Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis
Objective:In this study, it was aimed to compare the effects of radial-extracorporeal shockwave treatment (r-ESWT) and conventional physical therapy (PT) modalities treatments on pain, joint range of motion (ROM), functional status and walking speed in patients with primary knee osteoarthritis (KOA)...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2022-08-01
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| Series: | Türk Osteoporoz Dergisi |
| Subjects: | |
| Online Access: |
http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/effectiveness-comparison-of-extracorporeal-shock-w/52650
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| _version_ | 1797907744566542336 |
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| author | Yaşar Arslan Ayhan Kul |
| author_facet | Yaşar Arslan Ayhan Kul |
| author_sort | Yaşar Arslan |
| collection | DOAJ |
| description | Objective:In this study, it was aimed to compare the effects of radial-extracorporeal shockwave treatment (r-ESWT) and conventional physical therapy (PT) modalities treatments on pain, joint range of motion (ROM), functional status and walking speed in patients with primary knee osteoarthritis (KOA).Materials and Methods:A total of 51 patients (26 patients in the ESWT group and 25 patients in the combined PT group) diagnosed with stage 2 or stage 3 primary KOA according to the Kellgren-Lawrence staging were included in the study. ESWT protocol of 2.0 bar, 0.25 mJ/mm2 , and ten beats/sec frequency was used once a week for a total of three sessions. In the PT group, hot-pack 30 min/day, transcutaneous electrical nerve stimulation 30 min/day, and ultrasound 10 min/day were performed as a combination therapy for five sessions a week and in a total of three weeks. Besides, a therapeutic home exercise program was administered to both groups. The groups were assessed on days 0, 10, and 21 using the parameters of visual analog scale (VAS), Western Ontario McMaster Universities Osteoarthritis index (WOMAC), joint ROM measurements, and the Timed “Up & Go” (TUG) test.Results:No statistically significant differences were determined between the groups regarding the pretreatment and 10-day and 21-day posttreatment scores, VAS, WOMAC, joint ROM, and TUG parameters (p>0.05). In intra-group evaluations, statistically significant improvements were determined when the 10-day and 21-day values of VAS, WOMAC, joint ROM, and TUG parameters were compared to the pretreatment values (p<0.05).Conclusion:r-ESWT and conventional PT were determined to have similar effects on primary KOA treatment. However, further and comprehensive studies are needed to reach more precise and accurate results. |
| first_indexed | 2024-04-10T10:41:42Z |
| format | Article |
| id | doaj.art-f13f996aa58c4130be92389c0dd4104b |
| institution | Directory Open Access Journal |
| issn | 2147-2653 |
| language | English |
| last_indexed | 2024-04-10T10:41:42Z |
| publishDate | 2022-08-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Osteoporoz Dergisi |
| spelling | doaj.art-f13f996aa58c4130be92389c0dd4104b2023-02-15T16:20:34ZengGalenos YayineviTürk Osteoporoz Dergisi2147-26532022-08-01282839010.4274/tod.galenos.2021.0476413049054Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee OsteoarthritisYaşar Arslan0Ayhan Kul1 Atatürk University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Erzurum, Turkey Atatürk University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Erzurum, Turkey Objective:In this study, it was aimed to compare the effects of radial-extracorporeal shockwave treatment (r-ESWT) and conventional physical therapy (PT) modalities treatments on pain, joint range of motion (ROM), functional status and walking speed in patients with primary knee osteoarthritis (KOA).Materials and Methods:A total of 51 patients (26 patients in the ESWT group and 25 patients in the combined PT group) diagnosed with stage 2 or stage 3 primary KOA according to the Kellgren-Lawrence staging were included in the study. ESWT protocol of 2.0 bar, 0.25 mJ/mm2 , and ten beats/sec frequency was used once a week for a total of three sessions. In the PT group, hot-pack 30 min/day, transcutaneous electrical nerve stimulation 30 min/day, and ultrasound 10 min/day were performed as a combination therapy for five sessions a week and in a total of three weeks. Besides, a therapeutic home exercise program was administered to both groups. The groups were assessed on days 0, 10, and 21 using the parameters of visual analog scale (VAS), Western Ontario McMaster Universities Osteoarthritis index (WOMAC), joint ROM measurements, and the Timed “Up & Go” (TUG) test.Results:No statistically significant differences were determined between the groups regarding the pretreatment and 10-day and 21-day posttreatment scores, VAS, WOMAC, joint ROM, and TUG parameters (p>0.05). In intra-group evaluations, statistically significant improvements were determined when the 10-day and 21-day values of VAS, WOMAC, joint ROM, and TUG parameters were compared to the pretreatment values (p<0.05).Conclusion:r-ESWT and conventional PT were determined to have similar effects on primary KOA treatment. However, further and comprehensive studies are needed to reach more precise and accurate results. http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/effectiveness-comparison-of-extracorporeal-shock-w/52650 extracorporeal shockwave therapyconventional physical therapy modalitiesprimary knee osteoarthritis |
| spellingShingle | Yaşar Arslan Ayhan Kul Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis Türk Osteoporoz Dergisi extracorporeal shockwave therapy conventional physical therapy modalities primary knee osteoarthritis |
| title | Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis |
| title_full | Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis |
| title_fullStr | Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis |
| title_full_unstemmed | Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis |
| title_short | Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis |
| title_sort | effectiveness comparison of extracorporeal shock wave therapy and conventional physical therapy modalities in primary knee osteoarthritis |
| topic | extracorporeal shockwave therapy conventional physical therapy modalities primary knee osteoarthritis |
| url |
http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/effectiveness-comparison-of-extracorporeal-shock-w/52650
|
| work_keys_str_mv | AT yasararslan effectivenesscomparisonofextracorporealshockwavetherapyandconventionalphysicaltherapymodalitiesinprimarykneeosteoarthritis AT ayhankul effectivenesscomparisonofextracorporealshockwavetherapyandconventionalphysicaltherapymodalitiesinprimarykneeosteoarthritis |