Title : Combination of static bike, TENS and unloader knee brace in alleviating knee pain, delay knee arthroplasty and improve activity daily living in knee OA patients
Abstract:
Osteoarthritis is a chronic, debilitating disease affecting hundreds of millions of people around the globe. There are no disease-modifying drugs nor permanent treatment available except for knee arthroplasty. Combination of physical therapy, neuromuscular modulator, and unloader knee brace to alleviate pain and improve activity daily living for knee osteoarthritis. Among plethora of physical therapy modalities, static cycling has demonstrated its superiority to strengthen muscles and improve pain compared to other physical therapy modalities. Transcutaneous Electrical Nerve Stimulation has been proven in multiple RCT to be able to reduce WOMAC score in knee OA patients. During non-training session, patients has been advised to wear unloader knee brace to balance the load among three knee’s compartment, femoral condyles, tibia plateau and patella.