Knee traction's role in managing osteoarthritis of the knee.

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: Role of knee traction in the management of janu sandhigata vat w.s.r. to osteoarthritis of knee joint
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
This page presents a generated summary with additional references; See source (below) for actual content.

Original source:

This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.

Author:

Dr. Kumar Alok, Dr. Bhattacharjya J.K. and Dr.Verma J.P.


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Role of knee traction in the management of janu sandhigata vat w.s.r. to osteoarthritis of knee joint

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Copyright (license): WJPR: All rights reserved


Download the PDF file of the original publication


Summary of article contents:

Introduction

Osteoarthritis (OA) is a debilitating degenerative joint disorder primarily affecting the elderly population and is particularly common in the knee and hip joints. The prevalence of OA in India ranges from 22% to 39%, leading to significant morbidity and economic burden. Traditional treatments primarily involve analgesics, which come with numerous side effects. This study aimed to evaluate the efficacy of knee traction as a physical therapy method in managing Janu Sandhigata Vata, or primary osteoarthritis of the knee joint, without reliance on oral medications.

Effectiveness of Knee Traction Therapy

Knee traction therapy was administered as a physical medicine approach involving intermittent skin traction of 2-4 kg for 8-10 minutes daily over a period of 28 days. The study included ten patients diagnosed with primary OA of the knee, who were evaluated on pain levels, walking distance, and range of motion before and after treatment. The results indicated a significant reduction in pain severity by 28.57%, alongside improvements in walking distance and range of motion by 26.00% and 25.00%, respectively. The findings underscore the potential benefits of knee traction in alleviating symptoms associated with OA and enhancing joint mobility.

Assessment Criteria and Patient Outcomes

The study utilized a Visual Analogue Scale (VAS) for pain assessment, as well as criteria for evaluating walking distance and range of motion in the knee joint. Patients reported their pain levels on a scale from no pain to intolerable pain, while their ability to walk was graded based on distance without discomfort. The collected data demonstrated that physical therapy, particularly knee traction, plays a crucial role in managing OA symptoms by decreasing pain and improving joint function. Throughout the follow-up period, approximately 80% of patients experienced no significant recurrence of symptoms, illustrating the treatment's effectiveness.

Demographics and Risk Factors

The study highlighted the demographic trends among participants, revealing a higher prevalence of OA in females (67.67%) compared to males (33.33%). Most affected individuals were housewives, indicating that occupational factors, including prolonged squatting and poor posture, could contribute to the disease's development. Additionally, the age group most impacted was between 51 to 60 years, supporting existing literature that associates OA with aging and associated risk factors, such as obesity and dietary habits.

Conclusion

The findings from this study suggest that knee traction is a safe and effective physical therapy method for managing Janu Sandhigata Vata or primary osteoarthritis of the knee joint. Despite the promising results on a small sample size, further research involving larger groups and perhaps the addition of Ayurvedic treatments could enhance outcomes and reduce recurrence rates. This emphasizes the need for a comprehensive treatment strategy to address the multifaceted nature of osteoarthritis and improve patient quality of life.

FAQ section (important questions/answers):

What is the role of knee traction in osteoarthritis treatment?

Knee traction helps in managing osteoarthritis by temporarily increasing joint space, relieving pain, and improving the range of motion, ultimately aiding in the recovery of knee function.

What were the criteria for selecting patients in the study?

Patients aged over 40 with a confirmed diagnosis of primary osteoarthritis of the knee were selected, while those with other conditions like rheumatoid arthritis or systemic disorders were excluded.

How was the effectiveness of knee traction measured in the study?

Effectiveness was assessed through parameters such as pain relief, walking distance, and range of motion using statistical analysis and a visual analogue scale to gauge pain intensity.

What were the main findings regarding pain reduction and mobility?

The study found a significant reduction in pain (28.57%), with improvements in walking distance (26%) and range of motion (25%) after four weeks of knee traction therapy.

What demographic factors were observed in the patient population?

The majority of patients were aged 51-60, predominantly female, suggesting higher obesity levels and occupational stresses as contributing factors to knee osteoarthritis.

What conclusion did the study reach about knee traction therapy?

