Effectiveness Comparison of Extracorporeal Shock Wave Therapy and  Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis

Kul, Ayhan; ARSLAN, Yasar

doi:10.4274/tod.galenos.2021.04764

Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis

Yaşar ARSLAN, (Atatürk Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Erzurum, Türkiye)

Ayhan KUL (Atatürk Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Erzurum, Türkiye)

Türk Osteoporoz Dergisi

11 1

Yıl: 2022 Cilt: 28 Sayı: 2 Sayfa Aralığı: 83 - 90 Metin Dili: İngilizce DOI: 10.4274/tod.galenos.2021.04764 İndeks Tarihi: 06-06-2023

Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis

Öz:

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.

Anahtar Kelime:

Primer Diz Osteoartritinde Konvansiyonel Fizik Tedavi Modaliteleri ve Ekstrakorporeal Şok Dalga Tedavisinin Etkinliklerinin Karşılaştırılması

Öz:

Amaç: Bu çalışmada, primer diz osteoartriti (DOA) tanılı hastalarda, radyal-ekstrakorporeal şok dalga tedavisi (r-ESWT) ve konvansiyonel fizik tedavi (FT) modaliteleri tedavilerinin ağrı, eklem hareket açıklığı (EHA), fonksiyonel durum ve yürüme hızı üzerindeki etkilerinin karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Çalışmaya, Kellgren-Lawrence evrelendirmesine göre evre 2 ve 3 primer DOA tanılı 51 hasta (26 hasta ESWT grubu, 25 hasta kombine FT grubu) dahil edildi. ESWT protokolü, 2,0 bar, 0,25 mJ/mm2 ve 10 atım/sn frekansında, haftada bir seans olmak üzere toplam 3 seans uygulandı. FT grubuna ise haftada 5 seans toplam 3 hafta 20 dk/gün hot-pack, 30 dk/gün transkutanöz elektriksel sinir stimülasyonu, 10 dk/gün ultrason kombine tedavisi uygulandı. Her iki gruba terapötik ev egzersiz programı verildi. Gruplar 0., 10. ve 21. günlerde vizüel analog skalası (VAS), Western Ontario ve McMaster Üniversitesi Osteoartrit indeksi (WOMAC), EHA ölçümü ve the Timed “Up & Go” (TUG) testi parametreleri ile değerlendirildi. Bulgular: Gruplar arasında tedavi öncesi ile tedavi sonrası 10. ve 21. gün skorlarında VAS, WOMAC, EHA ve TUG parametrelerinde istatistiksel olarak anlamlı bir fark saptanmadı (p>0,05). Grup içi değerlendirmede ise; her iki grupta da tedavi öncesi değerlerine göre 10. ve 21. günlerde VAS, WOMAC, EHA ve TUG parametrelerinde istatistiksel olarak anlamlı bir iyileşme gözlendi (p<0,05). Sonuç: Primer DOA tedavisinde r-ESWT, konvansiyonel FT ile benzer etkinlik göstermiştir. Ancak, daha kesin ve doğru sonuçlara ulaşmak için daha ileri ve geniş kapsamlı çalışmalara ihtiyaç vardır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ARSLAN Y, Kul A (2022). Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis. , 83 - 90. 10.4274/tod.galenos.2021.04764
Chicago	ARSLAN Yasar,Kul Ayhan Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis. (2022): 83 - 90. 10.4274/tod.galenos.2021.04764
MLA	ARSLAN Yasar,Kul Ayhan Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis. , 2022, ss.83 - 90. 10.4274/tod.galenos.2021.04764
AMA	ARSLAN Y,Kul A Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis. . 2022; 83 - 90. 10.4274/tod.galenos.2021.04764
Vancouver	ARSLAN Y,Kul A Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis. . 2022; 83 - 90. 10.4274/tod.galenos.2021.04764
IEEE	ARSLAN Y,Kul A "Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis." , ss.83 - 90, 2022. 10.4274/tod.galenos.2021.04764
ISNAD	ARSLAN, Yasar - Kul, Ayhan. "Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis". (2022), 83-90. https://doi.org/10.4274/tod.galenos.2021.04764

APA	ARSLAN Y, Kul A (2022). Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis. Türk Osteoporoz Dergisi, 28(2), 83 - 90. 10.4274/tod.galenos.2021.04764
Chicago	ARSLAN Yasar,Kul Ayhan Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis. Türk Osteoporoz Dergisi 28, no.2 (2022): 83 - 90. 10.4274/tod.galenos.2021.04764
MLA	ARSLAN Yasar,Kul Ayhan Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis. Türk Osteoporoz Dergisi, vol.28, no.2, 2022, ss.83 - 90. 10.4274/tod.galenos.2021.04764
AMA	ARSLAN Y,Kul A Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis. Türk Osteoporoz Dergisi. 2022; 28(2): 83 - 90. 10.4274/tod.galenos.2021.04764
Vancouver	ARSLAN Y,Kul A Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis. Türk Osteoporoz Dergisi. 2022; 28(2): 83 - 90. 10.4274/tod.galenos.2021.04764
IEEE	ARSLAN Y,Kul A "Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis." Türk Osteoporoz Dergisi, 28, ss.83 - 90, 2022. 10.4274/tod.galenos.2021.04764
ISNAD	ARSLAN, Yasar - Kul, Ayhan. "Effectiveness Comparison of Extracorporeal Shock Wave Therapy and Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis". Türk Osteoporoz Dergisi 28/2 (2022), 83-90. https://doi.org/10.4274/tod.galenos.2021.04764