Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study

GÜL?EN, Gülçin; Geler Külcü, Duygu; Keleş, Elif Çiğdem

Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study

Duygu Geler KÜLCÜ, (Yeditepe Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Gülçin GÜL?EN, (Yeditepe Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Elif Çiğdem ALTUNOK (Yeditepe Üniversitesi, Tıp Fakültesi, Biyoistatistik Anabilim Dalı, İstanbul, Türkiye)

Turkish Journal of Rheumatology(.)Archives of Rheumatology

5 0

Yıl: 2009 Cilt: 24 Sayı: 3 Sayfa Aralığı: 144 - 148 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study

Öz:

Amaç: Diz osteoartiritinde pulse elektromanyetik alan tedavisinin ağrı ve fonksiyonel düzey üzerine etkisini ultrason tedavisi ve kontrolle karşılaştırarak araştırmaktır. Yöntem ve Gereçler: Kırkbeş diz osteoartiriti olan hasta randomize olarak üç gruba ayrıldı (ortalama yaş= 63.5 ±10.2 yıl). Birinci gruba pulse elektromantetik alan tedavisi (frekans: sırasıyla, 2 Hz, 100 Hz, 25 Hz, 35 dakika/seans), ikinci gruba ultrason tedavisi (frekans: 1 MHz, güç:1,5 watt/cm2 devamlı,10 dakika/seans) uygulandı. Üçüncü grub kontrol grubu oldu. Değerlendirmeler başlangıçta ve tedavi sonunda (üç hafta sonra) yapıldı. Değerlendirme değişkenleri, Western Ontario ve McMaster Üniversiteleri Anketi'nin (WOMAC) ağrı, eklem sertliği ve fonksiyonel düzey skorları ve görsel ağrı skalalasına (GAS) göre ağrı şiddeti idi. Bulgular: Birinci grupta, GAS skoru (p=0.005), WOMAC-ağrı skoru (p=0.001), WOMAC eklem sertliği skoru (p=0.027), WOMAC fonksiyonel düzey skoru (p=0.003) açısından anlamlı iyleşme kaydedildi. İkinci grupta da WOMAC ağrı (p=0.008), WOMAC eklem sertliği (p=0.012), WOMAC fonksiyonel düzey skorları (p=0.004) ve GAS (p=0.001) skorlarında anlamlı düzelme saptandı, Üçüncü grupta hiçbir değerlendirme parametresi açısından anlamlı değişiklik gözlenmedi (p>0.05). Gruplar arasında değerlendirme parametrelerinin tedavi sonundaki yüzde değişimleri açısından GAS skoru (p<0.001), WOMAC ağrı skoru (p<0.001), WOMAC eklem sertliği skoru (p=0.013) ve WOMAC fonksiyonel düzey skoru (p<0.001) açısından fark saptandı. Sonuç: Hem pulse elektromanyetik alan tedavisi hem töropatik ultrason tedavisi kontrol grubuna göre anlamlı olarak daha etkili bulunmuştur. Pulse elektromanyetik alan tedavisi diz osteoartriti tedavisinde etkili bir alternatif tedavi yaklaşımı olarak uygulanabilir.

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Ortopedi

Diz Osteoartiritinde Pulse Elektromanyetik Alan Tedavisinin Ağrı ve Fonksiyonellik Üzerine Kısa Dönemde Etkisi, Randomize Kontrollü Çalışma

Öz:

Objective: We aimed to determine the efficacy of pulsed electromagnetic field therapy on pain and functional level in knee osteoarthritis when compared to therapeutic ultrasound (US) and controls. Material and Methods: Forty-five patients with knee osteoarthritis (mean age: 63.5±10.2 years) were randomly assigned to three groups. The first group received pulsed electromagnetic field therapy (frequency: 2 Hz, 100 Hz, 25 Hz consecutively, 35 minutes/session), the second group received therapeutic US (frequency: 1 MHz, power: 1.5 watt/cm2 continuously, 10 minutes/session) and the third group served as the no- treatment control group. Evaluations were done at baseline and at the end of the treatment (third week). Assessment parameters were pain, stiffness and functional level scores of the Western Ontario and McMaster Universities (WOMAC) questionnaire and pain severity evaluated by Visual Analog Scale (VAS) . Results: VAS (p=0.005), WOMAC pain score (p=0.001), WOMAC joint stiffness score (p=0.027) and WOMAC functional level score (p=0.003) significantly improved in the first group. VAS (p=0.001), WOMAC pain scores (p=0.008), WOMAC stiffness scores (p=0.012) and WOMAC functional level (p=0.004) scores significantly improved in the second group as well. No change was observed in any assessment parameter in the third group (p>0.05). There were differences between groups regarding the percent change in VAS scores (p<0.001), WOMAC pain scores (p<0.001), WOMAC joint stiffness scores (p=0.013) and WOMAC functional level scores (p<0.001) after the treatments. Conclusion: Both the pulsed electromagnetic field and therapeutic US were significantly more effective than no treatment. The pulsed electromagnetic field may be applied as an effective and alternative therapy approach in knee osteoarthritis.

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Ortopedi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Geler Külcü D, GÜL?EN G, Keleş E (2009). Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study. , 144 - 148.
Chicago	Geler Külcü Duygu,GÜL?EN Gülçin,Keleş Elif Çiğdem Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study. (2009): 144 - 148.
MLA	Geler Külcü Duygu,GÜL?EN Gülçin,Keleş Elif Çiğdem Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study. , 2009, ss.144 - 148.
AMA	Geler Külcü D,GÜL?EN G,Keleş E Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study. . 2009; 144 - 148.
Vancouver	Geler Külcü D,GÜL?EN G,Keleş E Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study. . 2009; 144 - 148.
IEEE	Geler Külcü D,GÜL?EN G,Keleş E "Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study." , ss.144 - 148, 2009.
ISNAD	Geler Külcü, Duygu vd. "Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study". (2009), 144-148.

APA	Geler Külcü D, GÜL?EN G, Keleş E (2009). Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 24(3), 144 - 148.
Chicago	Geler Külcü Duygu,GÜL?EN Gülçin,Keleş Elif Çiğdem Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study. Turkish Journal of Rheumatology(.)Archives of Rheumatology 24, no.3 (2009): 144 - 148.
MLA	Geler Külcü Duygu,GÜL?EN Gülçin,Keleş Elif Çiğdem Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.24, no.3, 2009, ss.144 - 148.
AMA	Geler Külcü D,GÜL?EN G,Keleş E Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2009; 24(3): 144 - 148.
Vancouver	Geler Külcü D,GÜL?EN G,Keleş E Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2009; 24(3): 144 - 148.
IEEE	Geler Külcü D,GÜL?EN G,Keleş E "Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 24, ss.144 - 148, 2009.
ISNAD	Geler Külcü, Duygu vd. "Short-Term Efficacy of Pulsed Electromagnetic Field Therapy on Pain and Functional Level in Knee Osteoarthritis: A Randomized Controlled Study". Turkish Journal of Rheumatology(.)Archives of Rheumatology 24/3 (2009), 144-148.