title: A comparison of home-based exercise programs with and without self-manual therapy in individuals with knee osteoarthritis in community.
abstract: OBJECTIVE
  The present study aimed to compare the effectiveness of the treatment programs of home-based exercise with and without self-manual therapy in individuals with knee osteoarthritis (knee OA) in community.
  
  
  METHODS
  Forty-three participants with knee OA were randomly assigned in groups. All participants received the same home-based exercise program with or without self-manual therapy over 12 weeks. Outcome measures were pain intensity, range of motions, six-minute walk test distance, the knee injury and osteoarthritis outcome score (KOOS), short-form 36 (SF-36) and satisfaction.
  
  
  RESULTS
  The results showed that the self-manual therapy program significantly decreased pain at 4 weeks, increased flexion and extension at 4 and 12 weeks, and improved the KOOS in pain item and SF-36 in physical function and mental health items. The home-based exercise group showed significant increase of the six-minute walk distance at 4 and 12 weeks, improvements in the KOOS in pain and symptom items and SF-36 in the physical function and role-emotional items.
  
  
  CONCLUSIONS
  Overall, the results favored a combination of self-manual therapy and home-based exercise for patients with knee OA, which apparently showed superior benefits in decreasing pain and improving active knee range of motions.
authors.forename: Kornkamon
authors.initials: K
authors.lastname: Cheawthamai
authors.forename: Mantana
authors.initials: M
authors.lastname: Vongsirinavarat
authors.forename: Vimonwan
authors.initials: V
authors.lastname: Hiengkaew
authors.forename: Sasithorn
authors.initials: S
authors.lastname: Saengrueangrob
mesh_terms: D000368:Aged; D005080:Exercise Test; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006699:Home Care Services; D006801:Humans; D008875:Middle Aged; D026201:Musculoskeletal Manipulations / Q000379:methods*; D020370:Osteoarthritis, Knee / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy; D016138:Walking / Q000502:physiology