Osteoarthritis, Knee
Conditions
Keywords
Spa therapy, Electrotherapy, Ultrasound, Hotpack
Brief summary
In this study, we aimed to compare the effectiveness of inpatient and outpatient physical therapy modalities and spa combination treatments on pain and functional status in patients with knee osteoarthritis.
Detailed description
Osteoarthritis (OA) has an important place in musculoskeletal diseases and is the most common rheumatic joint disorder characterized by progressive cartilage degeneration. Osteoarthritis of the knee is the most common symptomatic osteoarthritis characterized by chronic knee pain, joint stiffness, limited daily activities, and decreased quality of life. In this study, it was aimed to compare the effects of inpatient and outpatient applications of HP, US, TENS, spa combination treatments on pain and functional status in patients with knee osteoarthritis.
Interventions
OTHERSpa therapy and conventional physical therapy
HP application +deep heater application + TENS. HP application: A hotpack wrapped in a towel for 20 minutes will be placed on the knee and surrounding soft tissues. Deep heater application: The application will be performed with a therapeutic ultrasound device at a dose of 1.5watt / cm2 for each string for 6 minutes. TENS application:TENS device with two electrodes surrounding tendon will be performed for 30 minutes at low-frequency current application. Spa therapy: A conventional water bath water at 38 ° C will be applied in the pool for 20 minutes a day.
Sponsors
Abant Izzet Baysal University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Patients will be aware of group distribution due to the nature of the study. Therefore, the only outcome assessor will be blinded
Intervention model description
Parallel Assignment
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients diagnosed with primary knee osteoarthritis
Exclusion criteria
* Patients who have secondary knee osteoarthritis due to various diseases * Patients with pronounced pathology in the waist, hip and ankle joint, patients with active tumors * Patients with febrile infectious disease * Having had serious surgical operations in the last 6 months * Patients who have undergone and/or have been injected with intraarticular steroid and hyaluronic acid into the knee joint * Patients who have received balneotherapy and peloidotherapy in the last one year * Patients with decompensated organ failure, those with inflammatory disease, those with pregnancy and breastfeeding * People with neurological diseases such as epilepsy, inner ear hearing aids, pacemakers and other individuals with a small metallic implant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Western Ontario and McMaster University (WOMAC) osteoarthritis index | two weeks | The form consists of three parts (pain, stiffness, and physical function) and 24 questions. High WOMAC values indicate an increase in pain and stiffness and impairment of physical function. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS) | two weeks | The patient was asked to mark the severity of his or her pain with active motion on a horizontal line 100 millimeters in length. The intensity of the pain was calculated by measuring the area in which the individual marked between 0 (no pain) and 10 (the most severe pain I felt in my life). |
| Timed Up and Go (TUG) | two weeks | The patient starts in a seated position and stands up upon therapist's command: walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the patient is seated. The subject is allowed to use an assistive device. |
Countries
Turkey (Türkiye)
Outcome results
None listed