Knee traction was concluded to be a safe and effective physical therapy method for managing osteoarthritis of the knee, though further research is recommended for larger sample sizes.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Knee traction's role in managing osteoarthritis of the knee.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Pain:
Pain is a primary symptom and a critical focus in musculoskeletal disorders like osteoarthritis. It often leads to functional limitation, causing difficulties in daily activities. The study emphasized the importance of pain relief in managing patients with Janu Sandhigata Vata, to enhance their quality of life and mobility.

2) Vata:
In Ayurvedic medicine, Vata is one of the three doshas representing elements of air and space. It governs movement, circulation, and nerve impulses. An imbalance in Vata can contribute to conditions such as Osteoarthritis, termed 'Janu Sandhigata Vata' in this context, indicating a depletion or disturbance in joint function.

3) Janu:
Janu refers to the knee in Sanskrit. The term is crucial in Ayurveda, particularly in diagnosing and treating knee joint disorders, including osteoarthritis. In the context of the study, Janu Sandhigata Vata describes the specific condition affecting the knee joint, highlighting the disease's localization.

4) Study (Studying):
The study aimed to assess the effectiveness of knee traction in managing Janu Sandhigata Vata (osteoarthritis of the knee joint). It involved clinical trials on patients, analyzing pain, range of motion, and walking ability, emphasizing a physical therapy approach over pharmaceutical interventions.

5) Table:
Tables in the study present quantitative data, such as assessment criteria and results of pain relief, walking distance, and range of motion. They facilitate clear comparisons and illustrate the impact of knee traction therapy for Janu Sandhigata Vata, highlighting statistical significance in the findings.

6) Medicine:
In this study, the term medicine encompasses both traditional Ayurvedic practices and modern therapeutic methods. The research explores the efficacy of physical medicine, specifically knee traction, as an alternative to pharmaceutical treatments that carry risks of side effects like irritation and gastric issues.

7) Disease:
The term disease refers to osteoarthritis, a degenerative joint condition prevalent among the elderly, often manifesting as pain and functional disability. The study focused on understanding this disease's impact on the knee joint and sought effective treatments to alleviate its symptoms.

8) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is an integral part of Ayurveda, concerned with surgical procedures and management of trauma-related conditions. The study's authors are affiliated with this discipline, emphasizing an Ayurvedic approach to managing osteoarthritis through techniques such as knee traction rather than relying solely on drugs.

9) Tantra (Tamtra, Tantrism):
Tantra generally refers to a system or method, often within the context of ancient Indian practices, including Ayurveda. In this research, the term is linked to Shalya-tantra, symbolizing methodical approaches in therapeutic interventions for joint disorders, focusing on holistic patient care.

10) Shalya (Salya):
Shalya refers to the surgical aspect of the Ayurvedic system. It encompasses various techniques for managing ailments and injuries. This study reflects the significance of both surgical intervention and physical therapy in treating conditions like Janu Sandhigata Vata, bridging traditional and modern practices.

11) Drug:
Drugs are typically pharmacological agents used to treat diseases. In this context, the study critiques conventional drugs, which are often prescribed for osteoarthritis but may lead to adverse effects. The research proposes knee traction as a safer alternative, minimizing reliance on such drugs.

12) Male:
In the demographics of the study, sex is noted, revealing a higher prevalence of Osteoarthritis among females, with a smaller proportion of males affected. Understanding gender differences is crucial for tailored treatment plans and acknowledges varying risk factors associated with each sex.

13) Rheumatoid arthritis:
Rheumatoid arthritis is a chronic inflammatory disorder affecting joints, distinct from osteoarthritis. It serves as an exclusion criterion in the study to focus on primary osteoarthritis (Janu Sandhigata Vata), ensuring that the findings pertain specifically to degenerative rather than inflammatory joint conditions.

14) Sandhigata Vata (Sandhigata-vata):
Similar to Sandhigata Vata, this term emphasizes the specific condition under discussion. It highlights the Ayurvedic perspective on joint pathologies, underscoring the holistic understanding required to address symptoms effectively through both physical and traditional therapeutic interventions.

15) Observation:
Observation in the study refers to the careful monitoring of patients' responses to knee traction therapy. Detailed assessments of pain levels, mobility, and physical condition are crucial for drawing conclusions about the treatment's efficacy and understanding its overall impact on patients' quality of life.

16) Activity:
Activity denotes the physical capabilities and movements assessed during the study, such as walking distance and range of motion. Improvement in these activities is essential for evaluating the success of knee traction in restoring functionality and independence to affected individuals.

