Martin Pielok and Robert Theiler
Objective: Knee complaints are the most common disorders seen in daily physiotherapy routine, apart from lower back pain. A number of studies have documented a strong correlation between knee, hip and foot biomechanics. Spiraldynamik® is a holistic therapeutic and movement concept. It combines integral natural principles, such as the helix, with archaic evolutionary movement patterns. According to the Spiraldynamik® concept, the functionality of the knee joint is strongly dependent on the functionality of the hip and foot joints. Treatment of the knee joint therefore includes the hip and foot joints as the entire leg is seen as a kinematic chain governed by structural principles. The aim of this study was to document the outcome of the specific Spiraldynamik® therapy in patients with knee disorders. Methods: This quality assurance study was performed during standardized Spiraldynamik® treatment in patients with knee disorders in three Spiraldynamik® centers. The patient-reported outcome measure Activity Index was used. The study included 48 patients (mean age: 52.7 year, min: 19 year, max: 89 year) with different knee disorders. Mean treatment duration was six sessions (of 50 minutes each). Results: A significant reduction was measured for maximum pain (p=0.00), average pain (p=0.00), limitations to activity during household work (p=0.01) and limitations to activity during leisure activity (p=0.00). No significant effect was documented for limitations to activity during work activities (p=0.07), quality of sleep (p=0.12) and general health (p=0.68). A high satisfaction score was documented (97.2%). Conclusion: The Spiraldynamik® concept can be useful in the therapeutic treatment of patients with knee pain and knee disorders. It seems to be effective in reducing disability in daily activities. In addition, a high treatment satisfaction score was documented. Future quality assurance studies should include randomized observational settings and comparisons with standard care.
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