ЕARLY RESULTS OF TREATMENT WITH RADIAL EXTRACORPOREAL SHOCK WAVE THERAPY COMPARED TO CONVENTIONAL PHYSICAL THERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS
Keywords:
knee ostoarthritis, radial extracorporeal shock wave therapyAbstract
Knee osteoarthritis is a common musculoskeletal disorder. Radial extracorporeal shock wave therapy (RECTUB) is as a new effective conservative method.
This was a prospective, monocentric, interventional, non-randomized, controlled, clinical study that included a total of 50 patients divided into two groups. The study group was treated with RECTUB and kinesitherapy, and the control group was treated with conventional physical therapy and kinesitherapy. The patients’ progress was monitored on the Numeric scale of pain and the WOMAC Index of functional ability before the treatment started; then immediately after its completion, and finally 3 months afterwards.
It was shown that patients from the study and control groups did not differ significantly in terms of pain intensity at the treatment beginning and at their first control, while the difference in pain intensity between the two groups at their second control was significantly different in favor of the study group. The total value and the values of the three subscales on the WOMAC index were insignificantly different between the two groups before the treatment from a statistical point of view, with significantly lower values thereof obtained in patients in the study group at the first and second control.
The results of this study demonstrate the benefits of using RECTUB as a safe, non-invasive, conservative treatment for knee osteoarthritis with better and longer-lasting effect on reducing pain and improving the functional ability of patients with knee osteoarthritis in contrast to patients treated with conventional physical therapy.
References
Lennart TH Jacobsson, Definitions of osteoarthritis in the knee and hand, Ann Rheum Dis. 1996 Sep; 55(9): 656–658.doi: 10.1136/ard.55.9.656
Lim K, Lau C. “Perception is everything: OA is exciting. Ïnternational Journal of Rheumatic Diseases 2011; 14(2): 111-112. doi: 10.1111/j.1756-185x.2011.01614.x.
Zahra Ashkavand, Hassan Malekinejad, B S Vishwanath. The pathophysiology of osteoarthritis. Journal of Pharmacy Research 2013; 7(1): 132-138. doi: 10.1016/j.jopr.2013.01.008.
Johanne Martel-Pelletier. Pathophysiology of osteoarthritis, Osteoarthritis Cartilage, 2004; 12 Suppl A: S31-S33. doi: 10.1016/j.joca.2003.10.002.
Felson DT, Zhang Y, Anthony JM, Naimark A, Anderson JJ. Weight loss reduces the risk for symptomatic knee osteoarthritis in women. The Framingham Study, Ann Intern Med. 1992;116:535–9
Hayashi D, Roemer FW, Guermazi A. Imaging for osteoarthritis, Ann Phys Rehabil Med 2016; 59(3): 161-169. doi: 10.1016/j.rehab.2015.12.003.
Erika Ringdahl, Sandesh Pandit. Treatment of knee osteoarthritis. Am Fam Physician 2011; 83(11): 1287-1292.
Haq I, Murphy E, Dacre J. Osteoarthritis. Postgrad Med J. 2003;79(933):377-83. doi: 10.1136/pmj.79.933.377. PMID: 12897215; PMCID: PMC1742743.
Lu Chen, Ling Ye, Hui Liu, Pingliang Yang, Bangxiang Yang. Extracorporeal Shock Wave Therapy for the Treatment of Osteoarthritis: A Systematic Review and Meta-Analysis, Biomed Res Int 2020; 1907821. doi: 10.1155/2020/1907821.
Tengqi Li, Jinhui Ma, Tingting Zhao, Fuqiang Gao and Wei Sun. Application and efficacy of extracorporeal shockwave treatment for knee osteoarthritis: A systematic review and meta-analysis. Exp Ther Med 2019; 18(4): 2843-2850. doi: 10.3892/etm.2019.7897.
Ji-Hyun Lee, Sangyong Lee, SeokJoo Choi, Yoon-Hee Choi and Kwansub Lee. The effects of extracorporeal shock wave therapy on the pain and function of patients with degenerative knee arthritis. J Phys Ther Sci 2017; 29(3): 536-538.
