AB0808 Comparing the effects of physical therapy and non-steroidal anti-inflammatory treatment on sleep quality, quality of life and clinical status in knee osteoarthritis

Abstract

Objectives: We aimed to compare the effectiveness of physical therapy (PT) and non-steroidal anti-inflammatory drug (NSAID) therapy on sleep quality, quality of life and clinical status in patients with knee osteoarthritis (OA). Methods: Demographic characteristics of the participants were recorded. MOS sleep scale, Nottingham Health Profile (NHP) and Western Ontario ve McMaster Universities Osteoarthritis Index (WOMAC) were used to evaluate sleep quality, quality of life and clinical status of patients before and after the treatment. All patients were divided into two groups as PT (57 patients) and NSAID (43) groups. The patients in the drug group were administered oral dexketoprofen (50 mg/day, for two week) and the patients in the PT group were administered five times a week, total 15 seances hot-pack, ultrasound and transcutaneous electrical nerve stimulation therapy. Results: Demographic characteristics, MOS sleep scale and NHP were similar at baseline in both groups (p>0.05). WOMAC pain, stiffness, and physical function scores before treatment were significantly poorer in the PT group than the NSAID group (P<0.05). There were statistically significant improvements on the MOS sleep scale (except snoring subscore, p=0.05, table 1), NHP (except social isolation, p=0.209) and and WOMAC pain, stiffness, physical function and total scores of both groups after the treatments (p<0.05). Improvement was also similar when both groups were compared after the treatment (p>0.05). After the two treatment, significantly side effect was not observed. Conclusions: PT and NSAID therapy has good effectiveness on sleep quality, quality of life and clinical status in knee OA.