Patient Perceptions Regarding Viscosupplementation for Treatment of Osteoarthritis of the Knee
Journal Title: Annals of Physiotherapy & Occupational Therapy - Year 2018, Vol 1, Issue 1
Abstract
Viscosupplementation as a treatment for knee osteoarthritis is widely used, though current literature is controversial regarding its efficacy. The purpose of this study was to evaluate patient perceptions regarding viscosupplementation as a treatment for knee OA. A questionnaire was administered randomly to 200 patients of a community-based orthopedic practice. Items focused on subjective patient outcomes in regard to their experience with viscosupplementation, as well as WOMAC symptom scores. One hundred and fifteen completed surveys were returned (response rate = 57.5%). Fiftyone patients (44.3%) reported some relief of symptoms and 18 patients (15.7%) reported large relief. Fifty-eight patients (50.4%) described their relief as lasting 1-4 weeks, with only 15 patients (13.0%) reporting 6 or more months of relief. Fifty-three patients (46.1%) stated they had more symptom relief with viscosupplementation when compared to corticosteroid injections. One hundred and ten patients (95.7%) had no prior surgery for knee OA. Ninety-two patients (80.0%) had not experienced any adverse effects. One hundred and eight patients (93.9%) stated they felt the treatment was worth the cost. One hundred and one patients (87.8%) said they would recommend viscosupplementation to another patient. Average WOMAC scores for patients who responded with no relief of symptoms was 80.4, while the average WOMAC score was 8.6 for those responding with complete relief.In conclusion, viscosupplementation has a positive treatment effect, possibly placebo, in a majority of patients, especially those with milder symptoms, and may provide improved symptom relief when compared to corticosteroid injections. More affordable viscosupplementation options must be investigated in the future.
Authors and Affiliations
Bonier JR
Keywords
Related Articles
- EP ID EP484890
- DOI -
- Views 51
- Downloads 1
Importance of Trunk Stability in Preventing Knee and Ankle Injury in Soccer
A sports like football comes with an elevated risk of injury due to the nature of the game. It involves combination of high-intensity repetitive activities such as kicking, sprinting, and jumping. These activities are no...
Fall Incidence and the Use of Psychotropic, Opioid or Cardiovascular Medications
Background: Medications are one identifiable risk factor for falls. In addition to polypharmacy, certain medications have been associated with an increased risk for falls. The purpose of this study is to assess if the mo...
Comparison of Autonomic Nervous System Activity in Subjects with Chronic Neck Pain and Healthy Controls
Objective: This study investigated if differences in autonomic nervous system activity exist in patients with chronic neck pain as compared to controls measured by using a fully automated pupillometry system. Methods: 10...
Motor and Nonmotor outcomes in a Yoga and Task Based Exercise Program: A Pilot Study
Background and Purpose: Parkinson’s disease (PD) is a progressive neurodegenerative disease characterized by motor, nonmotor, and functional deficits. Physical interventions shows promise in reducing motor deficits, howe...
Patient Perceptions Regarding Viscosupplementation for Treatment of Osteoarthritis of the Knee
Viscosupplementation as a treatment for knee osteoarthritis is widely used, though current literature is controversial regarding its efficacy. The purpose of this study was to evaluate patient perceptions regarding visco...