between the heat application group, the physical exercise group, and the combined intervention group in terms of total mean score (45.51±5.77, 46.07±9.99, 44.96±7.39 respectively) regarding morning stiffness with (P value. equal 001), while pain felling showed (48.99±7.28,50.90±10.66,48.40±9.66 respectively), while total activity levels showed (76.79±9.95,65.22±18.34,88.35±6.79 respectively) at the post-intervention phase. Conclusion: Combined intervention had the greatest positive effect on relieving pain and morning stiffness, with an improvement in the physical functions. Recommendation: Combined intervention of heat application and physical exercise are the choice of preference for managing patients with knee osteoarthritis problems as part of non-pharmacological strategies. | ||||
| Keywords | ||||
| Heat Application; Physical Exercise; Combined Intervention; Pain; Morning Stiffness; Activity Level; Knee Osteoarthritis | ||||
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