Meta-Analytic Critical Review On Effects Of Conventional Physiotherapy In Muscle Strength

Naresh Bhaskar, Raj and Srilekha, Saha and Soumendra, Saha and Amran, Ahmed Shokri (2018) Meta-Analytic Critical Review On Effects Of Conventional Physiotherapy In Muscle Strength. International Journal Of Life Science And Pharma Research, S (1). pp. 45-56. ISSN 2250-0480

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Abstract

This study intended to systematically review published research literatures to identify and evaluate the effectiveness of conventional physiotherapeutic (CP) training on improvement in muscle strength in middle-aged and elderly female individuals diagnosed as having Osteoarthritis (OA) of knee. Multiple databases having articles published between 2000 and 2016, such as - Web of Science, ProQuest, PubMed, Ebscohost and CINAHL were methodically searched for articles related to OA of knee. Only descriptive, meta-analytical and interventional research articles were retained. Overall effect size with 95% confidence intervals (CIs) was used to assess the strength of the relationship between interventions and improvement in muscle strength among elderly OA of knee patients, by using a random effects model. Heterogeneity was also evaluated. 9 experimental studies were selected and included in the review, out of which 4 were randomized controlled trials and rest were pseudo-randomised controlled trials. Studies considering drug co-interventions were excluded. Standardized effect sizes with 95% confidence interval (CIs) were calculated from the preintervention and post-intervention means of the conventional physiotherapy (CP) training group and other intervention or nointervention group. A generalized performance Altogether nine articles were analysed for improvement in strength. Pooled analysis of the results from the articles included clarified that, out of nine articles, only three favoured CP training as a modality for improvement in muscle strength in elderly OA patients. Rest of the articles (six articles) were found to favour no-intervention condition. Thus, the beneficial impact of CP training in improving muscle-strength in OA patients, did not get confirmed. This finding recommends that further studies following rigorous methodology are required to derive definitive evidence to confirm the beneficial effects of CP training on improvement in muscle strength among elderly patients suffering from osteoarthritis of knee.

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