A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Goswami, Upendra
- A Study on efficacy of different Therapeutic Modalities to Alleviate Pain due to Knee Osteoarthritis
Authors
1 Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh & Research scholar ,Singhania University, Pacheri Bari, Jhunjhunu, Rajasthan, IN
2 Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh, IN
3 Deptt. of PRM(Physiotherapy) & Orthopedics, Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh, IN
4 Deptt.of PRM(Physiotherapy), PGIMER, Chandigarh, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 279-284Abstract
Introduction: Physiotherapy is one of the recommended non pharmacological management options in patients with osteoarthritis.Ultrasound & Pulsed electromagnetic energy(PEME) & Exercises are widely used in to treat pain due to osteoarthritis.Aims& Objectives: The purpose of the study was an effort to find out the role of different modalities (Therapeutic ultrasound, PEME , Exercises) to control the pain in osteoarthritis of knee.
Study design & Methodology: The study was experimental, pre & post design. 60 female osteoarthritis patients including those suffering from bilateral osteoarthritis between age group 40- 65 years from the Department of Physiotherapy and Department of Orthopedics, PGIMER, Chandigarh were chosen for the study & randomly distributed in 3 groups. Electrotherapy modalities were administered for Group A (PEME) and Group B (Ultrasound) three times weekly for 6 weeks. The exercises & hot water fomentation were carried daily for all the three groups (Group A, Group B & Group C). The severity of knee pain was evaluated by Visual Analog Scale (VAS) in a weight bearing position (walking or standing) in parallel bars. Western Ontario McMaster universities (WOMAC) index of osteoarthritis was used to assess pain, stiffness, and physical function. SPSSVersion17 was used for statistical analysis.
Conclusion: It is concluded that all the therapies administered (pulsed electromagnetic energy, therapeutic ultrasound, exercises) help to reduce pain in knee osteoarthritis but none of the modality proved more effective than others.
Keywords
Knee, Osteoarthritis, Pain, Pulsed Electromagnetic Energy, Ultrasound, Exercise
References
- Davis M A . Epidermiology of osteoarthritis. Clinics in Geriatric Medicine.1988;4:241-255.
- Threlkeld AJ, Currier.DP. Osteoarthritis.Effect on synovial joint tissues. Physical therapy. 1988;68: 364-370.
- Hochberg MC: Osteoarthritis: pathophysiology, clinical features, management. Hosp Prac1984; 19(12):41-53,.
- Marks R. Peripheral mechanisms of pain production in osteoarthritis. Australian journal of Physiotherapy.1992;38:289-298.
- Altman.RD. Osteoarthritis:Aggravating factors and therapeutic measures. Postgraduate medicine.1986;80:150-163
- Hough AJ. Pathology of osteoarthritis.In:Koopnian WJ.edition.Arthritis and allied conditions.13th ed. Baltimore.Williams and Wilkins.1997; p.1945-1968.
- American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Arthritis & Rheumatism.2000;43(9):1905-15.
- George E, Creamer P, Dieppe PA.Clinical Susets of osteoarthritis of the hip joint. Physiotherapy.1994;77:737-740.
- Fabbri F,Lucchese V .Non thermal effects of pulsed magnetic fields.An experimental study of 22 laboratory parameters. Minerva Orthopedica.1980; 31: 251-256.
- Warnke U.The possible role of pulsating magnetic fields in the reduction of pain. In: Rizzi R, Visentin M (Eds). Pain Therapy. Elsevier Biomedical Press.1983; p. 229-238.
- Nadasdi M. Inhibition of experimental arthritis by athermic pulsating shortwaves in rats. Orthopedics.1960; 2:105-107.
- Kovar PA, Allegrante JP, Mackenzie CR, Peterson MG, Gutin B, Charison ME. Supervised fitness walking in patients with osteoarthritis of the knee-a randomized control trial. Ann Intern Med.1992;116:529-534.
- Loyola-Sanchez A, Richardson J, MacIntyre NJ. Effectiveness of therapeutic ultrasound in knee osteoarthritis. A systematic review and metaanalysis. Osteoarthritis and Cartilage. 2010;18:1117-1126.
- Chamberlain MA, Care G, Harfield B. Physiotherapy in osteoarthrosis of the knees. Int Rehablitation Medicine.1982;4:101-106.
- Marks R, Cantin D. Symptomatic OA of The Knee. Physiotherapy 1997 June ; 83 ( 6). 61.
- Laufer Y , Zilberman R, PoratR , Nahir AM .Effect of pulsed short-wave diathermy on pain and function of subjects with osteoarthritis of the knee:a placebo-controlled double-blind clinical trial. Clinical Rehabilitation.2005.19; 3:255-263.
