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Multimodal non-surgical intervention for individuals with knee osteoarthritis: a retrospective case series
James J Young1,2, Deborah Kopansky-Giles1,2,3, Carlo Ammendolia1,4,5
1Department of Research, Canadian Memorial Chiropractic College, Toronto, ON.
Introduction:
The purpose of this study is to review the pain and functional outcomes of a multimodal intervention in three patients with knee osteoarthritis (OA). This study explores how manual therapy can be delivered within an evidence-based framework for the management of knee OA.
Methods:
Medical records were reviewed for three patients with knee OA who underwent a standardized multimodal intervention including education, exercise, and manual therapy. Changes in pain intensity and function from baseline to post-intervention were calculated and compared to thresholds for minimal clinically important differences.
Results:
One participant met the threshold for clinically significant improvement in pain and two participants for function. No adverse events were reported.
Conclusion:
Combined education, exercise, and manual therapy delivered over a 6-week period improved function in two of the three patients reviewed. Higher quality research is required to explore whether this multimodal intervention may improve outcomes in individuals with knee OA.
