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Table 6.105Symptoms: stiffness

Stiffness outcomeReferenceInterventionAssessment timeOutcome/effect size
Knee
Lavage
Immobility stiffness, mins (change from baseline)1 RCT (Dawes et al. 1987), N=20Lavage vs control (saline injection)12 weeks post-intervention−9.5 (lavage) and +7.5 (placebo)
Lavage better
Morning stiffness, mins (change from baseline)1 RCT (Dawes et al. 1987), N=20Lavage vs control (saline injection)12 weeks post-intervention−6.0 (lavage) and −3.8 (saline)
Saline better
Irrigation
WOMAC stiffness (change from baseline)1 RCT (Bradley et al. 2002), N=180Tidal irrigation vs sham irrigation12 weeks, 24 weeks and 52 weeks post-intervention.12 weeks: −0.7 (tidal) and −1.2 (sham)
24 weeks: −0.6 (tidal) and −0.9 (sham)
52 weeks: −0.7 (tidal) and −0.9 (sham)
Both groups similar
Knee stiffness, number of days/week1 RCT (Ike et al. 1992), N=77Tidal irrigation + medical management vs medical management12 weeks post-interventionp=0.03
Favours tidal
Stiffness with inactivity1 RCT (Ike et al. 1992), N=77Tidal irrigation + medical management vs medical management12 weeks post-interventionp=0.01
Favours tidal
WOMAC stiffness (change from baseline); WOMAC stiffness (change from baseline – analysis of covariance with irrigation group as independent variable, baseline score and swelling as covariates)1 RCT (Kalunian et al. 2000), N=90Full irrigation vs minimal irrigation12 weeks post-interventionNS

From: 6, Non-pharmacological management of osteoarthritis

Cover of Osteoarthritis
Osteoarthritis: National Clinical Guideline for Care and Management in Adults.
NICE Clinical Guidelines, No. 59.
National Collaborating Centre for Chronic Conditions (UK).
Copyright © 2008, Royal College of Physicians of London.

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