TY  - JOUR
TI  - Effectiveness Comparison of Extracorporeal Shock Wave Therapy and  Conventional Physical Therapy Modalities in Primary Knee Osteoarthritis
AB  - 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.
AU  - Kul, Ayhan
AU  - ARSLAN, Yasar
DO  - 10.4274/tod.galenos.2021.04764
PY  - 2022
JO  - Türk Osteoporoz Dergisi
VL  - 28
IS  - 2
SN  - 2147-2653
SP  - 83
EP  - 90
DB  - TRDizin
UR  - http://search/yayin/detay/1179571
ER  -