Influences of mechanical decompression using different forces on knee joint space, range of motion, and hamstring flexibility in asymptomatic subjects
DOI:
https://doi.org/10.17267/2238-2704rpf.2024.e5768Keywords:
Flexibility, Knee, Joint Range, Traction, Joints, UltrasonographyAbstract
INTRODUCTION: Knee joint decompression is one of the promising methods for the treatment of osteoarthritis. Yet, the most appropriate decompression force is not conclusive. OBJECTIVES: To compare the effect of different distraction force magnitudes on knee joint space, active range of motion (ROM), hamstring flexibility, and self-reported discomfort in asymptomatic subjects. METHODS AND MATERIALS: Twenty-five asymptomatic participants were recruited in this study. The dominant knee was distracted for 30 minutes in a 30° flexion position using three force magnitudes (10%, 20%, and 30% body weight (BW)). The traction forces were randomized with one week in between knee distractions. Joint space, range of motion (ROM), and hamstring flexibility were assessed before, immediately after, and 30 minutes after the distraction. The self-reported discomfort was assessed immediately after the distraction only. RESULTS: Medial joint space, ROM, and discomfort showed a significant difference between different force magnitudes post-distraction. The 20% and 30% BW force magnitudes significantly, but equally, increased joint space and ROM post distraction. The discomfort level was directly related to distraction force magnitude and the least comforting was the 30% BW force. Follow-up data was not significantly different than that for post-distraction. Hamstring muscle flexibility showed a significant. Yet, small increase after the 30% BW distraction force. CONCLUSION: Continued mechanical distraction of the knee joint using force magnitudes of 20% and 30% of body weight was effective in increasing medial joint space, active knee ROM, and hamstring flexibility in asymptomatic individuals. 20% force magnitude was more comfortable than the 30% percent.
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(1) Aseer AL, Subramanian IL. Effectiveness of manual traction of tibio-femoral joint on the functional outcome in knee joint osteoarthritis. Indian J Phys Ther. 2014;2(1):56–61. Available from: https://www.researchgate.net/publication/299829575_EFFECTIVENESS_OF_MANUAL_TRACTION_OF_TIBIO-FEMORAL_JOINT_ON_THE_FUNCTIONAL_OUTCOME_IN_KNEE_JOINT_OSTEOARTHRITIS
(2) Vanti C, Panizzolo A, Turone L, Guccione AA, Violante FS, Pillastrini P, et al. Effectiveness of Mechanical Traction for Lumbar Radiculopathy: A Systematic Review and Meta-Analysis. Phys Ther. 2021;101(3):1–13. https://doi.org/10.1093/ptj/pzaa231 DOI: https://doi.org/10.1093/ptj/pzaa231
(3) Ploegmakers JJW, van Roermund PM, van Melkebeek J, Lammens J, Bijlsma JWJ, Lafeber FPJG, et al. Prolonged clinical benefit from joint distraction in the treatment of ankle osteoarthritis. Osteoarthr Cartil. 2005;13(7):582–8. https://doi.org/10.1016/j.joca.2005.03.002 DOI: https://doi.org/10.1016/j.joca.2005.03.002
(4) Turkiewicz A, Petersson IF, Björk J, Hawker G, Dahlberg LE, Lohmander LS, et al. Current and future impact of osteoarthritis on health care: a population-based study with projections to year 2032. Osteoarthr Cartil. 2014;22(11):1826–32. https://doi.org/10.1016/j.joca.2014.07.015 DOI: https://doi.org/10.1016/j.joca.2014.07.015
(5) Hunter DJ, Bierma-Zeinstra S. Osteoarthritis. Lancet. 2019;393(10182):1745–59. Available from: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)30417-9/abstract DOI: https://doi.org/10.1016/S0140-6736(19)30417-9
(6) Van Der Woude JAD, Wiegant K, Van Heerwaarden RJ, Spruijt S, Emans PJ, Mastbergen SC, et al. Knee joint distraction compared with total knee arthroplasty a randomised controlled trial. Bone Jt J. 2017;99-B(1):51–8. https://doi.org/10.1302/0301-620X.99B1.BJJ-2016-0099.R3 DOI: https://doi.org/10.1302/0301-620X.99B1.BJJ-2016-0099.R3
(7) Takahashi T, Baboolal TG, Lamb J, Hamilton TW, Pandit HG. Is Knee Joint Distraction a Viable Treatment Option for Knee OA? — A Literature Review and Meta-Analysis. J Knee Surg. 2019;32(08):788–95. https://doi.org/10.1055/s-0038-1669447 DOI: https://doi.org/10.1055/s-0038-1669447
(8) George SZ, Fritz JM, Silfies SP, Schneider MJ, Beneciuk JM, Lentz TA, et al. Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021. J Orthop Sport Phys Ther. 2021;51(11):CPG1–60. https://doi.org/10.2519/jospt.2021.0304 DOI: https://doi.org/10.2519/jospt.2021.0304
(9) Alpayci M, Ozkan Y, Yazmalar L, Hiz O, Ediz L. A randomized controlled trial on the efficacy of intermittent and continuous traction for patients with knee osteoarthritis. Clin Rehabil. 2013;27(4):347–54. https://doi.org/10.1177/0269215512459062 DOI: https://doi.org/10.1177/0269215512459062
