Exercise And Physiotherapy Delivery During The Elderly

Further investigations were conducted by (Devos, Comby, Cronan Roesch, 2006) into the combined effects PCST, exercise and physiotherapy delivery. The results indicated that this combination not only improved an individual’s function and reported pain levels but there were psychological improvements in the individuals who participated in the study. A major disadvantage with delivery of this type of combined therapy is that specialised psychologists that deal in PCST are limited and don’t have easy access to specialised heath professionals to deliver the combined therapy program (Devos-Comby, Cronan Roesch, 2006). The other intervention in managing OA in the elderly is surgical intervention. This form of intervention and outcomes is†¦show more content†¦The second factor is wether the intervention should be an arthroscopy procedure or a full joint replacement. An arthroscopy involves the inserting of an arthrocscope into the joint in order to undertake a lavage procedure. The aim is to remove particulate matter such as cartridge and debride articular surfaces of calcium and osteophyte’s, to leave them smooth. Arthroscopic procedures ideally should aim to decrease synovitis and restore mechanical function, which interferes with joint movement. In a comparative study by (Kirkley et al., 2008), the effects of arthroscopic surgery were assessed for individuals who had [K-L 3, 4] OA of the knee. The 1st group underwent an arthroscopic procedure with physiotherapy and medical management while the 2nd group just had physiotherapy and medical management. The results indicated that there were no statistically significant differences between the groups based on WOMAC scores from the initial 8 week assessment till the end of the study period of 2 years. This illustrates that arthroscopic procedure may have very little intervention value for such level of OA in the knee. In relation to total knee replacements (TKR) the efficacy on their effectiveness primarily depends on the postoperative management. In a study by (Moffet et al., 2004) recipients of TKR were divided into 2 groups. One group underwent supervised intense functional retraining (IFR) while in hospital (ie exercises, physiotherapy)