The Effect of Hot and Cold Application on Pain, Stiffness and Physical Function in Patients with Knee Osteoarthritis

Abstract

Objective: The aim of this study was to assess the effect that hot and cold application on pain, stiffness and physical function of patients with knee osteoarthritis Method: The study, carried out experimentally, was realized on the patients with knee osteoarthritis who came to Physical Treatment and Rehabilitation Out-patient Clinic of Hospital in Ordu. Among 79 patients participating in the study, 25 patients were divided into hot group, and 29 of the patients for cold group, and 25 of the patients were divided into control group randomly. Hot application was applied to the hot group for 15 minutes perday and for the five days throughout a month, and cold application was applied to the cold group fot 15 minutes perday and he five day throughout a month, and any application wasn’t applied to the control group. In the collection of the study data, questionnasia form, WOMAC Osteoarthritis Index and VAS pain scala were used. In the assesment of the data, Chi-square, One-way Anova, Kruskall Wallis and Mann Whitney U tests were used. Results: It was found out that there was no significant distinction between pre-test pain, stiffness and physical functional score of averages of the patients in the group of hot, cold and control p>0.05 . But there was a significant distinction between post-test pain, stiffness and physical function score averages of the patients in the group of hot, cold and control group p

Keywords

• Knee osteoarthritis,hot application,cold application,nursing,pain,stiffness,physical function

Diz osteoartritli hastalarda sıcak ve soğuk uygulamanın ağrı, tutukluk ve fiziksel fonksiyon üzerine etkisi

Abstract

Amaç: Bu araştırma diz osteoartritli hastalarda sıcak ve soğuk uygulamanın ağrı, tutukluk ve fiziksel fonksiyona etkisini değerlendirmek amacıyla yapılmıştır. Yöntem: Araştırma Ordu’da bulunan bir hastanenin Fizik Tedavi ve Rehabilitasyon Polikliniğine gelen ve diz osteoartriti olan hastalarda deneysel olarak yapılmıştır. Araştırma 25 sıcak, 29 soğuk ve 25 kontrol grubunda olmak üzere toplam 79 hasta üzerinde yapılmıştır. Sıcak grubundaki hastalara bir ay boyunca haftada 5 gün, günde 15 dakika sıcak uygulama, soğuk grubundakilere bir ay boyunca haftada 5 gün, günde 15 dakika soğuk uygulama yapılmış ve kontrol grubuna ise herhangi bir uygulama yapılmamıştır. Araştırma verilerinin toplanmasında anket formu, WOMAC Osteoartrit İndeksi ve VAS ağrı skalası kullanılmıştır. Verilerin değerlendirilmesinde Ki Kare, Tek Yönlü Varyans Analizi, Kruskall Wallis ve Mann Whitney U testleri kullanılmıştır. Bulgular: Sıcak uygulanan, soğuk uygulanan ve kontrol grubundaki hastaların gruplar arası ön-test ağrı, tutukluk ve fiziksel fonksiyon puan ortalamaları arasında istatistiksel olarak anlamlı bir fark olmadığı p>0,05 bulunmuştur. Sıcak, soğuk ve kontrol grubundaki hastaların gruplar arası son-test ağrı, tutukluk ve fiziksel fonksiyon puan ortalamaları arasında istatistiksel olarak anlamlı bir fark olduğu bulunmuştur p

Keywords

• Diz osteoartriti,sıcak uygulama,soğuk uygulama,hemşirelik,ağrı,tutukluk,fiziksel fonksiyon

References

1. Pesesse L, Sanchez C, Henrotin Y. Osteochondral plate angiogenesis: a new treatment target in osteoarthritis. Joint Bone Spine 2011; 78(2): 144-149.
2. Peat G, Thomas E, Handy J, Wood L, Dziedzic K, Myers H, Wilkie R, Duncan R, Hay E, Hill J, Croft P. The Knee Clinical Assessment Study-CAS(K). A prospective study of knee pain and knee osteoarthritis in the general population. BMC Musculoskelet Disord 2006; 16(7): 1-9.
3. Reginato MA. Epidemiyology, risk factors, and aging of osteoarthritis. Geriatric Rheumatol 2011;3:173-185.
4. Kutsal GY. Yaşlılık döneminde kas-iskelet sistemi hastalıkları, in Kutsal GY. Ed. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü, Birinci Basamak Sağlık Hizmetlerinde Çalışan Hekimler İçin Yaşlı Sağlığı Tanı ve Tedavi Rehberi 2010, Ankara: Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü, 2010; 389-401.
5. Neogi T, Zhang Y. Osteoarthritis prevention. Curr Opin Rheumatol 2011; 23(2): 185-191.
6. Page CJ, Hinman RS, Bennell KL. Physiotherapy management of knee osteoarthritis. Int J Rheum Dis 2011; 14(2): 145-151.
7. Lane E, Latham T. Managing pain using heat and cold therapy. Paediatr Nurs 2009; 21(6): 14-18.
8. Felson DT. Osteoarthritis of the knee clinical practice. N Engl J Med 2006; 354(8): 841-848.

9. Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med 2010; 26(3):355-369.
10. Neogi T, Zhang Y. Epidemiology of osteoarthritis. Rheum Dis Clin North Am 2013: 39(1):1-19.
11. Pinto D, Robertson MC, Hansen P, Abbott JH. Good agreement between questionnaire and administrative databases for health care use and costs in patients with osteoarthritis. BMC Med Res Methodol 2011; (13):11-45.
12. Lawrence RC, Felson DT, Helmick CG. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthritis Rheum 2008; 58(1): 26-35.
13. Unuvar N, Mollahaliloğlu S, Yardım N. Türkiye Hastalık Yükü Çalışması 2004, Ankara: T.C. Sağlık Bakanlığı Refik Saydam Hıfzıssıhha Merkezi Başkanlığı Hıfzıssıhha Mektebi Müdürlüğü, 2006;14-16
14. Lozada JC. Management of osteoarthritis, in Frestein G.S. ed. Kelley's Textbook of Rheumatology, 8th ed. Philedelphia: WB. Saunders Company, 2008;1563-1577.
15. 15.Lane NE, Schnitzer TJ. Osteoarthritis rheumatology chapter in Goldman L. Ed. Goldman's Cecil Medicine. 24th ed. New York: Saunders An Imprint of Elsevier, 2008; 1993-1997.
16. Sheila MS, Dunican KC, Lynch AM. Treatment options for osteoarthritis: Considerations for older adults. Postgrad Med 2011; 39(1): 62-73.
17. Hochberg MC. Multidisciplinary integrative approach to treating knee pain in patients with osteoarthritis. Ann Intern Med 2003; 139(9): 724-730.
18. Maly MR, Krupa T. Personal experience of living with knee osteoarthritis among older adults. Disabil Rehabil 2007; 29(18): 1423-1433.
19. Mccarberg B. Contemporary management of chronic pain disorders. J Fam Pract 2004; 53(10): 11-22.
20. Fioravanti A, Bellisai B, Iacoponi F, Manica P, Galeazzi M. Phytothermotherapy in osteoarthritis: A Randomized controlled clinical trial. J Altern Complement Med 2011; 17(5): 407-412.
21. Takahashı KA, Tonomura H, Araı Y, Terauchı R, Honjo K, Hıraoka N, Hojo T, Kunıtomo T, Kubo T. Hyperthermia for the treatment of articular cartilage with osteoarthritis. Int J Hyperthermia 2009; 25(8): 661-667.
22. Brosseau L, Yonge KA, Robinson V, Marchand S, Judd M, Wells G, Tugwell P. Thermotherapy for treatment of osteoarthritis. Cochrane Database Syst Rev 2003; 4: 2-25.
23. Denegar CR, Dougherty DR, Friedman JE, Schimizzi ME, Clark JE, Comstock BA, Kraemer WJ. Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response. Clin Interv Aging 2010; 9(5): 199-206.
24. Seto H, Ikeda H, Hisaoka H, Kurosawa H. Effect of heat- and Steam-Generating Sheet on daily activities of living in patients with osteoarthritis of the knee: Randomized prospective study. J Orthop Sci 2008; 13(3): 187-191.
25. Hawker GA, Mian S, Bednis K, Stanaitis I. Osteoarthritis year 2010 in review: Non-pharmacologic therapy. Osteoarthritis Cartilage 2011; 19(4): 366-374.
26. Chan KW, Chan WY. A qualitative study on patients with knee osteoarthritis to evaluate the influence of different pain patterns on patients’ quality of life and to find out patients’ interpretation and coping strategies for the disease. Rheumatology Reports 2011; 3(3): 9-15.
27. Bellamy N. WOMAC Osteoarthritis Index, User Guide VII. 2004.
28. Tüzün EH, Eker L, Daşkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage 2005; 13(1): 28-33.
29. Giombini A, Di Cesare A, Di Cesare M, Ripani M, Maffulli N. Localized hyperthermia induced By microwave diathermy in osteoarthritis of the knee: A randomized placebo-controlled double-blind clinical trial. Knee Surg Sports Traumatol Arthrosc 2011; 19(6): 980-987.
30. Kitay GS, Koren MJ, Helfet DL, Parides MK, Markenson JA. Efficacy of combined local mechanical vibrations, continuous passive motion and thermotherapy in the management of osteoarthritis of the knee. Osteoarthritis Cartilage 2009; 17(10): 1269-1274.
31. Akyol Y, Durmuş D, Alaylı G, Tander B, Bek Y, Cantürk F, Taştan SS. Does short-wave diatermy increase the effectiveness of isokinetic exercise on pain, function, knee muscle strength, quality of life, and depression in the patients with knee osteoarthritis? Eur J Rehabil Med 2010; 46(3): 325-336.
32. Yıldırım N. Ulusoy M.F, Bodur H. The effect of heat application on pain, stiffness, physical funvtion and quality of life in patients within knee osteoarthritis. J Clin Nurs 2010; 19(7-8): 1113-1120.
33. Yurtkuran M, Kocagil T. TENS, electroacupuncture and ice massage: comparison of treatment for osteoarthritis of the knee. Am J Acupunct 1999; 27(3-4): 133-140.
34. Mazzuca SA, Page MC, Meldrum RS, Brandt KD, Petty SS. Pilot study of the effects of a heat-retaining knee sleeve on joint pain, stiffness, and function in patients with knee osteoarthritis. Arthritis Rheum 2004; 51(5): 716-721.