The effectiveness of a program combined knee muscle exercise with Ayurvedic Kati Basti therapy by Num Man Kad Mon on reduceing the severeity of symptoms of knee osteoarthritis symptoms in older adults with knee osteoarthritis at Ban Klong Yor Village, Amphur Borai, Trat Province
Keywords:
Knee osteoarthritis, Knee muscle exercise, Ayurvedic Kati Basti therapy, Num Man Kad Mon, Older adultAbstract
Introduction: Osteoarthritis of the knee is a major health problem among older adults. It causes pain and significantly impacts the daily functions of those afflicted by its symptoms. Management and care to reduce the severity of knee osteoarthritis symptoms is a crucial responsibility of primary care nurses.
Objective: This study aimed to compare the severity of symptoms in older adults with knee osteoarthritis before and after a therapeutic intervention.
Methods: A quasi-experimental study using a one-group pretest-posttest design was conducted. The participants were 33 older adults with knee osteoarthritis from the Ban Khlong Yor community, in the Borai District of Thailand’s Trat Province. The intervention involved a 9-week program that combined knee muscle strengthening exercises, together with Ayurvedic Kati Basti therapy by Num Man Kad Mon. Data were collected using a general information questionnaire, and the Knee injury and Osteoarthritis Outcome Score (KOOS). This study was conducted from March to May of 2024. Descriptive and nonparametric statistics were employed to analyze the data (Wilcoxon signed-rank test).
Results: After receiving the knee exercise program, in combination with the Basti therapy by Num Man Kad Mon, the older adults had a median score reduction in all domains of the KOOS with statistical significance: pain (58.33 vs 80.56, p < .001); knee stiffness (35.71 vs 75.00, p < .001); ease of daily living activities (51.47 vs 80.88, p < .001); sport and recreation functions (20.00 vs 55.00, p < .001); knee – related quality of life (31.25 vs 50.00, p < .001).
Conclusion: The findings of this study indicated that a knee muscle exercise program, in combination with Ayurvedic Kati Basti therapy by Num Man Kad Mon, significantly reduced the severity of symptoms in patients with moderate knee osteoarthritis, as evaluated across all subscales of the Knee Injury and Osteoarthritis Outcome Score (KOOS).
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