17) Jaipur:
Jaipur, the location of the National Institute of Ayurveda where the study was conducted, underscores the regional context. The area's healthcare practices and the demographic profile of patients contribute to the study's findings, reflecting local health trends in the management of osteoarthritis.

18) India:
India is significant concerning the study due to its diverse population and the high prevalence of osteoarthritis, reported between 22-39%. The country's traditional medicinal practices, particularly Ayurveda, offer insights into alternative therapies, highlighting the importance of culturally relevant treatments for managing joint disorders.

19) Kumar:
Dr. Kumar Alok is the lead author and researcher credited with spearheading the study. His work focuses on evaluating non-pharmacological treatments for osteoarthritis, reflecting the efforts of healthcare professionals to enhance patient outcomes through innovative therapeutic strategies within Ayurvedic contexts.

20) Blood:
Blood tests serve as diagnostic tools to gauge overall health and identify any underlying conditions affecting treatment. In the study, hematological investigations ensure that patients do not have existing systemic disorders that could interfere with the efficacy of knee traction therapy.

21) Diet:
Diet plays a crucial role in Ayurvedic health and is examined as a factor in contributing to or alleviating osteoarthritis symptoms. The study hints at dietary habits, emphasizing the need for balanced nutrition to support joint health and mitigate factors leading to conditions like Janu Sandhigata Vata.

22) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatu-ksaya refers to the depletion of bodily tissues in Ayurveda, relating to the deterioration seen in osteoarthritis. This concept underscores the disease's etiology according to Ayurvedic principles, offering a perspective that is complementary to modern medical understandings of degenerative joint conditions.

23) Discussion:
The discussion section of the study interprets the findings, relating observed results to existing literature and patient demographics. It contextualizes the researchers' conclusions, providing implications for future research and clinical practices in treating conditions like Janu Sandhigata Vata more effectively.

24) Irritation:
Gastric irritation is a common side effect associated with the nonsteroidal anti-inflammatory drugs often prescribed for arthritis. This aspect of the study underscores the need for alternative therapies, like knee traction, to alleviate pain without introducing harmful gastrointestinal side effects.

25) Stiffness:
Stiffness is a prevalent symptom in osteoarthritis, characterized by rigidity and limited movement in affected joints. The study emphasizes measuring and improving stiffness through physical therapy interventions, as alleviating stiffness can significantly enhance patients' mobility and overall quality of life.

26) Ayurveda (Ayus-veda):
Ayurveda is the traditional Indian system of medicine, emphasizing a holistic approach to health via a balance of mind, body, and spirit. Its principles guide the study in evaluating alternative therapies like knee traction, as well as understanding conditions like Janu Sandhigata Vata.

27) Vomiting:
Vomiting is a potential adverse effect of medications commonly prescribed for osteoarthritis pain relief. This highlights a critical concern addressed in the study, advocating for non-pharmacological approaches such as knee traction to minimize unpleasant side effects from traditional drug therapies.

28) Samhita:
Samhita refers to ancient texts in Ayurveda that consolidate knowledge on herbal treatments, surgical methods, and holistic health. This study draws upon concepts from texts like Sushrut Samhita when detailing methods to manage and treat Janu Sandhigata Vata through non-invasive therapies.

29) Account:
Account signifies the recording and reporting of patient assessments and outcomes throughout the study. Accurate accounts are vital for understanding the efficacy of knee traction, providing a clear basis for evaluating the treatment protocol against traditional medicinal approaches.

30) Science (Scientific):
In this context, science bridges traditional practices with modern research methodologies. The study employs scientific methods to investigate Ayurvedic treatments holistically, fostering integration between ancient wisdom and contemporary healthcare, particularly in managing osteoarthritis more effectively.

31) Surface:
Surface refers to the joint's outer area affected by conditions like osteoarthritis. The study emphasizes understanding joint anatomy and pathology, as alterations in the joint surface heavily influence pain and mobility, crucial for determining effective treatment strategies, including knee traction.

32) Vatika:
Vatika indicates dietary choices in Ayurveda that can aggravate Vata imbalances within the body. The study considers the impact of dietary habits on joint health, indicating that foods consistent with Vatika may contribute to the progression of conditions like Janu Sandhigata Vata.

