The efficacy of relaxation therapy as adjunctive therapy on physical function, symptoms and medication intake in patients with knee osteoarthritis
Osteoarthritis is the commonest arthritis especially in the elderly. Despite the usage of pharmacotherapy in managing this disease, psychological therapy such as Guided Imagery Relaxation (GIR) has been shown to reduce stress and pain in various types of chronic diseases. The objective of our stu...
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| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
2013
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| Subjects: | |
| Online Access: | http://eprints.usm.my/60763/1/DR%20AZLINA%20BT%20ELIAS%20-%20e.pdf |
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| Summary: | Osteoarthritis is the commonest arthritis especially in the elderly. Despite the usage of
pharmacotherapy in managing this disease, psychological therapy such as Guided Imagery
Relaxation (GIR) has been shown to reduce stress and pain in various types of chronic
diseases. The objective of our study is to determine the efficacy of relaxation therapy as adjunctive
therapy on symptoms, physical functions and analgesic consumption in patients with primary
knee osteoarthritis. A randomized controlled trial with two arm parallel comparative study for relaxation therapy
versus control among patient with knee osteoarthritis was carried out to see the its efficacy in
improving pain, symptoms and physical function. Sixty knee osteoarthritic patients were
recruited for this study. Knee injury and Osteoarthritis Outcome Score (KOOS) was used to
measure pain, symptoms, sports and recreational, activity of daily living and health related
quality of live scores among these patients. Analgesic consumption was calculated throughout
the intervention period to see the difference between intervention and control groups.The
treatment consists of listening to 12 minutes MP3 with prerecorded Guided Imagery with
Relaxation Therapy at least once per day for the duration of 8 weeks. ANCOVA test was used to compare the score differences between intervention and control groups after the intei’vention. A total of sixty patients enrolled into the study however only 59 patients completed the study
(98.3%). The mean age of the patients is 52.2(7.08).There were significant improvements of
pain (p<0.004), activity of daily living (p<0.02), sport score (p<0.005), and quality of life score
(p<0.01) in intei’vention group compared to control group. The analgesic score as lower in the
intei’vention group, however it was not statistically significant. Guided imagery with Relaxation therapy has shown positive effects in managing patients with
knee osteoarthritis. This intei’vention has significantly reduced pain, improve activity of daily
living and also health related quality of life. This result justifies further investigations of Guided imagery with Relaxation therapy as self-management in patients with knee
osteoarthritis. |
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