Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response

Craig R Denegar, Devon R Dougherty, Jacob E Friedman, Maureen E Schimizzi, James E Clark, Brett A Comstock, William J KraemerHuman Performance Laboratory and Physical Therapy Program, Department of Kinesiology, University of Connecticut, Storrs, CT, USAObjective: This investigation assessed preferen...

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Autores principales: Craig R Denegar, Devon R Dougherty, Jacob E Friedman, et al
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Publicado: Dove Medical Press 2010
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spelling oai:doaj.org-article:a8ef8f007d464824aa8f5d856f2d25752021-12-02T05:02:53ZPreferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response1178-1998https://doaj.org/article/a8ef8f007d464824aa8f5d856f2d25752010-07-01T00:00:00Zhttps://www.dovepress.com/preferences-for-heat-cold-or-contrast-in-patients-with-knee-osteoarthr-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Craig R Denegar, Devon R Dougherty, Jacob E Friedman, Maureen E Schimizzi, James E Clark, Brett A Comstock, William J KraemerHuman Performance Laboratory and Physical Therapy Program, Department of Kinesiology, University of Connecticut, Storrs, CT, USAObjective: This investigation assessed preferences for, and effects of, 5 days of twice daily superficial heat, cold, or contrast therapy applied with a commercially available system ­permitting the circulation of water through a wrap-around garment, use of an electric heating pad, or rest for patients with level II–IV osteoarthritis (OA) of the knee.Methods: We employed a within subject, randomized order design to study 34 patients ­receiving each treatment in 1-week blocks. A knee injury and osteoarthritis outcome score (KOOS) questionnaire and visual analog pain scale was completed at baseline, and twice each week. Treatment preferences were assessed in the last week of the study.Results: Treatment with the device set to warm was preferred by 48% of subjects. Near equal preferences were observed for cold (24%) and contrast (24%). Pain reduction and improvements in KOOS subscale measures were demonstrated for each treatment but responses were (P < 0.05) greater with preferred treatments. Most patients preferred treatment with the water circulating garment system over a heating pad.Conclusions: We recommend that when superficial heat or cold is considered in the management of knee OA that patients experiment to identify the intervention that offers them the greatest relief and that contrast is a treatment option.Keywords: pain scales, KOOS, therapeutic agents, knee, patient preferencesCraig R DenegarDevon R DoughertyJacob E Friedmanet alDove Medical Pressarticlepain scalesKOOStherapeutic agentskneepatient preferencesGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 5, Pp 199-206 (2010)
institution DOAJ
collection DOAJ
language EN
topic pain scales
KOOS
therapeutic agents
knee
patient preferences
Geriatrics
RC952-954.6
spellingShingle pain scales
KOOS
therapeutic agents
knee
patient preferences
Geriatrics
RC952-954.6
Craig R Denegar
Devon R Dougherty
Jacob E Friedman
et al
Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response
description Craig R Denegar, Devon R Dougherty, Jacob E Friedman, Maureen E Schimizzi, James E Clark, Brett A Comstock, William J KraemerHuman Performance Laboratory and Physical Therapy Program, Department of Kinesiology, University of Connecticut, Storrs, CT, USAObjective: This investigation assessed preferences for, and effects of, 5 days of twice daily superficial heat, cold, or contrast therapy applied with a commercially available system ­permitting the circulation of water through a wrap-around garment, use of an electric heating pad, or rest for patients with level II–IV osteoarthritis (OA) of the knee.Methods: We employed a within subject, randomized order design to study 34 patients ­receiving each treatment in 1-week blocks. A knee injury and osteoarthritis outcome score (KOOS) questionnaire and visual analog pain scale was completed at baseline, and twice each week. Treatment preferences were assessed in the last week of the study.Results: Treatment with the device set to warm was preferred by 48% of subjects. Near equal preferences were observed for cold (24%) and contrast (24%). Pain reduction and improvements in KOOS subscale measures were demonstrated for each treatment but responses were (P < 0.05) greater with preferred treatments. Most patients preferred treatment with the water circulating garment system over a heating pad.Conclusions: We recommend that when superficial heat or cold is considered in the management of knee OA that patients experiment to identify the intervention that offers them the greatest relief and that contrast is a treatment option.Keywords: pain scales, KOOS, therapeutic agents, knee, patient preferences
format article
author Craig R Denegar
Devon R Dougherty
Jacob E Friedman
et al
author_facet Craig R Denegar
Devon R Dougherty
Jacob E Friedman
et al
author_sort Craig R Denegar
title Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response
title_short Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response
title_full Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response
title_fullStr Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response
title_full_unstemmed Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response
title_sort preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response
publisher Dove Medical Press
publishDate 2010
url https://doaj.org/article/a8ef8f007d464824aa8f5d856f2d2575
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AT jacobefriedman preferencesforheatcoldorcontrastinpatientswithkneeosteoarthritisaffecttreatmentresponse
AT etal preferencesforheatcoldorcontrastinpatientswithkneeosteoarthritisaffecttreatmentresponse
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