Effect of Adding High-power Pain Threshold Ultrasound to Vibration Massage on Calf Muscle Tightness in Knee Osteoarthritis Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Calf muscle flexibility
研究概览
简要总结
Calf muscle have tendency of development of trigger points that can increase pain in patients with osteoarthritis. Purpose:To investigate the effect of adding high-power pain threshold ultrasound to vibration massage on calf muscle tightness, pain intensity, pain threshold, and knee function in knee osteoarthritis patients. Subject and methods: Sixty male and female patients diagnosed clinically by physician as having knee osteoarthritis grades II-III participated in the study. Their age ranged from 40 to 60 years. They were assigned randomly into three groups (A, B, C) equal in number. Group (A) received conventional treatment. Group (B) received conventional treatment plus vibration. Group (C) received conventional treatment, vibration and the high-power pain threshold ultrasound. Outcome measurements were taken before and after intervention, so patients received intervention for 12 sessions (three sessions per week). Tape measurement was used to measure the calf muscle flexibility, VAS to measure pain intensity, pressure algometer to measure pain threshold and WOMAC questionnaire to measure the knee functions.
详细描述
The current study was conducted to investigate the therapeutic effect of adding high-power pain threshold ultrasound to vibration massage on calf muscle tightness,pain intensity, pain threshold and knee function in patients with knee osteoarthritis.The study was conducted on 60 volunteer patients (age 40-60 years) suffering from unilateral knee OA grade II-III.Group (A): consisted of 20 patientsreceived the conventional physical therapy program only (Control group). Group (B): consisted of 20 patientsReceived conventional physical therapy program in addition to vibration massage. Group (C): consisted of 20 patientsreceived high-power pain threshold ultrasound in addition to conventional physical therapy program and the vibration massage. Tape measurement was used to measure the calf muscle flexibility, VAS to measure pain intensity, pressure algometer to measure pain threshold and WOMAC questionnaire to measure the knee functions. SPSS software version 22 was used to conduct all statistical analyses.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age from 40 to 60 years' patients of chronic knee OA
- •Patient with unilateral knee OA grade II-III Kellgren and Lawrence (K/L)
- •Patients with BMI < 30 kg/m² (not being classified as obese).
- •Patients who are able to walk with painful knee OAwithoutassistive devices.
- •Patients with knee pain intensity level at least >3 cm on a 10 cm. VAS scale in activities such as going up-and downstairs, sitting and squatting.
排除标准
- •Radiated pain from low back pain.
- •No radiographic evidence of knee OA or with mild OA (grade I according to K/L classification) or with severe OA (grade IV according to K/L classification).
- •Bilateral knee OA.
- •Loss of joint play in tibiofemoral and patellofemoral articulations.
- •Lower extremity fracture and surgery or trauma to the knee joint.
- •Neurological deficit or movement disorder related to lower limb.
- •Athletes or who had been treated with physiotherapy or medications during the previous 6 weeks.
- •Those who could not apply vibration and percussion stimuli.
- •Those who had varicose veins.
研究组 & 干预措施
Group (A)
Group (A) received conventional treatment.
干预措施: Conventional treatment (Other)
Group (B)
Group (B) received conventional treatment plus vibration massage
干预措施: Vibration massage (Other)
Group (B)
Group (B) received conventional treatment plus vibration massage
干预措施: Conventional treatment (Other)
Group (C)
Group (C) received conventional treatment, vibration massage and the high-power pain threshold ultrasound
干预措施: Conventional treatment (Other)
Group (C)
Group (C) received conventional treatment, vibration massage and the high-power pain threshold ultrasound
干预措施: Vibration massage (Other)
Group (C)
Group (C) received conventional treatment, vibration massage and the high-power pain threshold ultrasound
干预措施: High-power pain threshold ultrasound (Other)
结局指标
主要结局
Calf muscle flexibility
时间窗: At enrollment and after 4 weeks of treatment
Calf Muscle Tightness Test: the subject stands a short distance away from a wall, with one leg in front of the other. Keeping the heel of the front foot on the ground, try and bend at the knee and touch the knee to the wall. If done successfully, move further away from the wall and try again. Keep repeating this action until you are unable to touch the wall. Measure the distance from the front of the foot to the wall at the maximum distance the knee could touch the wall. Repeat the same procedure for each leg. Scoring: measure the maximum distance from the toe to the wall. There are no norms available for this test
次要结局
- Pain intensity(At enrollment and after 4 weeks of treatment)
- Pain threshold level(At enrollment and after 4 weeks of treatment)
- Knee function Assessment(At enrollment and after 4 weeks of treatment)
研究者
Doaa Rafat
Assistant professor pf physical therapy
Cairo University