Effects of therapeutic ultrasound on pain, physical functions and safety outcomes in patients with knee osteoarthritis: a systematic review and meta-analysis

Zhang, Chi; Xie, Yujie; Luo, Xueting; Ji, Qiaodan; Lu, Chunmei; He, Chengqi; Wang, Pu

doi:10.1177/0269215515609415

Cited by 60 publications

(43 citation statements)

References 24 publications

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“…One study about the effect of mechanical traction on function in osteoarthritis of knee shows that mechanical traction is more effective than conventional physiotherapy treatment in improving function in osteoarthritis knee patients [10]. Reviewing various studies it was analysed that the use of hot pack [13] , Ultrasound [14,15] Short Wave Diathermy [16], electrical stimulation [17,18] low level laser therapy [19] and Manual Traction [11] were the lines of treatment accompanied by exercise program for osteoarthritis of knee joint.…”

Section: Methodsmentioning

confidence: 99%

Effect of Mechanical Traction on Pain and Function in Subjects With Osteoarthritis Knee

Pandya¹,

Sheth²

2017

IJPR

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Background: Osteoarthritis (OA) of knee is a degenerative joint disease which contributes significantly to functional limitation and disability in older people. It is an important cause of pain which is a major cause of activity limitation, functional disability and reduced health-related quality of life. The aim was to compare the effect of mechanical traction versus conventional therapy on pain and function in participants with knee OA.Materials and Methods: An experimental study was conducted at college of physiotherapy on 24 participants. Participants were randomly allocated into 2 groups. Group A was given mechanical traction for 10 minutes, and hot pack for 10 min 5 days/week for 1 week .Group B was given conventional physiotherapy in the form of hot pack to the knee for 10 minutes. Both groups received a set of 10 repetitions of quadriceps drill 5 times/day for one week. Numerical Pain Rating Scale (NPRS) was used to assess knee pain and Lequesne Index (LI)was used to measure physical function.Results: Within group difference in NPRS and LI scores were calculated using t test and between groups using Mann Whitney U test. Mean difference in NPRS score for group A was 1.333±0.49,Z=-3.176,p=0.001 and group B was 1.25±0.6215,Z=-3.035,p=0.002. Difference in mean NPRS between the groups 1.33±0.481,U=68, p=0.843. Mean difference in LI score for group A was 5.0833±1.916,Z=-3.066, p=0.002) and for group B was 3.3750±1.625,Z=-3.074,p=0.002. Differences in mean LI scores between the groups was 4.22±1.94,U=35.5,p=0.034. Conclusion:Mechanical traction is more effective in reducing pain and improving physical function in subjects with osteoarthritis knee.KEY WORDS: Mechanical traction, Osteoarthritis, Pain, Function. ABSTRACT BACKGROUND

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Section: Methodsmentioning

confidence: 99%

Effect of Mechanical Traction on Pain and Function in Subjects With Osteoarthritis Knee

Pandya¹,

Sheth²

2017

IJPR

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“…[35][36][37] A study reported that heat and US applications did not provide enough evidence for efficacy in reducing pain, [37] whereas another study found that therapeutic US was a beneficial and safe treatment modality for reducing pain and improving function in patients with knee OA. [38] Zeng et al [39] also demonstrated that pulsed US was beneficial in reducing pain and improving function in knee OA patients, whereas continuous US was only effective in reducing pain. [39] In our study, a significant improvement was observed in the post-treatment VAS and WOMAC scores showing functional status in the intervention group who were treated with physical therapy modalities compared to the exercise alone group.…”

Section: Discussionmentioning

confidence: 99%

The effect of physical therapy and rehabilitation modalities on sleep quality in patients with primary knee osteoarthritis: A single-blind, prospective, randomized-controlled study

Altaş¹

2020

Turk J Phys Med Rehab

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Objectives: In this study, we aimed to evaluate the effect of physical therapy modalities on pain, sleep, mental status, and quality of life of patients with osteoarthritis (OA). Patients and methods: Between January 2017 and June 2017, a total of 40 patients (9 males, 31 females; mean age 56.6±8.9 years; range, 40 to 70 years) who were diagnosed with knee OA according to the American College of Rheumatology (ACR) criteria and were in Kellgren-Lawrence Grade 2-3 were included in the study. The patients were divided into two groups equally. Both groups received 15 sessions of exercise therapy, whereas the intervention group also received 10 consecutive physical therapy sessions in the form of hot pack, therapeutic ultrasound (US), and transcutaneous electrical nerve stimulation (TENS) by a single physiotherapist. Isometric and isotonic exercises were planned as 10 reps for three times a day as a home-based program. Clinical assessments were performed using the visual analog scale (VAS),

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“…В опубликованном ранее метаанализе С. Zhang и соавт. [49], включающем 10 РКИ (n=645), также было показано позитивное действие УЗТ. В сравнении с контролем, этот метод достоверно снижал интенсивность боли -РСЗ=-0,93 (95% ДИ от -1,22 до -0,64; p<0,01).…”

Section: ультразвуковая терапияunclassified

Medical rehabilitation in the combination treatment of rheumatic diseases: a review

Каратеев¹,

Сухарева²,

Лила³

2019

Naučno-praktičeskaâ revmatologiâ

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Медицинская реабилитация представляет собой комплекс немедикаментозных методов, направленных на уменьшение боли и функциональных нарушений, восстановление трудоспособности, социальной активности и психической устойчивости больных. Это необходимая часть лечения пациентов с ревматическими заболеваниями, во многих случаях (например, при остеоартрите, хронической неспецифической боли в спине и спондилоартритах) столь же важная, как и фармакотерапия. К сожалению, многие российские врачи недооценивают возможности немедикаментозных подходов, ссылаясь на то, что эффективность методов медицинской реабилитации и физиотерапии не оценивалась в ходе клинических исследований, а их терапевтическая значимость не проходила серьезной проверки с позиции «доказательной медицины». Это не совсем так. Настоящий обзор представляет данные большого числа клинических исследований и соответствующих метаанализов, посвященных изучению эффективности наиболее часто применяемых методов медицинской реабилитации: криотерапии, лазерной терапии, магнитотерапии, ультразвуковой терапии, чрескожной электронейромиостимуляции, акупунктуры, мануальной терапии, массажа, лечебной физкультуры. Ключевые слова: ревматические заболевания; медицинская реабилитация; физиотерапия.

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Effects of therapeutic ultrasound on pain, physical functions and safety outcomes in patients with knee osteoarthritis: a systematic review and meta-analysis

Abstract: The authors suggested that therapeutic ultrasound is beneficial for reducing knee pain and improving physical functions in patients with knee osteoarthritis and could be a safe treatment.

Cited by 60 publications

References 24 publications

Effect of Mechanical Traction on Pain and Function in Subjects With Osteoarthritis Knee

Effect of Mechanical Traction on Pain and Function in Subjects With Osteoarthritis Knee

The effect of physical therapy and rehabilitation modalities on sleep quality in patients with primary knee osteoarthritis: A single-blind, prospective, randomized-controlled study

Medical rehabilitation in the combination treatment of rheumatic diseases: a review

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