The effectiveness of pulsed electrical stimulation in the management of osteoarthritis of the knee: Results of a double‐blind, randomized, placebo‐controlled, repeated‐measures trial

Fary, Robyn; Carroll, Graeme; Briffa, Tom; Briffa, N. Kathryn

doi:10.1002/art.30258

Cited by 29 publications

(18 citation statements)

References 41 publications

(46 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, Fary et al (42) found that these changes could be sustained for at least 16 weeks. Discordant with previous studies, Fary et al (44) found no increased effectiveness of PES (100Hz, 4ms, 7 hours a day for 26 weeks) compared to placebo in pain, physical function, stiffness, lifge quality and exercise. The authors note that the sample may not be representative of the OA population, due to its characteristics.…”

Section: Transcutaneous Electrical Nerve Stimulationsupporting

confidence: 71%

“…Three studies examined the effectiveness of pulsed electrical stimulation (PES) in the perception of pain and self-reported health status in patients with knee OA (42,43,44). Two studies (42,43) verified efficiency of PES in pain, physical function, stiffness and selfreported health status of the patient, using the following parameters: 100Hz, 2ms, subsensorial intensity for more than 6 hours/day.…”

Section: Transcutaneous Electrical Nerve Stimulationmentioning

confidence: 99%

See 1 more Smart Citation

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

et al. 2017

View full text Add to dashboard Cite

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.

show abstract

Section: Transcutaneous Electrical Nerve Stimulationsupporting

confidence: 71%

Section: Transcutaneous Electrical Nerve Stimulationmentioning

confidence: 99%

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

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Only 8% (6 of 75) of trials with late dropouts used MMRM to analyze longitudinal outcome data. Additionally, MMRM was performed after imputation of missing values using LOCF in two trials [49,50], BOCF in one trial [51], and MI in another one [48]. The use of imputations such as LOCF and BOCF undermines the benefits of MMRM, and the results may not be valid under MAR.…”

Section: Handling Missing Datamentioning

confidence: 99%

A systematic review finds variable use of the intention-to-treat principle in musculoskeletal randomized controlled trials with missing data

Joseph

Sim

Ogollah

et al. 2015

Journal of Clinical Epidemiology

View full text Add to dashboard Cite

show abstract

“…Other small studies have essentially confirmed the findings of the 2009 Cochrane review group. The first of these studies was published in Arthritis and Rheumatism and examined the effect of pulsed electrical stimulation versus placebo on pain (Visual Analog Scale), function, and joint stiffness measures of the WOMAC and quality of life (SF-36) in patients with knee OA [10]. This study found no added benefit of electrical stimulation on pain or function compared with the placebo group.…”

Section: Electrical Stimulationmentioning

confidence: 99%

Physical Therapy in Persons With Osteoarthritis

Brakke

Singh

Sullivan

2012

PM&R

View full text Add to dashboard Cite

Osteoarthritis (OA) is a leading cause of musculoskeletal pain and disability. According to a study by Lawrence et al, an estimated 27 million Americans were living with OA in 2008. This number will continue to increase as the population of persons older than 65 years grows. Because of the increasing number of persons who have this chronic condition that causes pain and decreases function, the prevalence of this diagnosis in primary care and musculoskeletal clinics likely will increase. The reduction of pain and improvement in function should be goals of providers who treat these patients. Physical therapy (PT) is a commonly used treatment modality for persons with OA. Many treatment modalities are available within the scope of PT, including strength training, manual therapy, aquatic therapy, electrical stimulation, and balance and perturbation training. A review of the most recent and highest-quality literature regarding these modalities found that strength training, aquatic therapy, and balance and perturbation therapy were the most beneficial with respect to reducing pain and improving function. Evidence clearly indicates that electrical stimulation likely has very little impact on these variables, and evidence regarding manual therapy is equivocal. Literature reviewing prognostic indicators for persons with OA who will likely respond to PT reveal that persons with milder disease (ie, unilateral OA, symptoms for less than 1 year, and a 40-m self-paced walking test of less than 25.9 seconds) and those who have pain of 6 or greater on the numerical pain rating scale are likely to have better outcomes with PT, which suggests that earlier referral is preferable. Barriers to the acceptance of PT as a therapeutic treatment for OA include fatalistic patient and provider perspectives, inadequate analgesia, and a fear among some patients and providers that increased activity will lead to progression of their OA.

show abstract

The effectiveness of pulsed electrical stimulation in the management of osteoarthritis of the knee: Results of a double‐blind, randomized, placebo‐controlled, repeated‐measures trial

Cited by 29 publications

References 41 publications

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

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

A systematic review finds variable use of the intention-to-treat principle in musculoskeletal randomized controlled trials with missing data

Physical Therapy in Persons With Osteoarthritis

Contact Info

Product

Resources

About