33) Family:
Family dynamics can influence patient support systems in managing chronic conditions like osteoarthritis. Understanding the role of family can inform treatment approaches, as emotional and social support play vital roles in patients' adherence to therapy and overall wellbeing.

34) Farmer:
Farmers, as part of the patient demographic in the study, often experience physical stress from their occupation. The correlation between occupations involving repetitive movements and the development of knee joint diseases like osteoarthritis is pertinent to understanding the condition's prevalence in specific occupational groups.

35) Ahara:
Ahara refers to diet in Ayurveda, encompassing the food intake necessary to maintain health. The study acknowledges the importance of dietary habits in conditions like Janu Sandhigata Vata, suggesting that appropriate dietary choices can aid in managing symptoms and optimizing joint health.

36) Dhatu:
Dhatu refers to the essential bodily tissues in Ayurveda crucial for maintaining health and vitality. An imbalance or depletion of Dhatu leads to conditions like Janu Sandhigata Vata, emphasizing the interconnectedness of nutrition, tissue health, and the prevention of degenerative diseases.

37) Kshaya (Ksaya):
Ksaya denotes the wastage or reduction of material in the context of Ayurveda. The term relates to the degeneration occurring in osteoarthritis, reiterating the need for holistic approaches, including dietary management and physical therapies, to combat the deterioration of tissue health.

38) Sugar:
Sugar, particularly blood sugar levels, is an essential factor in assessing patients' overall health. The study includes glucose testing to rule out diabetes, which can complicate osteoarthritis symptoms and influence treatment choices in managing knee joint conditions.

39) Pulse:
Pulse checks in medicine indicate the heart's rate and rhythm, reflecting overall health. In the context of this study, pulse assessments could correlate with patient responses to treatment, providing insights into their physiological status and recovery progress throughout the knee traction therapy.

40) House:
House signifies the domestic sphere where many subjects reside, potentially impacting health behaviors and lifestyle choices. In this context, women as housewives may have specific activity patterns that contribute to the prevalence of knee joint issues, including sedentary behaviors or physical strain.

41) Food:
Food choices and nutrition are integral components of both Ayurveda and modern health. The study examines how dietary habits can influence the onset or progression of diseases such as osteoarthritis, emphasizing the importance of appropriate food selections in symptom management.

42) Sign:
Sign refers to the measurable indicators of disease, including pain, stiffness, and range of motion in patients with osteoarthritis. The study seeks to identify significant improvements in these signs through the intervention of knee traction to assess overall treatment efficacy.

43) Line:
In the context of research, line often refers to graphical representations, indicating severity levels, symptom improvements, or treatment outcomes. In this study, lines may be utilized in statistical analyses to delineate trends and demonstrate the changes observed before and after knee traction therapy.

44) Burning (Burn, Burned, Burnt):
Burn may refer to the sensation some patients experience as a result of pain or inflammation in joints. The study addresses such discomfort as an essential aspect of osteoarthritis management, exploring how knee traction can alleviate burning sensations associated with pain.

45) Life:
Life encompasses the overall wellbeing and functionality of individuals, particularly in the context of chronic conditions like osteoarthritis. The study highlights the impact of effective treatments on improving patients' quality of life, emphasizing the necessity of restoring mobility and reducing pain for better daily living.

Other Science Concepts:

[back to top]

Discover the significance of concepts within the article: ‘Knee traction's role in managing osteoarthritis of the knee.’. Further sources in the context of Science might help you critically compare this page with similair documents:

Pain relief, Statistical analysis, Physical work, Socio-economic status, Inclusion criteria, Exclusion criteria, Assessment criteria, Recurrence of symptoms, Visual analogue scale, Economic burden, Functional disability, Ayurvedic Drug, Janu Sandhigata Vata, Osteoarthritis of Knee Joint, Tobacco addiction, Traction therapy, Physical therapy, Knee Traction, Physical Medicine, Sedentary life style, Radiographic evidence, Musculoskeletal disorder, Occupational Stress, Faulty dietary habit.

Let's grow together!

I humbly request your help to keep doing what I do best: provide the world with unbiased sources, definitions and images. Your donation direclty influences the quality and quantity of knowledge, wisdom and spiritual insight the world is exposed to.

Let's make the world a better place together!

Like what you read? Help to become even better: