| Titre : | Comparison of the Efficacy of Transcutaneous Electrical Nerve Stimulation, Interferential Currents, and Shortwave Diathermy in Knee Osteoarthritis: A Double-Blind, Randomized, Controlled, Multicenter Study (2012) |
| Auteurs : | Funda Atamaz ; Durmaz berrin ; Meltem Baydar ; et al. |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2012/5, 2012) |
| Article en page(s) : | pp. 748-756 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Gonarthrose ; Rééducation et réadaptation |
| Mots-clés: | Osteoarthritis ; knee ; Transcutaneous electric nerve stimulation ; Neurostimulation électrique transcutanée |
| Résumé : |
Objective 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 intake paracetamol was significantly lower in each treatment group when compared with sham at months also patients ifcs used amount comparison 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. |
| Disponible en ligne : | Oui |
| En ligne : | http://www.archives-pmr.org/article/S0003-9993%2811%2901109-9/abstract |
Bibliothèques HE Vinci
