Effects of Short Wave Diathermy Added on Dextrose Prolotherapy Injections in Osteoarthritis of the Knee

Işık, Rıdvan; Karapolat, Hale; Bayram, Korhan Barış; Uşan, Hicran; Tanıgör, Göksel; Çalış, Funda Atamaz

doi:10.1089/acm.2019.0341

Cited by 5 publications

(13 citation statements)

References 21 publications

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“…After removing duplicates, we examined the titles and abstracts of 441 articles to assess their eligibility; after a review of the title or abstract of each article, 136 were considered relevant for full-text assessment. The final sample consisted of 80 RCTs published between 2001 and 2022 [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 ,…”

Section: Resultsmentioning

confidence: 99%

Comparative Efficacy of Intra-Articular Injection, Physical Therapy, and Combined Treatments on Pain, Function, and Sarcopenia Indices in Knee Osteoarthritis: A Network Meta-Analysis of Randomized Controlled Trials

Liao

Chen

Huang

et al. 2023

IJMS

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Knee osteoarthritis (KOA) is associated with a high risk of sarcopenia. Both intra-articular injections (IAIs) and physical therapy (PT) exert benefits in KOA. This network meta-analysis (NMA) study aimed to identify comparative efficacy among the combined treatments (IAI+PT) in patients with KOA. Seven electronic databases were systematically searched from inception until January 2023 for randomized controlled trials (RCTs) reporting the effects of IAI+PT vs. IAI or PT alone in patients with KOA. All RCTs which had treatment arms of IAI agents (autologous conditioned serum, botulinum neurotoxin type A, corticosteroids, dextrose prolotherapy (DxTP), hyaluronic acid, mesenchymal stem cells (MSC), ozone, platelet-rich plasma, plasma rich in growth factor, and stromal vascular fraction of adipose tissue) in combination with PT (exercise therapy, physical agent modalities (electrotherapy, shockwave therapy, thermal therapy), and physical activity training) were included in this NMA. A control arm receiving placebo IAI or usual care, without any other IAI or PT, was used as the reference group. The selected RCTs were analyzed through a frequentist method of NMA. The main outcomes included pain, global function (GF), and walking capability (WC). Meta-regression analyses were performed to explore potential moderators of the treatment efficacy. We included 80 RCTs (6934 patients) for analyses. Among the ten identified IAI+PT regimens, DxTP plus PT was the most optimal treatment for pain reduction (standard mean difference (SMD) = −2.54) and global function restoration (SMD = 2.28), whereas MSC plus PT was the most effective for enhancing WC recovery (SMD = 2.54). More severe KOA was associated with greater changes in pain (β = −2.52) and WC (β = 2.16) scores. Combined IAI+PT treatments afford more benefits than do their corresponding monotherapies in patients with KOA; however, treatment efficacy is moderated by disease severity.

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Section: Resultsmentioning

confidence: 99%

Comparative Efficacy of Intra-Articular Injection, Physical Therapy, and Combined Treatments on Pain, Function, and Sarcopenia Indices in Knee Osteoarthritis: A Network Meta-Analysis of Randomized Controlled Trials

Liao

Chen

Huang

et al. 2023

IJMS

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“…A certain degree of heterogeneity is evidenced in the studies regarding the types of proposed interventions. The diathermy with the highest occurrence was SWD, with 43 studies (63%) [ 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 ], and MWD had the second highest occurrence with 13 articles (19%) [ 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 ]. One article, Hammad 2019 [ ...…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-seven studies [ 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 72 , 73 , 86 , 87 , 88 ] performed the treatment in adults with osteoarthritis (OA), 26 studies concerning knee OA, and 1 study concerning a mixed population affected by knee or hip OA. Of the 27 studies, 22 used SWD, 2 MWD, 2 CRET, and 1 ‘low power radiofrequency electromagnetic radiation’ (LPRER).…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies compared diathermy and a placebo or sham diathermy treatment (8 studies on SWD, 1 on MWD, and 2 on CRET). SWD was compared with sham treatment in 7 studies [ 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 ], the post-treatment assessments were pooled (SMD −0.30, 95% CI −0.66 to 0.07, random-effects model) with non-significant results ( p = 0.11) and a heterogeneity, I 2 , of 64% (GRADE: low certainty), Figure 3 . While Rattachaiyanot 2008 [ 28 ] did not present analysable data and reported no difference between sham SWD and SWD treatment for VAS pain scale, Wright 1964 [ 46 ] observed no differences in SWD treatment with respect to placebo treatments (based on tablets or injections).…”

