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
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	pain scales KOOS therapeutic agents knee patient preferences Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/a8ef8f007d464824aa8f5d856f2d2575
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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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Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response

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