Moderate knee osteoarthritis. Gonarthrosis [arthrosis of knee]
Conditions
Interventions
Intervention 1: The control group will receive just exercise programs. Exercise program consists of strengthening exercise for quadriceps muscle, Isometric exercise with and without weight, weight bea
2000 shock/session
5 session
energy level 2-4
pulse rate 160/min
6-10 Hz
density 0.18 mj/mm2
with zimmer shokwave device, made in Germany. Intervention 3: Group intervention 2:The patients will receive conventional physiotherapy interventions for 10 sessions which is consisted of 1) Hot Pack
and 2) TENS: pulse duration 20-100 Microsecond
50% duty cycle
continuous amplitude at the maximum pain region of affected knee
frequency<200pps, and 3) Ultra Sound: 1MHz Frequency
intensity of 2.5 W/cm2
pulse at duty cycle of 25%
for 10 minute.
The control group will receive just exercise programs. Exercise program consists of strengthening exercise for quadriceps muscle, Isometric exercise with and without weight, weight bearing exercise in
Intervention group 1: The patients will receive Shock Wave Therapy for the affected knee at the site with maximum pain amount in sitting position, flexion of knee joint and abduction and external rota
Sponsors
Physical Medicine and Rehabilitation Research Center of Tabriz
Eligibility
Sex/Gender
All
Age
50 Years to 70 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: patients with moderate knee osteoarthritis grade 2 and 3, based on kellegren &Lawrence scale; patients at the age of 50-70 years. Exclusion criteria: patients with rheumatologic disorders such as rheumatoid arthritis; past medical history of surgery on knee joints; past medical history of fracture in lower limbs with involvement of articular surface of knees; mild and sever knee osteoarthritis ( 1 and 4 radiological scale); patients with electrical implants such as pace makers; past medical history of conduction block cardiac disease; patients with epileptic disorders; patients with pregnancy; patients with deep vein thrombosis; past medical history of intra-articular injections since 6 month ago and systemic corticosteroid drugs consumption since 1 month ago; patients with balance disturbance; patients with neuropathy and sensory impairments; existence of any skin lesions around the knee joints; BMI above 30; patients who are unable to complete the questionnaire and procedures.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The amount of Pain. Timepoint: Time zero(baseline), 3weeks later,7 weeks later. Method of measurement: Visual Analog Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Knee range of motin. Timepoint: Time zero (baseline),3weeks later,7 weeks later. Method of measurement: Goniometer.;Knee function. Timepoint: Time zero (baseline),3weeks later,7 weeks later. Method of measurement: WOMAC questionnaire.;HSCRP level. Timepoint: Time zero (baseline),final evaluation at week 7. Method of measurement: laberatory kit. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr Razieh Ahmadi
Tabriz University of Medical Science
Outcome results
None listed