Section: Resultsmentioning

confidence: 99%

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The Efficacy of Electromagnetic Diathermy for the Treatment of Musculoskeletal Disorders: A Systematic Review with Meta-Analysis

Pollet

Ranica

Pedersini

et al. 2023

JCM

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OBJECTIVE: This study aims to establish the effect of electromagnetic diathermy therapies (e.g., shortwave, microwave, capacitive resistive electric transfer) on pain, function, and quality of life in treating musculoskeletal disorders. METHODS: We conducted a systematic review according to the PRISMA statement and Cochrane Handbook 6.3. The protocol has been registered in PROSPERO: CRD42021239466. The search was conducted in PubMed, PEDro, CENTRAL, EMBASE, and CINAHL. RESULTS: We retrieved 13,323 records; 68 studies were included. Many pathologies were treated with diathermy against placebo, as a standalone intervention or alongside other therapies. Most of the pooled studies did not show significant improvements in the primary outcomes. While the analysis of single studies shows several significant results in favour of diathermy, all comparisons considered had a GRADE quality of evidence between low and very low. CONCLUSIONS: The included studies show controversial results. Most of the pooled studies present very low quality of evidence and no significant results, while single studies have significant results with a slightly higher quality of evidence (low), highlighting a critical lack of evidence in the field. The results did not support the adoption of diathermy in a clinical context, preferring therapies supported by evidence.

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“…Still in the case of OA, current studies suggest that both continuous and pulsed SWD reduce pain and improve functionality, pSWD is able to reduce inflammation and synovial thickness results in a reduction in joint stiffness and pain, other findings suggest that cSWD is also effective and that the positive effect on pain perception is achieved only when the treatment involves at least some degree of thermal sensation [2,8].…”

Section: Editorialmentioning

confidence: 90%

Shortwave Diathermy: Actualization

HM¹,

EG²

2022

physmedrehabilint

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Short wave diathermy (SWD) is a therapeutic modality that offers the body an increase in temperature, through the high frequency in electromagnetic irradiation, so as not to generate ionization to the tissues. This therapeutic modality works based on the principle that energy is transferred within the layers of deep tissues by a high frequency current and the generation of tissue heat. Therefore, there is an agitation of the molecules in response to an electric field, converting the kinetic energy into heat [1-4]. It uses radio frequency bands generally centered at 13.56MHz, 27.12MHz and 40.68MHz, with the most commonly used frequency being 27.12MHz with a corresponding wavelength of 11.6m (1.5).

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Effects of Short Wave Diathermy Added on Dextrose Prolotherapy Injections in Osteoarthritis of the Knee

Cited by 5 publications

References 21 publications

Comparative Efficacy of Intra-Articular Injection, Physical Therapy, and Combined Treatments on Pain, Function, and Sarcopenia Indices in Knee Osteoarthritis: A Network Meta-Analysis of Randomized Controlled Trials

Comparative Efficacy of Intra-Articular Injection, Physical Therapy, and Combined Treatments on Pain, Function, and Sarcopenia Indices in Knee Osteoarthritis: A Network Meta-Analysis of Randomized Controlled Trials

The Efficacy of Electromagnetic Diathermy for the Treatment of Musculoskeletal Disorders: A Systematic Review with Meta-Analysis

Shortwave Diathermy: Actualization

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