23Dec 2017

EFFECTS OF THERAPEUTIC ULTRASOUND VERSUS TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION TO REDUCE PAIN AND TO IMPROVE FUNCTIONAL ABILITY IN OSTEOARTHRITIS KNEE: A COMPARATIVE STUDY.

  • Lecturer, In-charge of Physiotherapy Unit, Department of PMR. Institute of Post Graduate Medical Education & Research, West Bengal, Kolkata.
  • Junior Professional Trainee, Department of Physiotherapy. National institute of Locomotor Disabilities (Divyangjan) , West Bengal, Kolkata.
  • Physiotherapist,Govt.of West Bengal.
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Background and Objectives: The study was done to find out the effectiveness of Ultrasound therapy and Transcutaneus electrical stimulation along with therapeutic exercise in Osteoarthritis knee. Methods: 30 subjects with clinical diagnosis of osteoarthritis of knee were randomly allocated in two study groups namely Group A and Group B each of 15 patients. Group A receives therapeutic ultrasound (UST) and therapeutic exercise & Group -B receives transcutaneous electrical stimulation (TENS) and same therapeutic exercise designed for OA knee, conducted five times a week for two weeks. The outcome of this intervention was measured in terms of WOMAC score, pain relief in terms of VAS, and active passive range of motion. Results: Graph Pad software was used for data analysis. t-test both paired?t? test & Unpaired?t? test for different study groups were used for statistical analysis. It was found that subjects treated with TENS & exercise group showed maximum improvement than UST & exercise group in terms of WOMAC index score, VAS, Active range of motion(flexion and extension), Passive range of motion(flexion and extension). However pain relief in terms of VAS was highly significant in both groups. Conclusion: It was concluded that TENS could be the better choice of modality than UST from the physiotherapy point of view in the management of osteoarthritis of the knee.

  1. Carlos J Lozada, MD, Director of Rheumatology Fellowship Program, Jackson Memorial Medical Center, University of Miami School of Medicine eMedicine Specialties > Rheumatology > Osteoarthritis , Osteoarthritis, Updated: Apr 28, 2009.
  2. M Hurley,etal, The clinical and cost effectiveness of physiotherapy in the management of older people with common rheumatological conditions, Marc
  3. Dr John Z Srbely, Ultrasound in the management of osteoarthritis: part I: a review of the current literature, J Can Chiropr Assoc 2008; 52(1)
  4. MAO-HSIUNG HUANG,et al, Preliminary Results of Integrated Therapy for Patients With Knee Osteoarthritis, Arthritis & Rheumatism (Arthritis Care & Research) Vol. 53, No. 6, December 15, 2005, pp 812?820.
  5. Marks R, Ghanagaraja S and Ghassemi M: Ultrasound for osteoarthritis of the knee; Physiotherapy, 2000 ; 86(9) : 452-463.
  6. Levent??zg?nenel, et al,- A Double-Blind Trial of Clinical Effects of Therapeutic Ultrasound in Knee Osteoarthritis. (??2008 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. online 02 October 2008. 40 minutes of)
  7. Lucy S.et al, Therapeutic Ultrasound: Clinician Usage and Perception of Efficacy(Volume 21, Issue 1, 2003, Pages 5-14,HongKong Physiotherapy Journal
  8. Huang, et al, Use of Ultrasound to Increase Effectiveness of Isokinetic Exercise for Knee Osteoarthritis,( Archives of Physical Medicine and Rehabilitation ),Volume 86, Issue 8, Pages 1545-
  9. John Ebnezar, Essential of? Orthopedics for Physiotherapist, 1st edition,2003. Pages-384-385.
  10. Gladys L, et al, Optimal Stimulation duration of TENS in the management? of? osteoarthritic knee pain. (J Rehabil Med 2003; 35: 62?68).
  11. Melzack R,et al., Trigger and acupuncture points for pain: correlations and implications. Pain 1977; 3: 3?23
  12. Osiri M, et al, Transcutaneous electrical nerve stimulation for knee osteoarthritis. (Cochrane Database Syst Rev. 2000;(4):CD002823.)
  13. G?za B?lint , 9 Non-pharmacological therapies in osteoarthritis ,(Baiilliere?s Clinical Rheumatology,Volume,November-1997,Pages-795-815,Osteoarthritis).
  14. Rebecca Grainger and Flavia M Cicuttini. Medical management of osteoarthritis of the knee and hip joints, MJA 2004 ; 180(5) : 232-23.
  15. Grimmer K. A controlled double-blind study comparing the effects of strong burst mode TENS and high rate TENS on painful osteoarthritic knees. Aust J Physiother 1992; 38: 49?56.
  16. Welch V, Brosseau L, Peterson J, Shea B, Tugwell P, Wells G. Therapeutic ultrasound for osteoarthritis of the knee: Cochrane review. Cochrane Database Syst Rev. 2001;(3).

[Manas Kumar Dan, Shriya Das and Priyaballav Banerjee. (2017); EFFECTS OF THERAPEUTIC ULTRASOUND VERSUS TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION TO REDUCE PAIN AND TO IMPROVE FUNCTIONAL ABILITY IN OSTEOARTHRITIS KNEE: A COMPARATIVE STUDY. Int. J. of Adv. Res. 5 (Dec). 1265-1275] (ISSN 2320-5407). www.journalijar.com

Manas Kumar Dan
Lecturer, In-charge of Physiotherapy Unit, Department of PMR. Institute of Post Graduate Medical Research & Education, West Bengal, Kolkata

DOI:

Article DOI: 10.21474/IJAR01/6083      
DOI URL: http://dx.doi.org/10.21474/IJAR01/6083

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