Effects of Transcutaneous Electrical Nerve Stimulation (TENS) and exercise on knee Osteoarthritis (OA): a randomised controlled trial

niversity of the West of England (UK)0 个研究点目标入组 261 人开始时间: 2007年10月3日最近更新: 2015年1月13日

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•Patients referred to United Bristol Healthcare NHS Trust (UBHT) for physiotherapy with a diagnosis of knee OA will be invited to participate. The clinical and radiographic criteria of the American College of Rheumatology (ACR) will be applied, whereby a diagnosis of knee OA will require each patient:
•1. To complain of knee pain
•2. To have radiographic (X-ray) evidence of osteophytes
•3. To meet at least one of the following three criteria:
•3.1. 50 years or older
•3.2. Morning stiffness that lasts for less than 30 minutes
•3.3. Crepitus on active movement
•Where available, X-rays taken within the last 12 months will be used. Otherwise, new X-rays will be ordered. Following appropriate training and assessment of competence, the principal investigator will screen all X-rays for evidence of osteophytes. All X-rays will later be reported on in detail by Professor John Kirwan (Rheumatology Consultant, UBHT) and graded for severity as described in previous work carried out at UBHT.

•1. Co-morbidities that would prevent participation in the exercise programme (such as severe respiratory or cardiac disease)
•2. Unable to mobilise independently either unaided or with the use of one stick
•3. Unable to participate fully in group activities for other reasons such as dementia
•4. Contraindications to TENS
•5. Previous experience of using TENS
•Where there is any doubt, a medical practitioner from the Rheumatology Department at UBHT will be available for advice on the inclusion of patients with co-morbidities.

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niversity of the West of England (UK)