- Klaber Moffett JA, Richardson PH, Frost H, Osborn A. A placebo controlled double blind trial to evaluate the effectiveness of pulsed shortwave therapy for osteoarthritic hip and knee pain.Pain.1996;67:121-127.
- A Study on Efficacy of Pulsed Electromagnetic Energy&interferential Therapy along with Exercise in Osteoarthritis Induced Knee Pain
Authors
1 Singhania University, Pacheri Bari, Jhunjhunu, Rajasthan, IN
2 Prof., Deptt. of Anesthesia & Pain Clinic, IN
3 Deptt. of PRM (Physiotherapy) & Orthopedics, IN
4 Deptt. of PRM (Physiotherapy) , PGIMER, Chandigarh, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 1 (2014), Pagination: 117-122Abstract
Introduction: Pulsed electromagnetic energy (PEME)&Interferential Therapy (IFT) are very common non-pharmacologic interventions used to control pain in knee osteoarthritis.
Aims & Objectives: The purpose of the study was an effort to find out the efficacy of Pulsed electromagnetic Energy&Interferential Therapy to control the pain in osteoarthritis of knee.
Study Design & Methodology: The study was experimental, pre&post design. Ninety osteoarthritis patients who were suffering with osteoarthritis between age group 40-65 years from the Department of Physiotherapy and Department of Orthopedics, PGIMER, Chandigarh were chosen for the study & randomly distributed in 3 groups. Electrotherapy modalities (PEME&IFT) were administered for Group A (PEME) and Group B (IFT),Group C was treated with Exercises only. PEME&IFT was applied three times weekly for 8 weeks. The exercises&hot water fomentation were carried out daily by all the three groups (Group A, Group B&Group C). The severity of knee pain was evaluated by Visual Analog Scale (VAS) in a weight bearing position (walking or standing) in parallel bars. Western Ontario McMaster universities (WOMAC) index of osteoarthritis was used to assess pain, stiffness, and physical function. SPSS-Version20 was used for statistical analysis.
Results: The Intra group analysis show significant p-values (p 0.05).
Conclusion: It is concluded that all the electrotherapies administered (Pulsed electromagnetic energy, IFT) help to reduce pain in knee osteoarthritis but none of the modality proved more effective than others.
Keywords
Knee Pain, Osteoarthritis, Pulsed Electromagnetic Energy, Interferential Therapy, ExerciseReferences
- Andrianakos A, Trontzas P, Christoyannis F,Dantis P, Voudouris C, Georgountzos A, KaziolasG, Vafiadou E, Pantelidou K, Karamitsos D,Kontelis L, Krachtis P, Nikolia Z, Kaskani E,Tavaniotou E, Antoniades C, Karanikolas G,Kontoyanni A: Prevalence of rheumatic diseasesin Greece: a cross-sectional population basedepidemiological study. The ESORDIG Study. JRheumatol. 2003; 30(7):1589-1601.
- Felson DT, Lawrence RC, Hochberg MC,McAlindon T, Dieppe PA, Minor MA, Blair SN,Berman BM, Fries JF, Weinberger M, Lorig KR,Jacobs JJ, Goldberg V. Osteoarthritis: newinsights. Part 2: Treatment approaches. AnnIntern Med. 2000; 133(9):726-737.
- Deyle GD, Allison SC, Matekel RL, Ryder MG,Stang JM, Gohdes DD. Physical therapytreatment for osteoarthritis of the knee: Arandomised comparison of supervised clinicalexercise and manual therapy procedures versusa home exercise programme. Phys Ther. 2005;85:1301–17.
- Deyle GD, Henderson NE, Matekel RL, RyderMG, Garber MB, Allison SC. Effectiveness of manual physical therapy and exercise inosteoarthritis of the knee. Ann Int Med. 2000;132:173–81.
- Van Nguyen JP, Marks R. Pulsed electromagneticfields for treating osteoarthritis. Physiotherapy. 2002; 88:458-470.
- Klaber Moffett JR, Richardson PH,Frost,A.Osborn H. A placebo controlled doubleblind trial to evaluate the effectiveness of pulsedshortwave therapy for osteoarthritic hip and kneepain.Pain.1996; 67:121-127.
- Laufer Y , Zilberman R, Porat R , Nahir AM .Effectof pulsed short-wave diathermy on pain andfunction of subjects with osteoarthritis of theknee: a placebo-controlled double-blind clinicaltrial. Clinical Rehabilitation.2005;19(3):255-263.
