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A Study on Efficacy of Pulsed Electromagnetic Energy&interferential Therapy along with Exercise in Osteoarthritis Induced Knee Pain
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Introduction: Pulsed electromagnetic energy (PEME)&Interferential Therapy (IFT) are very common non-pharmacologic interventions used to control pain in knee osteoarthritis.
Aims & Objectives: The purpose of the study was an effort to find out the efficacy of Pulsed electromagnetic Energy&Interferential Therapy to control the pain in osteoarthritis of knee.
Study Design & Methodology: The study was experimental, pre&post design. Ninety osteoarthritis patients who were suffering with 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 (PEME&IFT) were administered for Group A (PEME) and Group B (IFT),Group C was treated with Exercises only. PEME&IFT was applied three times weekly for 8 weeks. The exercises&hot water fomentation were carried out daily by 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. SPSS-Version20 was used for statistical analysis.
Results: The Intra group analysis show significant p-values (p 0.05).
Conclusion: It is concluded that all the electrotherapies administered (Pulsed electromagnetic energy, IFT) help to reduce pain in knee osteoarthritis but none of the modality proved more effective than others.
Keywords
- Andrianakos A, Trontzas P, Christoyannis F,Dantis P, Voudouris C, Georgountzos A, KaziolasG, Vafiadou E, Pantelidou K, Karamitsos D,Kontelis L, Krachtis P, Nikolia Z, Kaskani E,Tavaniotou E, Antoniades C, Karanikolas G,Kontoyanni A: Prevalence of rheumatic diseasesin Greece: a cross-sectional population basedepidemiological study. The ESORDIG Study. JRheumatol. 2003; 30(7):1589-1601.
- Felson DT, Lawrence RC, Hochberg MC,McAlindon T, Dieppe PA, Minor MA, Blair SN,Berman BM, Fries JF, Weinberger M, Lorig KR,Jacobs JJ, Goldberg V. Osteoarthritis: newinsights. Part 2: Treatment approaches. AnnIntern Med. 2000; 133(9):726-737.
- Deyle GD, Allison SC, Matekel RL, Ryder MG,Stang JM, Gohdes DD. Physical therapytreatment for osteoarthritis of the knee: Arandomised comparison of supervised clinicalexercise and manual therapy procedures versusa home exercise programme. Phys Ther. 2005;85:1301–17.
- Deyle GD, Henderson NE, Matekel RL, RyderMG, Garber MB, Allison SC. Effectiveness of manual physical therapy and exercise inosteoarthritis of the knee. Ann Int Med. 2000;132:173–81.
- Van Nguyen JP, Marks R. Pulsed electromagneticfields for treating osteoarthritis. Physiotherapy. 2002; 88:458-470.
- Klaber Moffett JR, Richardson PH,Frost,A.Osborn H. A placebo controlled doubleblind trial to evaluate the effectiveness of pulsedshortwave therapy for osteoarthritic hip and kneepain.Pain.1996; 67:121-127.
- Laufer Y , Zilberman R, Porat R , Nahir AM .Effectof pulsed short-wave diathermy on pain andfunction of subjects with osteoarthritis of theknee: a placebo-controlled double-blind clinicaltrial. Clinical Rehabilitation.2005;19(3):255-263.
- Taylor K, Newton RA, Personius WJ, Bush FM.Effects of interferential current stimulation fortreatment of subjects with recurrent jaw pain.Phys Ther.1987;67:346–350.
- Nelson B. Interferential therapy. Aust JPhysiother. 1981;27:53–56
- Van Baar ME, Assendelft WJJ, Dekker J,Oostendorp RAB, Bijlsma JWJ. Effectiveness ofexercise therapy in patients with Osteoarthritisof the hip or knee. Arthritis & Rheumatism.1999;42(7) 1361-1369.
- Trock DH, Bollet AJ, Dyer RH Jr, Fielding LP,Miner WK, Markoll R . A double blind trial ofthe clinical effects of pulsed electromagnetic fieldsin osteoarthritis. J Rheumatol. 1993; 20(3):456-460.
- McCarthy CJ, Callaghan MJ, Oldham JA. Pulsedelectromagnetic energy treatment offers noclinical benefit in reducing the pain of kneeosteoarthritis: a systematic review. BMCMusculoskeletal Disorders. 2006; 7:51, [cited 2006June15].doi: 10.1186/1471-2474-7-51.
- Johnson MI, Tabasam G. An investigation into theanalgesic effects of different frequencies of theamplitude-modulated wave of interferentialcurrent therapy on cold-induced pain in normalsubjects. Arch Phys MedRehabil. 2003;84:1387–1394
- Hurley DA, McDonough SM, DempsterM,Moore AP. A randomized clinical trial ofmanipulative therapy and interferential therapyfor acute low back pain. Spine (Phila Pa 1976).2004; 29:2207–2216.
- Walker UA, Uhl M, Weiner SM, WarnatZ K,Lange-Nolde A, Dertinger H, Peter HH, JurenZSA . Analgesic and disease modifying effects ofinterferential current in psoriatic arthritis. Rheumatol Int. 2006; 26:904–907.
- Burch FX, Tarro JN, Greenberg JJ, Carroll WJ. Evaluating the benefits of patterned stimulationin the treatment of osteoarthritis of the knee: amulticenter, randomized, singleblind, controlledstudy with an independent masked evaluatorOsteoarthritis Cartilage. 2008 Aug; 16(8): 865-872.
- Gundog M, Atamaz F,Kanyilmaz S,Kirazli Y,Celepoglu G. Interferential Current Therapy inPatients with Knee Osteoarthritis: Comparisonof the Effectiveness of Different Amplitude-Modulated Frequencies. Am J Phy Med Rehab. 2012; 91(2):107–113.
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