Comparison of the efficacy of transcutaneous electrical nerve stimulation, interferential currents, and shortwave diathermy in knee osteoarthritis: A double-blind, randomized, controlled, multicenter study

Basit Öğe Kaydı
dc.contributor.authorAtamaz F.C.
dc.contributor.authorDurmaz B.
dc.contributor.authorBaydar M.
dc.contributor.authorDemircioglu O.Y.
dc.contributor.authorIyiyapici A.
dc.contributor.authorKuran B.
dc.contributor.authorOncel S.
dc.contributor.authorSendur O.F.
dc.date.accessioned2019-10-26T21:51:21Z
dc.date.available2019-10-26T21:51:21Z
dc.date.issued2012
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: To compare the effectiveness of transcutaneous electrical nerve stimulation (TENS), interferential currents (IFCs), and shortwave diathermy (SWD) against each other and sham intervention with exercise training and education as a multimodal package. Design: A double-blind, randomized, controlled, multicenter trial. Setting: Departments of physical medicine and rehabilitation in 4 centers. Participants: Patients (N=203) with knee osteoarthritis (OA). Interventions: The patients were randomized by the principal center into the following 6 treatment groups: TENS sham, TENS, IFCs sham, IFCs, SWD sham, and SWD. All interventions were applied 5 times a week for 3 weeks. In addition, exercises and an education program were given. The exercises were carried out as part of a home-based training program after 3 weeks' supervised group exercise. Main Outcome Measures: Primary outcome was a visual analog scale (0-100mm) to assess knee pain. Other outcome measures were time to walk a distance of 15m, range of motion, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Nottingham Health Profile, and paracetamol intake (in grams). Results: We found a significant decrease in all assessment parameters (P<.05), without a significant difference among the groups except WOMAC stiffness score and range of motion. However, the intake of paracetamol was significantly lower in each treatment group when compared with the sham groups at 3 months (P<.05). Also, the patients in the IFCs group used a lower amount of paracetamol at 6 months (P<.05) in comparison with the IFCs sham group. Conclusions: Although all groups showed significant improvements, we can suggest that the use of physical therapy agents in knee OA provided additional benefits in improving pain because paracetamol intake was significantly higher in the patients who were treated with 3 sham interventions in addition to exercise and education. © 2012 American Congress of Rehabilitation Medicine.en_US
dc.identifier.doi10.1016/j.apmr.2011.11.037en_US
dc.identifier.endpage756en_US
dc.identifier.issn0003-9993
dc.identifier.issue5en_US
dc.identifier.pmid22459699en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage748en_US
dc.identifier.urihttps://doi.org/10.1016/j.apmr.2011.11.037
dc.identifier.urihttps://hdl.handle.net/11454/18795
dc.identifier.volume93en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofArchives of Physical Medicine and Rehabilitationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOsteoarthritis, kneeen_US
dc.subjectRehabilitationen_US
dc.subjectTranscutaneous electric nerve stimulationen_US
dc.titleComparison of the efficacy of transcutaneous electrical nerve stimulation, interferential currents, and shortwave diathermy in knee osteoarthritis: A double-blind, randomized, controlled, multicenter studyen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu