Frequency of physical therapy in knee osteoarthritis: a randomized controlled trial

Year 2019, , 781 - 786, 04.09.2019

Sadiye Murat , Yasemin Yumuşakhuylu , Zeliha Gençoğlu Afitap İçağasıoğlu Nur Kesiktaş , Turgay Altınbilek

https://doi.org/10.18621/eurj.420854

Abstract

Objectives:
This
study is conducted to compare the three different frequency of the physical
therapy application for knee osteoarthritis in female patients.

Methods: Consecutive
89 female patients with knee osteoarthritis were randomized into three groups
of physical therapy as twice-daily, once-a-day and alternate day, by
computerized random number generator. We used Visual Analog Scale (VAS); to
determine pain level, Western Ontario McMaster Osteoarthritis Index (WOMAC); to
determine osteoarthritis (OA) severity, 10-meter walking test (WD); to
determine walking speed and Short Form (SF-36) questionnaire; to determine the
quality of life. All groups received a total of 10 physical therapy sessions
including hot pack, therapeutic ultrasound (US) and transcutaneous electrical
nerve stimulation (TENS). We evaluated subjects at the beginning, at the end of
treatment and at the third month control at post-treatment period.

Results: Improvement
was observed in all groups after treatment (p
< 0.05). While there was no significant difference in once-a-day treatment
group at 3^rd month control (p
> 0.05), alternate day group showed a significant improvement (p < 0.05).

Conclusions: In
the treatment of knee osteoarthritis, usually once-a-day physical therapy
approach is preferred in daily practice. Alternatively twice a day or alternate
day therapies can be applicable. 

Keywords

Knee osteoartritis, physical theraphy agents, frequency of treatment

References

• [1] Bennell KL, Hunter DJ, Hinman RS. Management of osteoarthritis of the knee. BMJ 2012;345:e4934.
• [29] Rutjes AW, Nüesch E, Sterchi R, Jüni P. Therapeutic ultrasound for osteoarthritis of the knee or hip. Cochrane Database Syst Rev 2010;1:CD003132.
• [30] Huang MH, Lin YS, Lee CL, Yang RC. Use of ultrasound to increase effectiveness of isokinetic exercise for knee osteoarthritis. Arch Phys Med Rehabil 2005;86:1545-51.
• [2] Cimmino MA, Sarzi-Puttini P, Scarpa R, Caporali R, Parazzini F, Zaninelli A, et al. Clinical presentation of osteoarthritis in general practice: determinants of pain in Italian patients in the AMICA study. Semin Arthritis Rheum 2005;35:17-23.
• [3] Elders MJ. The increasing impact of arthritis on public health. J Rheumatic 2000;60:6-8.
• [4] Fernandes L, Hagen KB, Bijlsma JW, Andreassen O, Christensen P, Conaghan PG, et al; European League Against Rheumatism (EULAR). EULAR recommendations for the non-pharmocolagical core management of hip and knee osteoarthristis. Ann Rheum Dis 2013;72:1125-35.
• [5] Yildiz SK, Özkan FÜ, Aktaş I, Silte AD, Kaysin MY, Badur NB. The effectiveness of ultrasound treatment for the management of knee osteoarthritis: a randomized, placebo-controlled, double-blind study. Turk J Med Sci 2015;45:1187-91.
• [6] McAlindon TE, Bannuru RR, Sullivan MC, Arden NK, Berenbaum F, Bierma-Zeinstra SM, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage 2014;22:363-88.
• [7] Jevsevar DS, Brown GA, Jones DL, Matzkin EG, Manner PA, Mooar P, et al; American Academy of Orthopaedic Surgeons. The American Academy of Orthopaedic Surgeons evidence-based guideline on: treatment of osteoarthritis of the knee, 2nd edition. J Bone Joint Surg Am 2013;95:1885-6.
• [8] 9. National Institute for Health and Care Excellence. Osteoarthritis. GC177. NICE, 2014.
• [9] Buttgereit F, Burmester GR, Bijlsma JW..Non-surgical management of knee osteoarthritis: where are we now and where do we need to go? RMD Open 2015;1:e000027
• [10] Cetin N, Aytar A, Atalay A, Akman MN. Comparing hot pack, short-wave diathermy, ultrasound, and TENS on isokinetic strength, pain, and functional status of women with osteoarthritic knees: a single-blind, randomized, controlled trial. Am J Phys Med Rehabil 2008;87:443-51.
• [11] Sarıfakıoğlu B, Güzelant AY, Özduran E. [The comparision of the effectiveness of short wave diathermy and ultrasound in the treatment of gonarthrosis]. Türk Osteoporoz Dergisi 2014;20:16-20. [Article in Turkish]
• [12] Tüzün EH, Eker L, Aytar A, Dağkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage 2005;13:28-33.
• [13] Shubert TE, Schrodt LA, Mercer VS, Busby-Whitehead J, Giuliani CA. Are scores on balance screening tests associated with mobility in older adults? J Geriatr Phys Ther 2006;29:35-9.
• [14] Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473-83.
• [15] Cheing GL, Hui-Chan CW. Would the addition of TENS to exercise training produce better physical performance outcomes in people with knee osteoarthritis than either intervention alone? Clin Rehabil 2004;18:487-97.
• [16] Doi T, Akai M, Fujino K, Iwaya T, Kurosawa H, Hayashi K, et al. Effect of home exercise of quadriceps on knee osteoarthritis compared with nonsteroidal antiinflammatory drugs: a randomized controlled trial. Am J Phys Med Rehabil 2008;87:258-69.
• [17] Huang MH, Lin YS, Lee CL, Yang RC. Use of ultrasound to increase effectiveness of isokinetic exercise for knee osteoarthritis. Arch Phys Med Rehabil 2005;86:1545-51.
• [18] Law PP, Cheing GL. Optimal stimulation frequency of transcutaneous electrical nerve stimulation on people with knee osteoarthritis. J Rehabil Med 2004;36:220-5.
• [19] Law PP, Cheing GL, Tsui AY. Does transcutaneous electrical nerve stimulation improve the physical performance of people with knee osteoarthritis? J Clin Rheumatol 2004;10:295-99.
• [20] Brosseau L, Yonge KA, Robinson V, Marchand S, Judd M, Wells G, et al. Thermotherapy for treatment of osteoarthritis. Cochrane Database Syst Rev 2003;4:CD004522.
• [21] Philadelphia Panel. Philadelphia Panel evidence-based clinical practice guidelines on slected rehabilitation interventions for knee pain. Phys Ther 2001;81:1675-700.
• [22] Chesterton LS, Foster NE, Wright CC, Baxter GD, Barlas P. Effects of TENS frequency, intensity and stimulation site parameter manipulation on pressure pain thresholds in healthy human subjects. Pain. 2003;106:73-80.
• [23] Tong KC, Lo SK, Cheing GL. Alternating frequencies of transcutaneous electric nerve stimulation: does it produce greater analgesic effects on mechanical and thermal pain thresholds? Arch Phys Med Rehabil 2007;88:1344-9.
• [24] Chen CC, Johnson MI. An investigation into the hypoalgesic effects of high- and low-frequency transcutaneous electrical nerve stimulation (TENS) on experimentally-induced blunt pressure pain in healthy human participants. J Pain 2010;11:53-61.
• [25] Hingne PM, Sluka KA. Differences in waveform characteristics have no effect on the anti-hyperalgesia produced by transcutaneous electrical nerve stimulation (TENS) in rats with joint inflammation. J Pain 2007;8:251-5.
• [26] Osiri M, Welch V, Brosseau L, Shea B, McGowan JL, Tugwell P, et al. Transcutaneous electrical nerve stimulation for knee osteoarthritis. Cochrane Database Syst Rev 2000;4:CD002823.
• [27] Bjordal JM, Johnson MI, Lopes-Martins RA, Bogen B, Chow R, Ljunggren AE. Short-term efficacy of physical interventions in osteoarthritic knee pain: a systematic review and meta-analysis of randomised placebo-controlled trials. BMC Musculoskelet Disord 2007;8:51.
• [28] Loyola-Sánchez A, Richardson J, MacIntyre NJ. Efficacy of ultrasound therapy for the management of knee osteoarthritis: a systematic review with meta-analysis. Osteoarthritis Cartilage 2010;18:1117-26.
• [31] Tascioglu F, Kuzgun S, Armagan O, Ogutler G. Short-term effectiveness of ultrasound therapy in knee osteoarthritis. J Int Med Res 2010;38:1233-42.
• [32] Eyigor S, Karapolat H, Ibisoglu U, Durmaz B. [Does transcutaneous electrical nerve stimulation or therapeutic ultrasound increase the effectiveness of exercise for knee osteoarthritis: a randomized controlled study] Ağrı 2008;20:32-40. [Article in Turkish]
• [33] Falconer J, Hayes KW, Chang RW. Effect of ultrasound on mobility in osteoarthritis of the knee. A randomized clinical trial. Arthritis Care Res 1992;5:29-35.
• [34] Hatungil R. [The role of the hypothalamic-pituitary-adrenal axis on stress and demantia]. Mersin Üniv Sağlık Bilim Derg 2008;1:1-7. [Article in Turkish].