Magnetic Field Therapy Versus Transcutaneous Electrical Nerve-stimulation in Knee Osteoarthritis
- Conditions
- Knee Osteoarthritis
- Interventions
- Device: comparing efficacy of TENS and PEMF in knee osteoarthritis
- Registration Number
- NCT06406231
- Lead Sponsor
- University Tunis El Manar
- Brief Summary
The effectiveness of PEMF in improving physical function among Osteoarthritic (OA) patients remains a topic of debate, leading to the American College of Rheumatology not yet endorsing its use in OA treatment. Therefore, it's essential to investigate PEMF therapy's efficacy in alleviating joint pain, stiffness, and enhancing physical function in knee OA patients Our study objectives were to evaluate the effectiveness and safety of PEMF therapy and to compare its efficacy with TENS in knee OA management.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 60
-
We included patients who had knee pain due to knee OA diagnosed according to the American College of Rheumatology including:
-
Knee pain AND presence of at least three of the following 6 criteria:
- Age > 50 years
- Morning stiffness < 30 minutes
- Crepitus during movement
- Periarticular bone pain
- Periarticular bone hypertrophy
- Absence of increased local warmth.
-
For both groups, we did not include:
- Patients with a pacemaker, implantable defibrillator, cochlear implant, or any metal implant contraindicating MRI (knee prosthesis, hip prosthesis, etc.).
- Pregnant women
- Patients with an active infection
- Profound hypoesthesia or thermoalgic sensitivity disorder
- Poorly vascularized areas: arteritis, phlebitis, ischemia
- Patients on anti-vitamin K treatment or with a coagulation disorder. Patients with long-term corticosteroid therapy or having a total knee replacement, those who have received therapies for knee osteoarthritis including intra-articular corticosteroid injection or viscosupplementation in the last 4 months, and Patients with knee pain of non-osteoarthritic origin were also not included in the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group 1: Patients treated with transcutaneous electrical nerve stimulation (TENS) comparing efficacy of TENS and PEMF in knee osteoarthritis - Group 2: Patients treated with magnetotherapy (PEMF) comparing efficacy of TENS and PEMF in knee osteoarthritis -
- Primary Outcome Measures
Name Time Method response to physical therapy one week before the beginning and 3 weeks after the finishing of the rehabilitation program a 20 percent decrease in the total score of WOMAC pain
- Secondary Outcome Measures
Name Time Method assessing patients satisfaction one week before the beginning and 3 weeks after the finishing of the rehabilitation program Satisfaction VAS
stiffness and function improvement one week before the beginning and 3 weeks after the finishing of the rehabilitation program • Improvement in all three domains of WOMAC and overall WOMAC score: Stiffness (2 questions) and function (17 questions) WOMAC subscales
reduction of pain one week before the beginning and 3 weeks after the finishing of the rehabilitation program Reduction in visual analog scale (VAS) pain scores at rest and during activity.
Consumption of paracetamol one week before the beginning and 3 weeks after the finishing of the rehabilitation program assessing safety one week before the beginning and 3 weeks after the finishing of the rehabilitation program occurrence of adverse effects requiring temporary or permanent discontinuation of the technique.
Trial Locations
- Locations (1)
Military Hospital of Tunis
🇹🇳Tunis, Tunisia