(10) Khademi-Kalantari K, Mahmoodi Aghdam S, Akbarzadeh Baghban A, Rezayi M, Rahimi A, Naimee S. Effects of non-surgical joint distraction in the treatment of severe knee osteoarthritis. J Bodyw Mov Ther. 2014;18(4):533–9. https://doi.org/10.1016/j.jbmt.2013.12.001 DOI: https://doi.org/10.1016/j.jbmt.2013.12.001
(11) Abdel-Aal NM, Ibrahim AH, Kotb MM, Hussein AA, Hussein HM. Mechanical traction from different knee joint angles in patients with knee osteoarthritis: A randomized controlled trial. Clin Rehabil. 2022;36(8):1083–96. https://doi.org/10.1177/02692155221091508 DOI: https://doi.org/10.1177/02692155221091508
(12) Lee DK, Lee NY. Case study of continuous knee joint traction treatment on the pain and quality of life of patients with degenerative gonarthritis. J Phys Ther Sci. 2018;30(6):848–9. https://doi.org/10.1589/jpts.30.852 DOI: https://doi.org/10.1589/jpts.30.852
(13) Hussein HM, Kamel WM, Kamel EM, Attyia MR, Acar T, Kanwal R, et al. The Effect of Kinesio Taping on Balance and Dynamic Stability in College-Age Recreational Runners with Ankle Instability. Healthcare. 2023;11(12):1749. https://doi.org/10.3390/healthcare11121749 DOI: https://doi.org/10.3390/healthcare11121749
(14) Kim G, Cha Y, Shin J, You S. Validity and Reliability of Ultrasound Measurement of Knee Joint Space Width in Individuals With Knee Osteoarthritis. Phys Ther Korea. 2019;26(1):60–6. https://doi.org/10.12674/ptk.2019.26.1.060 DOI: https://doi.org/10.12674/ptk.2019.26.1.060
(15) Baltaci G, Un N, Tunay V, Besler A, Gerceker S. Comparison of three different sit and reach tests for measurement of hamstring flexibility in female university students. Br J Sports Med. 2003;37(1):59–61. https://doi.org/10.1136/bjsm.37.1.59 DOI: https://doi.org/10.1136/bjsm.37.1.59
(16) Abu El Kasem ST, Aly SM, Kamel EM, Hussein HM. Normal active range of motion of lower extremity joints of the healthy young adults in Cairo, Egypt. Bull Fac Phys Ther. 2020;25(1):2–8. https://doi.org/10.1186/s43161-020-00005-9 DOI: https://doi.org/10.1186/s43161-020-00005-9
(17) Shahmohammadi A, Biglarian A, Bakhshi E, Kalantari K. Using Generalized Estimating Equations to Compare the Effect of Two Methods in the Treatment of Knee Osteoarthritis. Annu Res Rev Biol. 2015;5(4):330–4. https://doi.org/10.9734/arrb/2015/12068 DOI: https://doi.org/10.9734/ARRB/2015/12068
(18) Rajoria K, Singh S, Sharma R, Sharma S. Clinical study on Laksha Guggulu, Snehana, Swedana & traction in osteoarthritis (knee joint). AYU (An Int Q J Res Ayurveda). 2010;31(1):80. https://doi.org/10.4103/0974-8520.68192 DOI: https://doi.org/10.4103/0974-8520.68192
(19) Jagtap V, Shanmugam S. Effect of Mechanical Traction in Osteoarthritis Knee. Int J Sci Res. 2012;3(10):440–3. Available from: https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=5e2295e722485ade231872155a70c7171ab9c224
(20) Pandya MR, Sheth MS. Effect of Mechanical Traction on Pain and Function in Subjects With Osteoarthritis Knee. Int J Physiother Res. 2017;5(4):2198–202. https://doi.org/10.16965/ijpr.2017.171 DOI: https://doi.org/10.16965/ijpr.2017.171
(21) Aghdam SM, Kalantari KK, Baghban AA, Rezaee M, Rahimi A, Naeimee SS. Effect of joint traction on functional improvement and quality of life in patients with severe knee osteoarthritis. The Scientific Journal Of Rehabilitation Medicine. 2012;1(2):1-6. Available from: https://medrehab.sbmu.ac.ir/article_1100040_en.html
(22) Choi MS, Lee DK. The Effect of Knee Joint Traction Therapy on Pain, Physical Function, and Depression in Patients with Degenerative Arthritis. J Korean Phys Ther. 2019;31(5):317–21. https://doi.org/10.18857/jkpt.2019.31.5.317 DOI: https://doi.org/10.18857/jkpt.2019.31.5.317
(23) Reid DA, McNair PJ. Effects of an acute hamstring stretch in people with and without osteoarthritis of the knee. Physiotherapy. 2010;96(1):14–21. https://doi.org/10.1016/j.physio.2009.06.010 DOI: https://doi.org/10.1016/j.physio.2009.06.010
(24) Intema F, Van Roermund PM, Marijnissen ACA, Cotofana S, Eckstein F, Castelein RM, et al. Tissue structure modification in knee osteoarthritis by use of joint distraction: An open 1-year pilot study. Ann Rheum Dis. 2011;70(8):1441–6. https://doi.org/10.1136/ard.2010.142364 DOI: https://doi.org/10.1136/ard.2010.142364
(25) van der Woude JAD, van Heerwaarden RJ, Spruijt S, Eckstein F, Maschek S, van Roermund PM, et al. Six weeks of continuous joint distraction appears sufficient for clinical benefit and cartilaginous tissue repair in the treatment of knee osteoarthritis. Knee. 2016;23(5):785–91. https://doi.org/10.1016/j.knee.2016.05.001 DOI: https://doi.org/10.1016/j.knee.2016.05.001
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Copyright (c) 2024 Hisham Mohamed Hussein, Ahmed Abdelmoniem Ibrahim, Ibtisam Abdallah Fadulelmulla, Aisha Ansari, Mohammad Shahid Ali, Taif Saad Aljaluod, Ahmed Taha Farrag
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
