Knee pain affects approximately 25% of adults, and as a result limits functional mobility and may induce participation restrictions. Risk factors may contribute to knee pain, with osteoarthritis (OA) being the most prevalent cause in individuals 50 years and older. The rate of knee replacement surgery among individuals 65 and older has increased by approximately eight fold from 1979-2002. Physical Therapy (PT) is a nonsurgical option that offers individuals relief. The purpose of this case report is to review the PT treatment and management for a patient with chronic knee pain, and use evidence based interventions, such as therapeutic exercises, joint mobilization, application of KT, and a home exercise program (HEP).https://dune.une.edu/pt_studcrposter/1094/thumbnail.jp

Elsaid, Mohamed

English

Background and Purpose: Knee pain affects a large number of adults, and as a result limits their functional mobility and may induce participation restrictions. A number of risk factors may contribute to knee pain, with osteoarthritis (OA) being the most prevalent cause. The rate of knee replacement surgery among individuals 65 and older has increased significantly over the years. Physical therapy (PT) is a non-surgical option that offers individuals relief of their knee pain. Case Description: The patient was a 48-year-old Caucasian female referred to physical therapy with chronic right knee pain. She received PT twice a week for eight weeks for strengthening, increasing range of motion (ROM), improving stair climbing, improving gait pattern, application of Kinesiotape (KT), and manual therapy to improve joint mobility. Outcomes: Lower Extremity Functional Scale (LEFS) scores improved from 42/80 to 60/80, Numeric Pain Rating Scale (NPRS) improved from 4/10 to 2/10. At the time of discharge, the patient exhibited increased strength of right knee extension and flexion of 5/5, increased right knee range of motion (ROM) to 115 degrees, and the ability to bend down without pain. Discussion: Chronic knee pain can be debilitating and contribute to impaired functional mobility and participation restrictions. This case report demonstrated that a combination of therapeutic exercises, manual therapy, KT, and home exercise program decreased knee pain, increased strength, and ROM. Limited literature is available on the long term effects smoking contributes to cartilage damage among females. Further research is recommended to examine the correlation between smoking and chronic pain among females

University of New England

Physical Therapy Management Of A Patient With Chronic Knee Pain: A Case Report

The author acknowledges Mike Fillyaw, PT, MS for assistance  with case report conceptualization with case report, Deborah  Tuttle, PT, CMP for supervision and assistance with patient  treatment, and the patient for compliance and participation with  case report.ReferencesAcknowledgementsPhysical Therapy Management of a Patient with Chronic Knee Pain: A Case ReportMohamed Elsaid, BADepartment of Physical Therapy, University of New England, Portland, MaineExamination and OutcomesPurpose• 48-year-old Caucasian female with  chronic right knee pain.• Chief Complaints: inability to walk for longer than 20 minutes, inability to bend down, and difficulty with stairs• Focus: strengthening the rightknee, increasing ROM, improving  stair climbing, improving gait pattern,  application of Kinesiotape (KT), and  manual therapy to improve joint  mobilityCase Description• Review the PT treatment and  management for a patient with  chronic knee pain.• Use of evidence based interventions,  such as therapeutic exercises, joint  mobilization, application of KT, and a  home exercise program (HEP).Goals Goal Status Right knee active range of  motion (AROM) of at least  100 degrees without pain for  improved ambulation✔The patient will report a zero- two out of ten on the NPRS  for improved functional  mobility✔Right knee AROM extension  of zero degrees✖Test and Measures Initial FinalRight Knee ROM Flexion: 86oExtension: 9oFlexion: 115oExtension: 5oRight Knee Strength Flexion: 4/5  Extension: 4/5Flexion: 5/5  Extension: 5/5Hip Extension Strength Left: 3/5  Right: 3-/5Left: 4+/5  Right: 4+/5Numeric Pain Rating Scale Current: 4/10Best:2/10Current: 2/10Best: 2/10Lower Extremity Functional  Scale (LEFS)42/80 60/80InterventionsDiscussion & Conclusion• Successful outcome as was measuredby the patient’s decrease in pain level,increased strength, and increasedparticipation.• Combination of therapeutic exercises,  manual therapy, KT, and HEP  demonstrated improvement for this  patient’s impairments and functional  capabilities.• LEFS was a beneficial outcome measure to measure level of improvement and participation levels.• Limited information in the literature  discussing the effects of smoking on  articular cartilage among females• Beneficial to examine the efficacy of KT in conjunction with manual therapy in treating chronic knee painNguyen US, Zhang Y, Zhu Y, Niu J, Zhan B, Fleson DT. Increasing prevalence of knee pain and symptomatic knee  osteoarthritis:  survey and cohort data.  Ann Intern  Med.  2011;155(11):725-732.  doi: 10.7326/0003-4819-155-11-201112060-	https://www.google.com/search?q=i+strip+kinesio+tape&espv=2&biw=1280&bih=643&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjDgOOU2LXQAhUE44MKHXDpA8sQ_AUICCgD#tbm=isch&q=KT+i+strip+knee&imgrc=eBrpQrvJLuAFcM%3Ahttps://www.google.com/search?q=i+strip+kinesio+tape&espv=2&biw=1280&bih=643&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjDgOOU2LXQAhUE44MKHXDpA8sQ_AUICCgD#tbm=isch&q=KT+i+strip+knee&imgrc=eBrpQrvJLuAFcM%3A• Knee pain affects approximately 25% of adults, and as a result limits functional mobility and may induce participation restrictions.1• Risk factors may contribute to knee pain, with osteoarthritis (OA) being the most prevalent cause in individuals 50 years and older.1• The rate of knee replacement surgery among individuals 65 and older has increased by approximately eight fold from 1979-2002.• Physical Therapy (PT) is a non-surgical option that offers individuals relief.

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Physical Therapy Management Of A Patient With Chronic Knee Pain: A Case Report

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University of New England

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