Role of physiotherapy in relieving osteoarthritis knee pain using Lysholm score
Bibliographic record
Abstract
Background: Knee osteoarthritis (OA) is a prevalent condition that significantly impacts quality of life. While pharmacological interventions are commonly used, non-pharmacological approaches like physiotherapy have gained increasing recognition. In this study, the Lysholm Knee Scoring Scale was used to assess how well physiotherapy worked in reducing knee pain and enhancing functional results for people with OA knee. Methods: A randomized controlled trial from 1st February 2023 to 31st July 2023 at Department of Orthopaedics, Padmashree Dr. D.Y. Patil Medical College and Hospital, Nerul, Navi Mumbai, Maharashtra, India was conducted with 500 participants diagnosed with knee OA. Participants were randomly assigned to either the physiotherapy group (n=250) or the control group (n=250). The physiotherapy group received a 12-week standardized program consisting of exercise therapy, manual therapy and education. The control group received standard care. The primary outcome was the Lysholm Knee Scoring Scale, assessed at baseline, 12 weeks (post-intervention) and 24 weeks (follow-up). Secondary outcomes included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), knee range of motion, muscle strength and quality of life. Results: At baseline, the groups were comparable in terms of age, gender, body mass index and clinical characteristics. The physiotherapy group demonstrated significantly greater improvements in the Lysholm Knee Scoring Scale compared to the control group at 12 weeks (mean difference: 10.2, 95% CI: 7.4, 13.0; p<0.001) and 24 weeks (mean difference: 12.2, 95% CI: 9.2, 15.2; p<0.001). Similar patterns were observed for secondary outcomes, with the physiotherapy group showing significant improvements in WOMAC pain and function, knee range of motion, quadriceps strength and quality of life (all p<0.001). Conclusions: This study provides evidence that physiotherapy interventions, including exercise therapy, manual therapy and education, are effective in relieving knee pain and improving functional outcomes in individuals with knee osteoarthritis, as measured by the Lysholm Knee Scoring Scale and other relevant clinical measures.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".