Efficacy of Transcutaneous 4.4 MHz Radiofrequency Diathermy versus Therapeutic Ultrasound for Pain Relief and Functional Recovery in Patients with Knee Osteoarthritis: A Randomized Controlled Study
Knee osteoarthritis (KOA) is a prevalent common cause of disability and pain among adults. Transcutaneous radiofrequency (RF) diathermy and therapeutic ultrasound (US) are commonly employed treatments for addressing musculoskeletal conditions. This study aims to evaluate and compare the clinical eff...
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| Format: | Article |
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MDPI AG
2023-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/18/6040 |
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| author | Yookyung Jang Lee Gyeong Je Sunhee Lee Donghyun Na Hyekyung Shin Jong Bum Choi Jae Chul Koh |
| author_facet | Yookyung Jang Lee Gyeong Je Sunhee Lee Donghyun Na Hyekyung Shin Jong Bum Choi Jae Chul Koh |
| author_sort | Yookyung Jang |
| collection | DOAJ |
| description | Knee osteoarthritis (KOA) is a prevalent common cause of disability and pain among adults. Transcutaneous radiofrequency (RF) diathermy and therapeutic ultrasound (US) are commonly employed treatments for addressing musculoskeletal conditions. This study aims to evaluate and compare the clinical effectiveness of transcutaneous 4.4 MHz RF diathermy and therapeutic US therapy in individuals diagnosed with KOA. A total of 108 patients with KOA were randomly assigned to either the RF or US groups. Each participant underwent a series of 10 treatment sessions over four weeks and was evaluated at different time points. The assessments included physical evaluations, vital sign measurements, the Numeric Rating Scale (NRS) for pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, the Lequesne index, gait analysis, the 36-Item Short Form Health Survey (SF-36), and analysis of adverse responses. Both groups showed significant differences in NRS, WOMAC scores, and Lequesne index compared to baseline values at both the 10th treatment session and the one-month follow-up assessment. However, no significant disparities were observed between the two groups at each assessment point. In the gait analysis, following the 10th treatment, the RF group showed significant changes in stride length and stride velocity compared to baseline. Four weeks after the completion of treatment, both groups exhibited significant alterations in stride length and stride velocity when compared to baseline measurements. However, regarding cadence, only the RF group exhibited a significant difference compared to baseline. The findings suggest that transcutaneous 4.4 MHz RF diathermy displays a comparable effectiveness to therapeutic US in reducing pain and enhancing functional capacity among individuals with KOA. Further research endeavors are warranted to advance the efficacy of noninvasive treatments for KOA. |
| first_indexed | 2024-03-10T22:37:05Z |
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| language | English |
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| publishDate | 2023-09-01 |
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| spelling | doaj.art-5015395b1e514c18907c2183e1e2d6652023-11-19T11:20:57ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011218604010.3390/jcm12186040Efficacy of Transcutaneous 4.4 MHz Radiofrequency Diathermy versus Therapeutic Ultrasound for Pain Relief and Functional Recovery in Patients with Knee Osteoarthritis: A Randomized Controlled StudyYookyung Jang0Lee Gyeong Je1Sunhee Lee2Donghyun Na3Hyekyung Shin4Jong Bum Choi5Jae Chul Koh6Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul 02841, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul 02841, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul 02841, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul 02841, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul 02841, Republic of KoreaKnee osteoarthritis (KOA) is a prevalent common cause of disability and pain among adults. Transcutaneous radiofrequency (RF) diathermy and therapeutic ultrasound (US) are commonly employed treatments for addressing musculoskeletal conditions. This study aims to evaluate and compare the clinical effectiveness of transcutaneous 4.4 MHz RF diathermy and therapeutic US therapy in individuals diagnosed with KOA. A total of 108 patients with KOA were randomly assigned to either the RF or US groups. Each participant underwent a series of 10 treatment sessions over four weeks and was evaluated at different time points. The assessments included physical evaluations, vital sign measurements, the Numeric Rating Scale (NRS) for pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, the Lequesne index, gait analysis, the 36-Item Short Form Health Survey (SF-36), and analysis of adverse responses. Both groups showed significant differences in NRS, WOMAC scores, and Lequesne index compared to baseline values at both the 10th treatment session and the one-month follow-up assessment. However, no significant disparities were observed between the two groups at each assessment point. In the gait analysis, following the 10th treatment, the RF group showed significant changes in stride length and stride velocity compared to baseline. Four weeks after the completion of treatment, both groups exhibited significant alterations in stride length and stride velocity when compared to baseline measurements. However, regarding cadence, only the RF group exhibited a significant difference compared to baseline. The findings suggest that transcutaneous 4.4 MHz RF diathermy displays a comparable effectiveness to therapeutic US in reducing pain and enhancing functional capacity among individuals with KOA. Further research endeavors are warranted to advance the efficacy of noninvasive treatments for KOA.https://www.mdpi.com/2077-0383/12/18/6040knee osteoarthritisdeep heat therapytranscutaneous radiofrequency |
| spellingShingle | Yookyung Jang Lee Gyeong Je Sunhee Lee Donghyun Na Hyekyung Shin Jong Bum Choi Jae Chul Koh Efficacy of Transcutaneous 4.4 MHz Radiofrequency Diathermy versus Therapeutic Ultrasound for Pain Relief and Functional Recovery in Patients with Knee Osteoarthritis: A Randomized Controlled Study Journal of Clinical Medicine knee osteoarthritis deep heat therapy transcutaneous radiofrequency |
| title | Efficacy of Transcutaneous 4.4 MHz Radiofrequency Diathermy versus Therapeutic Ultrasound for Pain Relief and Functional Recovery in Patients with Knee Osteoarthritis: A Randomized Controlled Study |
| title_full | Efficacy of Transcutaneous 4.4 MHz Radiofrequency Diathermy versus Therapeutic Ultrasound for Pain Relief and Functional Recovery in Patients with Knee Osteoarthritis: A Randomized Controlled Study |
| title_fullStr | Efficacy of Transcutaneous 4.4 MHz Radiofrequency Diathermy versus Therapeutic Ultrasound for Pain Relief and Functional Recovery in Patients with Knee Osteoarthritis: A Randomized Controlled Study |
| title_full_unstemmed | Efficacy of Transcutaneous 4.4 MHz Radiofrequency Diathermy versus Therapeutic Ultrasound for Pain Relief and Functional Recovery in Patients with Knee Osteoarthritis: A Randomized Controlled Study |
| title_short | Efficacy of Transcutaneous 4.4 MHz Radiofrequency Diathermy versus Therapeutic Ultrasound for Pain Relief and Functional Recovery in Patients with Knee Osteoarthritis: A Randomized Controlled Study |
| title_sort | efficacy of transcutaneous 4 4 mhz radiofrequency diathermy versus therapeutic ultrasound for pain relief and functional recovery in patients with knee osteoarthritis a randomized controlled study |
| topic | knee osteoarthritis deep heat therapy transcutaneous radiofrequency |
| url | https://www.mdpi.com/2077-0383/12/18/6040 |
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