Efficacy of Therapeutic Ultrasound for the Management of Knee Osteoarthritis

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dc.contributor.authorCakir, Serap
dc.contributor.authorHepguler, Simin
dc.contributor.authorOzturk, Cihat
dc.contributor.authorKorkmaz, Murat
dc.contributor.authorIsleten, Banu
dc.contributor.authorAtamaz, Funda Calis
dc.date.accessioned2019-10-27T22:15:20Z
dc.date.available2019-10-27T22:15:20Z
dc.date.issued2014
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective The aim of this study was to compare whether the effectiveness of continuous ultrasound (US) was superior against pulsed US and against sham US in knee osteoarthritis. Design A randomized controlled study was carried out on 60 patients diagnosed with knee osteoarthritis according to American College of Rheumatology. The patients were randomized into the following three treatments: (1) continuous US (at a frequency of 1 MHz with intensity of 1 W/cm(2)), (2) pulse US (same frequency and intensity on 1:4 pulse ratio), and (3) sham US. All treatments were applied with 5-cm(2) head US device five times a week for 2 weeks in addition to home exercise program including quadriceps isometric exercise, muscle strength exercises, and stretching exercises of the lower extremity muscles for at least three times per week. Assessments were performed at baseline, at the end of the treatment, and at the end of the treatments and at the sixth month using the following measurements: Western Ontario and McMaster University Osteoarthritis Index-pain, stiffness, function, visual analog scale-pain at rest, visual analog scale-pain on movement, visual analog scale-disease severity, and 20-m walking time. Among these parameters, the Western Ontario and McMaster University Osteoarthritis Index-pain was the primary outcome. Results All groups showed a significant improvement in all parameters in both following visits (P < 0.05). However, there was no significant difference between the groups. Although the mean reduction percent in Western Ontario and McMaster University Osteoarthritis Index-pain was significantly higher in group I (continuous US) when compared to sham group (46.5% vs 28.9%, P < 0.05) at the end of the treatment, this result was not found in other pain parameters. Conclusions The present study demonstrated that all assessment parameters significantly improved in all groups without a significant difference. This result suggested that therapeutic US provided no additional benefit in improving pain and functions in addition to exercise training.en_US
dc.description.sponsorshipEge UniversityEge Universityen_US
dc.description.sponsorshipEquipment and financial support were provided by Ege University for this project.en_US
dc.identifier.doi10.1097/PHM.0000000000000033en_US
dc.identifier.endpage412en_US
dc.identifier.issn0894-9115
dc.identifier.issn1537-7385
dc.identifier.issue5en_US
dc.identifier.pmid24322433en_US
dc.identifier.startpage405en_US
dc.identifier.urihttps://doi.org/10.1097/PHM.0000000000000033
dc.identifier.urihttps://hdl.handle.net/11454/50158
dc.identifier.volume93en_US
dc.identifier.wosWOS:000334600700006en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAmerican Journal of Physical Medicine & Rehabilitationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOsteoarthritisen_US
dc.subjectTherapeutic Ultrasounden_US
dc.subjectThermal Therapyen_US
dc.titleEfficacy of Therapeutic Ultrasound for the Management of Knee Osteoarthritisen_US
dc.typeArticleen_US

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