The Effectiveness of Transcutaneous Electrical Nerve Stimulation in Knee Osteoarthritis with Neuropathic Pain Component: A Randomized Controlled Study

Objective: The aim of our study was to assess the efficacy of transcutaneous electrical nerve stimulation (TENS) in knee osteoarthritis with neuropathic pain component. Materials and Methods: The patients were assessed by visual analogue scale (VAS) for pain severity, Western Ontario and McMaster o...

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Main Authors: Cemile Sevgi Polat, Asuman Doğan, Didem Sezgin Özcan, Belma Füsun Köseoğlu, Sinem Koçer Akselim, Şule Şahin Onat
Format: Article
Language:English
Published: Galenos Yayinevi 2017-08-01
Series:Türk Osteoporoz Dergisi
Subjects:
Online Access:http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/the-effectiveness-of-transcutaneous-electrical-ner/16609
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author Cemile Sevgi Polat
Asuman Doğan
Didem Sezgin Özcan
Belma Füsun Köseoğlu
Sinem Koçer Akselim
Şule Şahin Onat
author_facet Cemile Sevgi Polat
Asuman Doğan
Didem Sezgin Özcan
Belma Füsun Köseoğlu
Sinem Koçer Akselim
Şule Şahin Onat
author_sort Cemile Sevgi Polat
collection DOAJ
description Objective: The aim of our study was to assess the efficacy of transcutaneous electrical nerve stimulation (TENS) in knee osteoarthritis with neuropathic pain component. Materials and Methods: The patients were assessed by visual analogue scale (VAS) for pain severity, Western Ontario and McMaster osteoarthritis index (WOMAC) for physical function and the Kellgren-Lawrence system for severity of osteoarthritis, painDETECT questionnaire for presence of neuropathic pain. Patients were divided into two groups according to painDETECT questionnaire scores. Group 1 consisted of 20 patients (39.2%) with likely and possible neuropathic pain, group 2 consisted of 31 patients (60.8%) with unlikely neuropathic pain. All patients received hot pack, TENS and home exercise program was given. Physical therapy agents were given for 3 weeks, 5 days a week. Assessments were evaluated in all patients before and after the treatment. Results: There was no statistically significant difference in demographic features and radiographic evaluations between the groups. The VAS, WOMAC pain and physical function scores were significantly lower after treatment in knee patients with neuropathic pain component, but there was no significant difference between the two groups. Conclusion: TENS is a neuropathic pain component in knee osteoarthritis patients, which is effective in reducing pain and improving physical function. The benefit of TENS therapy is that it can be used in conjunction with drug therapy, thereby reducing the drug dose and drug side effects.
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spelling doaj.art-37261bd380d5446e960116009d5addbb2023-02-15T16:12:11ZengGalenos YayineviTürk Osteoporoz Dergisi2147-26532017-08-01232475110.4274/tod.47113The Effectiveness of Transcutaneous Electrical Nerve Stimulation in Knee Osteoarthritis with Neuropathic Pain Component: A Randomized Controlled StudyCemile Sevgi Polat0Asuman Doğan1Didem Sezgin Özcan2Belma Füsun Köseoğlu3Sinem Koçer Akselim4Şule Şahin Onat5Ankara Physical Therapy and Rehabilitation Training and Research Hospital, Clinic of Physical Therapy and Rehabilitation, Ankara, TurkeyAnkara Physical Therapy and Rehabilitation Training and Research Hospital, Clinic of Physical Therapy and Rehabilitation, Ankara, TurkeyAnkara Physical Therapy and Rehabilitation Training and Research Hospital, Clinic of Physical Therapy and Rehabilitation, Ankara, TurkeyAnkara Physical Therapy and Rehabilitation Training and Research Hospital, Clinic of Physical Therapy and Rehabilitation, Ankara, TurkeyAnkara Physical Therapy and Rehabilitation Training and Research Hospital, Clinic of Physical Therapy and Rehabilitation, Ankara, TurkeyAnkara Physical Therapy and Rehabilitation Training and Research Hospital, Clinic of Physical Therapy and Rehabilitation, Ankara, TurkeyObjective: The aim of our study was to assess the efficacy of transcutaneous electrical nerve stimulation (TENS) in knee osteoarthritis with neuropathic pain component. Materials and Methods: The patients were assessed by visual analogue scale (VAS) for pain severity, Western Ontario and McMaster osteoarthritis index (WOMAC) for physical function and the Kellgren-Lawrence system for severity of osteoarthritis, painDETECT questionnaire for presence of neuropathic pain. Patients were divided into two groups according to painDETECT questionnaire scores. Group 1 consisted of 20 patients (39.2%) with likely and possible neuropathic pain, group 2 consisted of 31 patients (60.8%) with unlikely neuropathic pain. All patients received hot pack, TENS and home exercise program was given. Physical therapy agents were given for 3 weeks, 5 days a week. Assessments were evaluated in all patients before and after the treatment. Results: There was no statistically significant difference in demographic features and radiographic evaluations between the groups. The VAS, WOMAC pain and physical function scores were significantly lower after treatment in knee patients with neuropathic pain component, but there was no significant difference between the two groups. Conclusion: TENS is a neuropathic pain component in knee osteoarthritis patients, which is effective in reducing pain and improving physical function. The benefit of TENS therapy is that it can be used in conjunction with drug therapy, thereby reducing the drug dose and drug side effects.http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/the-effectiveness-of-transcutaneous-electrical-ner/16609Neuropathic painknee osteoarthritistranscutaneous electrical nerve stimulation
spellingShingle Cemile Sevgi Polat
Asuman Doğan
Didem Sezgin Özcan
Belma Füsun Köseoğlu
Sinem Koçer Akselim
Şule Şahin Onat
The Effectiveness of Transcutaneous Electrical Nerve Stimulation in Knee Osteoarthritis with Neuropathic Pain Component: A Randomized Controlled Study
Türk Osteoporoz Dergisi
Neuropathic pain
knee osteoarthritis
transcutaneous electrical nerve stimulation
title The Effectiveness of Transcutaneous Electrical Nerve Stimulation in Knee Osteoarthritis with Neuropathic Pain Component: A Randomized Controlled Study
title_full The Effectiveness of Transcutaneous Electrical Nerve Stimulation in Knee Osteoarthritis with Neuropathic Pain Component: A Randomized Controlled Study
title_fullStr The Effectiveness of Transcutaneous Electrical Nerve Stimulation in Knee Osteoarthritis with Neuropathic Pain Component: A Randomized Controlled Study
title_full_unstemmed The Effectiveness of Transcutaneous Electrical Nerve Stimulation in Knee Osteoarthritis with Neuropathic Pain Component: A Randomized Controlled Study
title_short The Effectiveness of Transcutaneous Electrical Nerve Stimulation in Knee Osteoarthritis with Neuropathic Pain Component: A Randomized Controlled Study
title_sort effectiveness of transcutaneous electrical nerve stimulation in knee osteoarthritis with neuropathic pain component a randomized controlled study
topic Neuropathic pain
knee osteoarthritis
transcutaneous electrical nerve stimulation
url http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/the-effectiveness-of-transcutaneous-electrical-ner/16609
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