Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Study on efficacy of different Therapeutic Modalities to Alleviate Pain due to Knee Osteoarthritis


Affiliations
1 Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh & Research scholar ,Singhania University, Pacheri Bari, Jhunjhunu, Rajasthan, India
2 Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh, India
3 Deptt. of PRM(Physiotherapy) & Orthopedics, Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh, India
4 Deptt.of PRM(Physiotherapy), PGIMER, Chandigarh, India
     

   Subscribe/Renew Journal


Introduction: Physiotherapy is one of the recommended non pharmacological management options in patients with osteoarthritis.Ultrasound & Pulsed electromagnetic energy(PEME) & Exercises are widely used in to treat pain due to osteoarthritis.

Aims& Objectives: The purpose of the study was an effort to find out the role of different modalities (Therapeutic ultrasound, PEME , Exercises) to control the pain in osteoarthritis of knee.

Study design & Methodology: The study was experimental, pre & post design. 60 female osteoarthritis patients including those suffering from bilateral osteoarthritis between age group 40- 65 years from the Department of Physiotherapy and Department of Orthopedics, PGIMER, Chandigarh were chosen for the study & randomly distributed in 3 groups. Electrotherapy modalities were administered for Group A (PEME) and Group B (Ultrasound) three times weekly for 6 weeks. The exercises & hot water fomentation were carried daily for all the three groups (Group A, Group B & Group C). The severity of knee pain was evaluated by Visual Analog Scale (VAS) in a weight bearing position (walking or standing) in parallel bars. Western Ontario McMaster universities (WOMAC) index of osteoarthritis was used to assess pain, stiffness, and physical function. SPSSVersion17 was used for statistical analysis.

Conclusion: It is concluded that all the therapies administered (pulsed electromagnetic energy, therapeutic ultrasound, exercises) help to reduce pain in knee osteoarthritis but none of the modality proved more effective than others.


Keywords

Knee, Osteoarthritis, Pain, Pulsed Electromagnetic Energy, Ultrasound, Exercise
Subscription Login to verify subscription
User
Notifications
Font Size


  • Davis M A . Epidermiology of osteoarthritis. Clinics in Geriatric Medicine.1988;4:241-255.

  • Threlkeld AJ, Currier.DP. Osteoarthritis.Effect on synovial joint tissues. Physical therapy. 1988;68: 364-370.

  • Hochberg MC: Osteoarthritis: pathophysiology, clinical features, management. Hosp Prac1984; 19(12):41-53,.

  • Marks R. Peripheral mechanisms of pain production in osteoarthritis. Australian journal of Physiotherapy.1992;38:289-298.

  • Altman.RD. Osteoarthritis:Aggravating factors and therapeutic measures. Postgraduate medicine.1986;80:150-163

  • Hough AJ. Pathology of osteoarthritis.In:Koopnian WJ.edition.Arthritis and allied conditions.13th ed. Baltimore.Williams and Wilkins.1997; p.1945-1968.

  • American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Arthritis & Rheumatism.2000;43(9):1905-15.

  • George E, Creamer P, Dieppe PA.Clinical Susets of osteoarthritis of the hip joint. Physiotherapy.1994;77:737-740.

  • Fabbri F,Lucchese V .Non thermal effects of pulsed magnetic fields.An experimental study of 22 laboratory parameters. Minerva Orthopedica.1980; 31: 251-256.

  • Warnke U.The possible role of pulsating magnetic fields in the reduction of pain. In: Rizzi R, Visentin M (Eds). Pain Therapy. Elsevier Biomedical Press.1983; p. 229-238.

  • Nadasdi M. Inhibition of experimental arthritis by athermic pulsating shortwaves in rats. Orthopedics.1960; 2:105-107.

  • Kovar PA, Allegrante JP, Mackenzie CR, Peterson MG, Gutin B, Charison ME. Supervised fitness walking in patients with osteoarthritis of the knee-a randomized control trial. Ann Intern Med.1992;116:529-534.

  • Loyola-Sanchez A, Richardson J, MacIntyre NJ. Effectiveness of therapeutic ultrasound in knee osteoarthritis. A systematic review and metaanalysis. Osteoarthritis and Cartilage. 2010;18:1117-1126.

  • Chamberlain MA, Care G, Harfield B. Physiotherapy in osteoarthrosis of the knees. Int Rehablitation Medicine.1982;4:101-106.

  • Marks R, Cantin D. Symptomatic OA of The Knee. Physiotherapy 1997 June ; 83 ( 6). 61.

  • Laufer Y , Zilberman R, PoratR , Nahir AM .Effect of pulsed short-wave diathermy on pain and function of subjects with osteoarthritis of the knee:a placebo-controlled double-blind clinical trial. Clinical Rehabilitation.2005.19; 3:255-263.

  • Klaber Moffett JA, Richardson PH, Frost H, Osborn A. A placebo controlled double blind trial to evaluate the effectiveness of pulsed shortwave therapy for osteoarthritic hip and knee pain.Pain.1996;67:121-127.


Abstract Views: 552

PDF Views: 0




  • A Study on efficacy of different Therapeutic Modalities to Alleviate Pain due to Knee Osteoarthritis

Abstract Views: 552  |  PDF Views: 0

Authors

Bibek Adhya
Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh & Research scholar ,Singhania University, Pacheri Bari, Jhunjhunu, Rajasthan, India
Anu Gupta
Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh, India
Mandeep Singh Dhillon
Deptt. of PRM(Physiotherapy) & Orthopedics, Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh, India
Upendra Goswami
Deptt.of PRM(Physiotherapy), PGIMER, Chandigarh, India
Vijay Kumar
Deptt.of PRM(Physiotherapy), PGIMER, Chandigarh, India

Abstract


Introduction: Physiotherapy is one of the recommended non pharmacological management options in patients with osteoarthritis.Ultrasound & Pulsed electromagnetic energy(PEME) & Exercises are widely used in to treat pain due to osteoarthritis.

Aims& Objectives: The purpose of the study was an effort to find out the role of different modalities (Therapeutic ultrasound, PEME , Exercises) to control the pain in osteoarthritis of knee.

Study design & Methodology: The study was experimental, pre & post design. 60 female osteoarthritis patients including those suffering from bilateral osteoarthritis between age group 40- 65 years from the Department of Physiotherapy and Department of Orthopedics, PGIMER, Chandigarh were chosen for the study & randomly distributed in 3 groups. Electrotherapy modalities were administered for Group A (PEME) and Group B (Ultrasound) three times weekly for 6 weeks. The exercises & hot water fomentation were carried daily for all the three groups (Group A, Group B & Group C). The severity of knee pain was evaluated by Visual Analog Scale (VAS) in a weight bearing position (walking or standing) in parallel bars. Western Ontario McMaster universities (WOMAC) index of osteoarthritis was used to assess pain, stiffness, and physical function. SPSSVersion17 was used for statistical analysis.

Conclusion: It is concluded that all the therapies administered (pulsed electromagnetic energy, therapeutic ultrasound, exercises) help to reduce pain in knee osteoarthritis but none of the modality proved more effective than others.


Keywords


Knee, Osteoarthritis, Pain, Pulsed Electromagnetic Energy, Ultrasound, Exercise

References