Effects of Combined Physiotherapy Hold Relax and Glucosamine to the Decrease of COMP through Pain reduction, Increase Muscle Strength and addition of Osteoarthritis of the Knee Joint ROM

Abstract

The purpose of this study was to determine the effect of a combination of administration Hold Relax (HR) and glucosamine in reducing the levels of COMP through decreased pain, increased muscle strength, and the addition of Osteoarthritis (OA) of the knee joint ROM. This study is a quasi-experimental design with two groups of pre and posttest controlled group design, in which subjects were divided into two groups: Group 1 was given 3 times the treatment of HR within a day and glucosamine one capsule per day for 1 week and Group 2 was given 6 HR treatment time within a day and glucosamine once daily for 2 weeks. Measurements were performed before and after treatment for the time specified by the respective groups to determine the value of the Range of Motion (ROM), VAS, MMT and COMP levels (serum).These results indicate that there is a significant difference in pain reduction (95% confidence level) between the two groups in which the average reduction in pain was higher than Group 2 Group 1. Likewise with measurements of muscle strength showed that there were significant differences (level 95%) between the two groups in which the average increase in muscle strength higher than Group 2 Group 1.

In the measurement result ROM, there is a significant (95% confidence level) between the two groups in which the average addition of ROM in Group 2 higher than group 1. Based on the value of COMP, there is a significant difference (95% confidence level) between the two groups in which the average reduction in the levels of COMP in Group 2 was higher than group 1. The result of Pearson correlation test showed that there is a significant correlation between the increase in ROM with a decrease in pain (r = 0.636 or 63.6%). There is also a significant correlation between increased ROM with decreased levels of COMP (r = 0573 or 57.3%). Likewise, there is a significant correlation between reduced levels of COMP with a decrease in pain (r = 0402 or 40.2%). From these results it can be concluded that the combination of physiotherapy HR and glucosamine is effective in towards decreased levels of COMP through decreased pain, increased muscle strength, increase ROM at osteoarthritis knee joint, where the provision of physiotherapy HR 6 times within a day and glucosamine once per day in two weeks more effective than the combination of HR administration physiotherapy 3 times within a day and glucosamine once per day in one week.