COMPARISON OF TWO DIFFERENT THERAPEUTIC ULTRASOUND TECHNIQUES IN COMBINATION WITH STANDARD PHYSICAL THERAPY VERSUS STANDARD PHYSICAL THERAPY ALONE IN PATIENTS WITH KNEE OSTEOARTHRITIS
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- pain intensity assessed by visuel analog scale (VAS)
研究概览
简要总结
Knee osteoarthritis is a common condition that causes pain, stiffness, and reduced physical function. Therapeutic ultrasound is frequently used in physical medicine and rehabilitation to reduce pain and improve joint function in patients with knee osteoarthritis; however, different ultrasound application techniques are used in clinical practice.
The aim of this study was to compare the effectiveness of two different therapeutic ultrasound techniques in patients with knee osteoarthritis. Participants with knee osteoarthritis received therapeutic ultrasound treatment using one of two application techniques according to a predefined treatment protocol. Clinical outcomes related to pain and functional status were evaluated before and after treatment.
This completed study provides information on whether different ultrasound application techniques lead to differences in clinical outcomes in patients with knee osteoarthritis and may help guide clinical decision-making in rehabilitation practice.
详细描述
This study was designed as a prospective, parallel-group interventional study to evaluate the clinical effectiveness of different therapeutic ultrasound application techniques in patients diagnosed with knee osteoarthritis.
Eligible participants with knee osteoarthritis were allocated into treatment groups according to the predefined study protocol. Therapeutic ultrasound was applied using two different techniques under standardized treatment parameters. All participants received treatment sessions over a defined treatment period.
Clinical outcome measures related to pain intensity and functional status were assessed at baseline and after completion of the treatment protocol. Outcome assessments were performed by an evaluator blinded to group allocation.
The primary objective of the study was to compare the effects of different therapeutic ultrasound techniques on pain reduction and functional improvement in patients with knee osteoarthritis. Secondary objectives included evaluating changes in physical function following treatment.
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 40 and 75 years,Clınıcal and radıografıc dıagnosısı of knee osteoartrıtsı accordıng to Amerıcan College of Rheumatology crıteria,Kellegren Lawrencw grade 2-3 osteoartritis,prencense of knee pain for at least 3 months,ability to ambulate independently, ability to understand and comply with study procedures
排除标准
- •History of knee surgery or ıntraartıkuler ınjection within the 6 last month,severe knee osteoaertırtıcs (kellegren lawrence grade 4),Neurological disorders affecting lower exremity functıon ,pulmoner or systemic disease limitin participitian,pregnancy,current partpiciant ın another clinical trial
研究组 & 干预措施
continius ultrasound group
hot pack,tens,exercise terapy ,continius ultasound
干预措施: hot pack (Device)
continius ultrasound group
hot pack,tens,exercise terapy ,continius ultasound
干预措施: transcutaneus electrical nerve stimulatıon (Device)
continius ultrasound group
hot pack,tens,exercise terapy ,continius ultasound
干预措施: exersice terapy (Behavioral)
continius ultrasound group
hot pack,tens,exercise terapy ,continius ultasound
干预措施: continius ultrasound (Device)
pulse ultrasound group
hot pack,tens,exercise terapy,pulsed ultrasound
干预措施: hot pack (Device)
pulse ultrasound group
hot pack,tens,exercise terapy,pulsed ultrasound
干预措施: transcutaneus electrical nerve stimulatıon (Device)
pulse ultrasound group
hot pack,tens,exercise terapy,pulsed ultrasound
干预措施: exersice terapy (Behavioral)
pulse ultrasound group
hot pack,tens,exercise terapy,pulsed ultrasound
干预措施: pulsed ultrasound (Device)
control group
hot pack,tens,exercise terapy
干预措施: hot pack (Device)
control group
hot pack,tens,exercise terapy
干预措施: transcutaneus electrical nerve stimulatıon (Device)
control group
hot pack,tens,exercise terapy
干预措施: exersice terapy (Behavioral)
结局指标
主要结局
pain intensity assessed by visuel analog scale (VAS)
时间窗: baseline,immediately after treatment, and 2 months post-tratment
Pain intensity was assessed using a 10-cm visual analog scale (VAS), where 0 indicates no pain and 10 indicates the worst imaginable pain. Participants marked their perceived knee pain level at each assessment point.
knee joint stiffness assessed by WOMAC stiffness subscale
时间窗: baseline,immediately after treatment and at 2 months post treatment
Knee joint stiffness was evaluated using the stiffness subscale of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Higher scores indicate greater stiffness and symptom severity.
lesquesne algofunctional ındex score
时间窗: baseline,immediately after treatment,and at 2 months post-treatment
Functional impairment related to knee osteoarthritis was assessed using the Lequesne algofunctional index, which evaluates pain, walking distance, and activities of daily living. Higher scores reflect greater functional disability.
次要结局
- Quadriceps muscle strength assesed by isokinetic dynamometry(baseline,immediately after treatment and 2 monthspost treatment)
研究者
Dilek ün oguzhanasilturk
Physical Medicine and Rehabilitation Specialits
Kanuni Sultan Suleyman Training and Research Hospital