Short-Term Effectiveness of Ultrasound Therapy in Knee Osteoarthritis

Taşçıoğlu, Funda; Kuzgun, Selen; Armağan, Onur; Ogutler, G

doi:10.1177/147323001003800404

Cited by 87 publications

(80 citation statements)

References 31 publications

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“…In our study, the use of ultrasound was effective in reducing pain and increasing performance of patients. In the study of Tascioglu, the use of pulse mode ultrasound was with high efficiency in the reduction of pain measured using VAS (21). These findings are also similar to the results and methods of our study.…”

Section: Discussionsupporting

confidence: 82%

Therapeutic Efficacy of Dexamethasone Phonophoresis on Symptomatic Knee Osteoarthritis in Elderly Women

Toopchizadeh¹,

Javadi²,

Sadat³

2014

IJWHR

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Objectives: The knee joint osteoarthritis is one of the important causes of disability and is more frequent in menopausal women. Phonophoresis is a therapeutic method using ultrasound to enhance percutaneous absorption of drugs. This study was aimed at evaluating the therapeutic efficacy of dexamethasone phonophoresis in the management of knee osteoarthritis in elderly women. Materials and Methods: 55 women aged 56.03±5.7 years who had mild or moderate knee osteoarthritis were randomly allocated into 3 groups. First group (n=18) received ultrasound (as control group), second group (n=18) received phonophoresis of 4mg dexamethasone ampoule and third group (n=19) received phonophoresis of 0.4% dexamethason gel. All groups were treated with an ultrasound program using stroking technique, pulse mode, 1.5 W/cm2, 5 minutes per session for 10 sessions. Visual Analog Scale (VAS) for pain severity and Western Ontario and McMaster universities Osteoarthritis Index (WOMAC) and the time up and go test (TUG) were evaluated before and after treatment in all groups. Results: The VAS, total WOMAC and TUG scores were significantly improved after treatment in all groups (P<0.001). The group receiving phonophoresis of dexamethasone ampoule showed more significant effects in reducing pain and improving function and mobility among three groups. Conclusion: Our results indicated that both ultrasound and phonophoresis of dexamethasone are effective methods in pain relief and improving function in mild and moderate knee osteoarthritis but phonophoresis of dexamethasone ampoule is better than the other treatments and it is suggested as an available method for treatment of knee osteoarthritis symptoms..

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Section: Discussionsupporting

confidence: 82%

Therapeutic Efficacy of Dexamethasone Phonophoresis on Symptomatic Knee Osteoarthritis in Elderly Women

Toopchizadeh¹,

Javadi²,

Sadat³

2014

IJWHR

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“…It was found that the groups with pulsed US were effective to increase the range of motion and functional performance and hyaluronic acid group was more effective in functional performance, discomfort and fibromyalgia. The parameters used in these studies (13)(14)(15) Discordant results were obtained in the study of Cakir et al (16), who reported improvement in pain, physical function, stiffness and functional performance, at the continuous US (1 MHz and 1 W / cm², 12 minutes), pulsed US (1 MHz, 1 W / cm² and a working cycle 1: 4, 12 minutes) and placebo US groups, with no differences among the groups, after 10 therapy sessions. All groups performed home exercises and the authors suggest that these exercises masked the US effects.…”

Section: Resultsmentioning

confidence: 70%

“…Studies comparing pulsed and continuous ultrasound application effectiveness on pain, physical function stiffness, discomfort, range of motion (ROM), functional performance and muscle strength (FM), demonstrated that both application forms can be effective for patients with knee osteoarthritis. However, the increase in the variables analyzed was better in the group receiving the application of pulsed ultrasound (13,14).…”

Section: Resultsmentioning

confidence: 96%

Phisical modalities on the functional performance in knee osteoarthritis: a sytematic review

et al. 2017

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Introduction: Despite recent advances in the treatment of osteoarthritis (OA), few studies have evaluated the longitudinal effect of physical modalities in functional capacity in patients with knee OA. Thereby, since the physical components and pain can affect the functional performance of daily activities, the effect of these treatment's form is still to be established. Objective: Evaluate the effectiveness of therapeutic ultrasound, electrical stimulation and phototherapy in the functional performance, in patients with knee osteoarthritis. Methods: Articles present in the PubMed, Lilacs, SciELO and PEDro's databases were evaluated. The used keywords were "pulsed ultrasound therapy", "ultrasound therapy", "electric stimulation" and "low level laser therapy" in combination with "knee osteoarthritis". Were included in this presented review, randomized clinical studies using ultrasound, electrical and laser stimulation in subjects with knee osteoarthritis. To evaluate the methodological quality of the selected studies, was used the PEDro's scale. The dependent variables of the study were: pain, physical function, joint stiffness, life quality and functional performance.

