Comparison of the Effectiveness of High-Intensity and Low-Intensity Laser Therapies in Primary Knee Osteoarthritis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- range of motion
研究概览
简要总结
Our primary goal is to investigate the advantages of low-intensity laser therapy (LLLT) and high-intensity laser therapy (HILT) over conventional therapy in patients with knee osteoarthritis (OA), our secondary goal is to investigate the advantages of HILT and LLLT; to compare its analgesic effects, its effects on functional status and quality of life, and its effects on femoral cartilage thickness.
详细描述
In the study, those who applied to Ankara City Hospital Physical Therapy and Rehabilitation Hospital outpatient clinic between 01.10.2020-01.10.2021, were between the ages of 55-75, were diagnosed with primary knee OA according to the American Rheumatology Association, stage 2-3 knee according to Kellgren and Lawrence radiological classification. with OA; 72 volunteer patients with knee pain with a visual pain score of 4 and above for at least 3 months were included. The study was designed as a prospective, randomized, controlled, single-center. Patients were randomly divided into 3 treatment groups. Conventional treatment including hotpack therapy, Transcutaneous Electrical Nerve Stimulation (TENS), joint range of motion exercises, straight leg lifting exercises, quadriceps strengthening exercises, pillow squeezing exercises, balance exercises on one leg for 4 weeks, 3 days a week for 4 weeks in 24 patients in the first group, conventional treatment and HILT were applied to 24 patients in the second group, and conventional treatment and LLLT were applied to 24 patients in the third group. All groups were evaluated clinically and ultrasonographically at the beginning of the treatment, at the end of the treatment and at the 3rd month after the 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
- None
入排标准
- 年龄范围
- 55 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age range of 55-75 years
- •Primary knee OA diagnosis according to ACR (American College of Rheumatology) and Knee OA classified as stage 2-3 according to the KL (Kellgren-Lawrence) radiological classification
- •Visual pain score of 4 or higher for knee pain lasting for at least 3 months
排除标准
- •Patients with secondary knee OA
- •Patients who have undergone surgical operations related to the knee joint
- •Patients with pathology in the hip and/or ankle on the same side
- •Patients who have received intra-articular corticosteroid, hyaluronic acid, or PRP injections in the knee joint in the last 6 months
- •Patients who have received physical therapy for the knee region in the last 6 months
- •Patients with serious systemic diseases such as malignancy, congestive heart failure, or chronic obstructive pulmonary disease
- •Patients with insufficient cognitive function
研究组 & 干预措施
conventional treatment
Conventional treatment including hotpack therapy, Transcutaneous Electrical Nerve Stimulation (TENS), joint range of motion exercises, straight leg lifting exercises, quadriceps strengthening exercises, pillow squeezing exercises, balance exercises on one leg for 4 weeks, 3 days a week for 4 weeks in 24 patients.
干预措施: Conventional Treatment (Device)
conventional treatment and HILT(high-intensity laser therapy)
Conventional treatment and HILT including hotpack therapy, Transcutaneous Electrical Nerve Stimulation (TENS), joint range of motion exercises, straight leg lifting exercises, quadriceps strengthening exercises, pillow squeezing exercises, balance exercises on one leg and HILT for 4 weeks, 3 days a week for 4 weeks in 24 patients .
干预措施: conventional treatment and high-intensity laser therapy(HILT) (Device)
conventional treatment and LLLT(low-intensity laser therapy)
Conventional treatment and LLLT including hotpack therapy, Transcutaneous Electrical Nerve Stimulation (TENS), joint range of motion exercises, straight leg lifting exercises, quadriceps strengthening exercises, pillow squeezing exercises, balance exercises on one leg and LLLT for 4 weeks, 3 days a week for 4 weeks in 24 patients.
干预措施: conventional treatment and low-intensity laser therapy (LLLT) (Device)
结局指标
主要结局
range of motion
时间窗: Baseline, after 1 month and 3 month changes
In the clinical evaluation, the range of motion of the patients in the affected extremity was determined by goniometry
visual pain score (VAS)
时间窗: Baseline, after 1 month and 3 month changes
In the clinical evaluation, the pain score with movement and resting was determined by visual pain score (VAS).The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain.
次要结局
- Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)(Baseline, after 1 month and 3 month changes)
- Lequesne Index(Baseline, after 1 month and 3 month changes)
- Short form SF-36 scale(Baseline, after 1 month and 3 month changes)
- Femoral cartilage thickness(Baseline, after 1 month and 3 month changes)
研究者
Nida Koçer Nazlıgül
Medical Doctor
Ankara City Hospital Bilkent