Knee Osteoarthritis Clinical Trial
Official title:
Pulsed Short Wave in Females With Knee Osteoarthritis: A Multicenter, Randomized, Placebo-controlled Clinical Trial
Study design: Randomized clinical trial. Objective: To evaluate the effect of PSW treatment
in different doses and to compare to the control and placebo group.
Background: Several forms of conservative treatment have been the focus of many recent
studies in knee osteoarthritis (OA). Among these techniques, the application of pulsed short
wave has been widely used, but the optimal dose and application time still have not been
well established.
Methods: One hundred and twenty-one females (average ± sd age, 60 ± 9 years), with a
diagnosis of knee OA were distributed randomly into 4 groups: 35 patients who did not
receive any treatment (control), 23 patients in the placebo group, 32 patients in the low
dose PSW group (14.5W, 19 minutes and 17KJ), and 31 patients in the high dose PSW group
(14.5W, 38 minutes and 33KJ). An 11-point numerical pain rating scale (NPRS) and "Knee
Osteoarthritis Outcome Score" (KOOS) were used to assess pain and function in 3 stages:
initial evaluation (pre-treatment), immediately after post-treatment, and a 12-month follow
up.
Results: The 4 groups were homogeneous prior to treatment with respect to demographics,
pain, and functional scales data. We demonstrated the short-term effectiveness of the PSW at
low or high doses in patients with knee OA. Both treatment groups showed significant
improvement in pain and function when compared to the control and placebo groups (P<0.05).
There were no differences between PSW doses, despite the fact that a low dose of PSW seems
to be more effective in the long term.
Conclusion: The PSW is an effective method for pain relief, functionality, and quality of
life improvement in females with knee osteoarthritis in the short-term. On the basis of our
results, we recommend PSW application in the female population with knee OA. However,
conclusions regarding the 12-month follow up should be analyzed carefully due to the high
dropout rate.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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