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“…Já Tascioglu et al 26 concluíram que o US pulsado é mais efetivo no alívio da dor e na QV de pacientes com OA de joelho.…”

Section: Discussionunclassified

Efeito do ultrassom pulsado e do ultrassom contínuo associado a exercícios em pacientes com osteoartrite de joelho: estudo piloto

2012

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RESUMO | A osteoartrite (OA) é uma doença crônica associada à morbidade significante. O objetivo deste estudo foi comparar o exercício isolado ao ultrassom pulsado (USP) e contínuo (USC) associados a exercício na redução da dor, melhora da amplitude de movimento (ADM), força muscular (FM), qualidade de vida (QV) e funcionalidade de pacientes com OA de joelhos. Trinta indivíduos, 50 a 75 anos, OA grau 2-4, foram randomizados: Grupo USC (USC + exercícios), Grupo USP (USP + exercícios) e Grupo EXE (exercícios). Os grupos foram avaliados antes e após o tratamento. A intervenção foi realizada três vezes por semana durante oito semanas: nas quatro primeiras foi aplicado USC ou USP e, nas demais foram realizados os exercícios. O Grupo EXE realizou exercícios durante oito semanas. Para análises intragrupos, utilizou-se o teste de Wilcoxon e, intergrupos, o teste de Kruskall-Walis. Na comparação intragrupos, o Grupo USC apresentou melhora significativa (p≤0,05) nas variáveis da Western Ontario and McMaster Universities Osteoarthritis (WOMAC) dor, função e escore total; o Grupo USP na dor repouso, ADM, FM e nas variáveis da WOMAC dor, função e escore total; já, o Grupo EXE na mobilidade e ADM. Na comparação intergrupos, o Grupo USC apresentou melhora significativa (p≤0,05) quando comparado aos demais grupos na dor repouso, ADM, escores função e total da WOMAC e o Grupo EXE na dor da WOMAC. A associação do USC a exercícios foi mais efetiva na melhora da dor, ADM, função e QV em pacientes com OA de joelho.Descritores | osteoartrite do joelho; terapia por exercício; terapia por ultrassom.ABSTRACT | Osteoarthritis (OA) is a chronic disease associated with significant morbidity. The aim of this study was to compare the isolated exercises with association of pulsed (PUS) and continuous (CUS) ultrasound with exercise in reducing pain, improving range of motion (ROM), muscle strength (MS), quality of life (QL) and functionality of patients with knee OA. Thirty individuals, 50 to 75 years old, 2-4 OA grade, were randomized: Group CUS (CUS + exercise), Group PUS (PUS + exercise) and EXE group (exercises). The groups were evaluated before and after treatment. The intervention was performed three times a week for eight weeks: in the first four weeks, it was applied CUS or PUS, and in other weeks, exercises were carried out. The EXE group performed exercises for eight weeks. For intra-group analysis, the Wilcoxon test was used and intergroup analysis, the Kruskall-Walis test was used. Within the groups, the USC group showed significant improvement (p≤0.05) in variables of Western Ontario and McMaster Universities Osteoarthritis (WOMAC) pain, function and total score; the Group USP in pain-rest, ROM, MS, variables of WOMAC pain, function and total score; and EXE Group in mobility and ROM. In intergroup comparison, the USC group showed significant improvement (p≤0.05) when compared to other groups in pain-rest, ROM, variables of WOMAC function and total score and EXE group in WOMAC-pain. The association of USC and exercise was more effe...

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Short-Term Effectiveness of Ultrasound Therapy in Knee Osteoarthritis

Cited by 87 publications

References 31 publications

Therapeutic Efficacy of Dexamethasone Phonophoresis on Symptomatic Knee Osteoarthritis in Elderly Women

Therapeutic Efficacy of Dexamethasone Phonophoresis on Symptomatic Knee Osteoarthritis in Elderly Women

Phisical modalities on the functional performance in knee osteoarthritis: a sytematic review

Efeito do ultrassom pulsado e do ultrassom contínuo associado a exercícios em pacientes com osteoartrite de joelho: estudo piloto

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