Knee Osteoarthritis Clinical Trial
Official title:
Istanbul University, Faculty of Health Science, Division of Physiotherapy and Rehabilitation
The aim of the study was to investigate the efficacy of exercise and different size
electrodes of neuromuscular electrical stimulation (NMES) applications on pain, range of
motion (ROM), muscle strength, function status and depression in knee osteoarthritis.
60 voluntary patients were included in the study and these patients divided into three groups
randomly. For Group 1 only exercise, for Group 2 simultaneously active contraction with NMES
with standard size electrodes, for Group 3 simultaneously active contraction with NMES with
large electrodes applied for 3 days per week, 18 session. Pain was measured with Visual
analog Scale (VAS), ROM was measured with digital goniometer, muscle strength was measured
with "Hand-held" dynamometer (Lafayette Instrument®, Lafayette, IN), functional status were
measured with WOMAC (Western Ontario and McMaster Universities) Index and stair climbing
test, balance was analysed with one leg standing test, depression was scored with Hospital
Anxiety Depression Scale and patients satisfaction was scored with Global Rating Change
Scales. The cases evaluated before and after treatment.
Aim: This study investigated the effect of neuromuscular electrical stimulation (NMES) was
applied with different size electrodes on the functionality, pain, range of motion (ROM), and
muscle strength in patients wtih knee osteoarthritis (OA).
Material and Metod: Sixty patients with knee OA who received physical therapy for knee pain
and functional disability at Istanbul University, Faculty of Health Sciences, Division of
Physiotherapy were included. These patients divided into three groups randomly. Group 1
applied exercise programme. Group 2 performed exercise programme with NMES with standard size
electrodes (5×5 cm²). Group 3 performed exercise programme with NMES with large size
electrodes (10×20 cm², 3×18 cm², 10 3×7.5 cm², 7×14 cm²) NMES was applied for 20 minutes to
Group 2 and Group 3. The patients attended 18 treatment sessions 3 times per week in the
physical therapy clinic and underwent assesment before treatment and after 6 weeks of
treatment. Pain was measured with Visual Analog Scale (VAS), range of motion (ROM) was
measured with digital goniometer, muscle strength was measured with ''Hand-held''
dynomometer, functional status were measured with WOMAC (Western Ontario and McMaster
Universities) Index and stair climbing test, balance was analysed with one leg standing test.
Patients satisfaction was scored with Global Change Scales.
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