- Taylor K, Newton RA, Personius WJ, Bush FM.Effects of interferential current stimulation fortreatment of subjects with recurrent jaw pain.Phys Ther.1987;67:346–350.
- Nelson B. Interferential therapy. Aust JPhysiother. 1981;27:53–56
- Van Baar ME, Assendelft WJJ, Dekker J,Oostendorp RAB, Bijlsma JWJ. Effectiveness ofexercise therapy in patients with Osteoarthritisof the hip or knee. Arthritis & Rheumatism.1999;42(7) 1361-1369.
- Trock DH, Bollet AJ, Dyer RH Jr, Fielding LP,Miner WK, Markoll R . A double blind trial ofthe clinical effects of pulsed electromagnetic fieldsin osteoarthritis. J Rheumatol. 1993; 20(3):456-460.
- McCarthy CJ, Callaghan MJ, Oldham JA. Pulsedelectromagnetic energy treatment offers noclinical benefit in reducing the pain of kneeosteoarthritis: a systematic review. BMCMusculoskeletal Disorders. 2006; 7:51, [cited 2006June15].doi: 10.1186/1471-2474-7-51.
- Johnson MI, Tabasam G. An investigation into theanalgesic effects of different frequencies of theamplitude-modulated wave of interferentialcurrent therapy on cold-induced pain in normalsubjects. Arch Phys MedRehabil. 2003;84:1387–1394
- Hurley DA, McDonough SM, DempsterM,Moore AP. A randomized clinical trial ofmanipulative therapy and interferential therapyfor acute low back pain. Spine (Phila Pa 1976).2004; 29:2207–2216.
- Walker UA, Uhl M, Weiner SM, WarnatZ K,Lange-Nolde A, Dertinger H, Peter HH, JurenZSA . Analgesic and disease modifying effects ofinterferential current in psoriatic arthritis. Rheumatol Int. 2006; 26:904–907.
- Burch FX, Tarro JN, Greenberg JJ, Carroll WJ. Evaluating the benefits of patterned stimulationin the treatment of osteoarthritis of the knee: amulticenter, randomized, singleblind, controlledstudy with an independent masked evaluatorOsteoarthritis Cartilage. 2008 Aug; 16(8): 865-872.
- Gundog M, Atamaz F,Kanyilmaz S,Kirazli Y,Celepoglu G. Interferential Current Therapy inPatients with Knee Osteoarthritis: Comparisonof the Effectiveness of Different Amplitude-Modulated Frequencies. Am J Phy Med Rehab. 2012; 91(2):107–113.
- A Study of Efficacy of Neuromuscular Electrical Stimulation in Post Anterior Cruciate Ligament Reconstruction
Authors
1 Department of Physiotherapy, P.G.I.M.E.R., Chandigarh, PIN-160012, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 5, No 4 (2011), Pagination: 21-23Abstract
Introduction & Purpose of the StudySurgical reconstruction with the bone patellar tendon bone graft is most commonly performed surgery for Anterior cruciate ligament(ACL) injury, patient with ACL reconstruction have been reported to demonstrate a disproportionate loss of strength of quadriceps muscle, but commonly used knee extensor muscle strengthening strategies are contraindicated initially. The purpose of this study is to study the effect of neuromuscular electric stimulation with exercise protocol in rehabilitation of post ACL reconstruction.
Material & MethodsThe study design is experimental. The samples were taken from Department of Physiotherapy, PGIMER; Chandigarh .The patients with ACL reconstruction with bone patellar tendon bone graft were selected. For outcome four scales were used (Cincinnati knee rating system, Lysholm knee score, Lower extremity functional scale &Visual analogue scale). Also girth measurement, muscle power and ROM were taken to assess the progress of the patient. A number of 20 subjects, age group18-40years, were randomly selected for this study. Subjects were divided in two groups, one group (Group A) combined with neuromuscular electrical stimulation (NMES, interrupted direct current) & exercise while other (Group B) with exercise protocol only. For electrical stimulation Ionostim muscle stimulator (Physiomed electronic, Chennai, India) was used. The intensity was up to tolerable limit and surge was used. Neuromuscular electric stimulation for 15 min daily 6 days a week was given. The exercise time is of a one hour/day for six days a week. The duration of exercise was increased according to protocol with time interval. The entire patient (both groups) underwent 12 week rehabilitation program and assessed with specific scales at 8th and 12th week interval.The statistical analysis was done by using student’s t-test.
ResultsInter group analysis shows non significant result (p>0.05).
ConclusionOn the basis of the present study, it can be concluded that both the conventional treatment and conventional rehabilitation protocol with neuromuscular electrical stimulation are equally effective to regain the functional skills in post ACL reconstruction rehabilitation.