Back to Browse Journals » Clinical Interventions in Aging » Volume 5

Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response

Authors Craig R Denegar, Devon R Dougherty, Jacob E Friedman, et al

Published Date July 2010 Volume 2010:5 Pages 199—206

DOI http://dx.doi.org/10.2147/CIA.S11431

Published 19 July 2010

Craig R Denegar, Devon R Dougherty, Jacob E Friedman, Maureen E Schimizzi, James E Clark, Brett A Comstock, William J Kraemer

Human Performance Laboratory and Physical Therapy Program, Department of Kinesiology, University of Connecticut, Storrs, CT, USA

Objective: This investigation assessed preferences for, and effects of, 5 days of twice daily superficial heat, cold, or contrast therapy applied with a commercially available system ­permitting the circulation of water through a wrap-around garment, use of an electric heating pad, or rest for patients with level II–IV osteoarthritis (OA) of the knee.

Methods: We employed a within subject, randomized order design to study 34 patients ­receiving each treatment in 1-week blocks. A knee injury and osteoarthritis outcome score (KOOS) questionnaire and visual analog pain scale was completed at baseline, and twice each week. Treatment preferences were assessed in the last week of the study.

Results: Treatment with the device set to warm was preferred by 48% of subjects. Near equal preferences were observed for cold (24%) and contrast (24%). Pain reduction and improvements in KOOS subscale measures were demonstrated for each treatment but responses were (P < 0.05) greater with preferred treatments. Most patients preferred treatment with the water circulating garment system over a heating pad.

Conclusions: We recommend that when superficial heat or cold is considered in the management of knee OA that patients experiment to identify the intervention that offers them the greatest relief and that contrast is a treatment option.

Keywords: pain scales, KOOS, therapeutic agents, knee, patient preferences

Download Article [PDF] 

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php

Other article by this author:

A 5° medial wedge reduces frontal but not saggital plane motion during jump landing in highly trained women athletes

Michael F Joseph, Craig R Denegar, Elaine Horn, et al

Open Access Journal of Sports Medicine 2010, 1:23-27

Published Date: 30 March 2010

Readers of this article also read:

Applications of gold nanoparticles in cancer nanotechnology

Weibo Cai, Ting Gao, Hao Hong, Jiangtao Sun

Nanotechnology, Science and Applications 2008, 1:17-32

Published Date: 19 September 2008

Restless legs syndrome: differential diagnosis and management with pramipexole

Francesca Brindani, Francesca Vitetta, Franco Gemignani

Clinical Interventions in Aging 2009, 4:305-313

Published Date: 18 June 2009

Selective estrogen receptor modulator (SERM) for the treatment of osteoporosis in postmenopausal women: focus on lasofoxifene

Luigi Gennari, Daniela Merlotti, Ranuccio Nuti

Clinical Interventions in Aging 2010, 5:19-29

Published Date: 28 January 2010

Omega-3 fatty acids: potential role in the management of early Alzheimer’s disease

Gregory A Jicha, William R Markesbery

Clinical Interventions in Aging 2010, 5:45-61

Published Date: 25 March 2010

Facial rejuvenation for middle-aged women: a combined approach with minimally invasive procedures

Alberto Goldman, Uwe Wollina

Clinical Interventions in Aging 2010, 5:293-299

Published Date: 14 September 2010

Elderly quality of life impacted by traditional chinese medicine techniques

Helena A Figueira, Olivia A Figueira, Alan A Figueira, et al

Clinical Interventions in Aging 2010, 5:301-305

Published Date: 1 October 2010

Protection of neurons in the retinal ganglion cell layer against excitotoxicity by the N-acylethanolamine, N-linoleoylethanolamine

Duncan RS, Xin H, Goad DL, Chapman KD, Koulen P

Clinical Ophthalmology 2011, 5:543-548

Published Date: 26 April 2011

Evaluation of in-vitro antibiotic susceptibility of different morphological forms of Borrelia burgdorferi

Sapi E, Kaur N, Anyanwu S, Luecke DF, Datar A, Patel S, Rossi M, Stricker RB

Infection and Drug Resistance 2011, 4:97-113

Published Date: 3 May 2011

Radio electric asymmetric brain stimulation in the treatment of behavioral and psychiatric symptoms in Alzheimer disease

Mannu P, Rinaldi S, Fontani V, Castagna A

Clinical Interventions in Aging 2011, 6:207-211

Published Date: 26 July 2011