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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Dove Medical Press
2010
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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) |
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pain scales KOOS therapeutic agents knee patient preferences Geriatrics RC952-954.6 |
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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 |
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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 |
work_keys_str_mv |
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_version_ |
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