Effect of different Intensity Electrotherapy on Functional Recovery in Patients with Knee Osteoarthritis

Abstract

Objective To explore the effects of different-intensity intermediate frequency therapy on functional recovery of patients with knee osteoarthritis.

Methods Three-band electromagnetic waves of constant amplitude intermediate frequency electrotherapy group (Group A), interference electrotherapy group (Group B) and modulated intermediate frequency electrotherapy group (Group C) were used to treat knee osteoarthritis (KOA) patients, 20 min/time, 1 time/day and 5 days/week for four weeks. Other rehabilitation items were performed the same way. The rehabilitation therapy were evaluated by VAS score, Timed Up and Go test and balance ability.

Results After 4 weeks of treatment, the treatment effects of the three groups were all significant compared with the pre-treatment. Among the three groups, the treatment effect of Group B was better than that of the other two groups, and there was no significant difference in the treatment effect between Group A and Group C.

Conclusion According to thee. g.results, it is possible that the interference current is of a great action depth, and the "endogenous" low-frequency modulated intermediate frequency current possesses the advantages of both low and intermediate frequency, so with the intermediate frequency current getting through the high resistance of skin, the current effect of the low and intermediate frequency in the deep part of the human body can be achieved.

Zusammenfassung

Fragestellung Untersuchung der Wirkungen von Mittelfrequenz-Elektrotherapie mit unterschiedlicher Intensität auf die Funktionswiederherstellung bei Patienten mit Gonarthrose.

Methode Patienten mit Gonarthrose erhielten Mittelfrequenz-Elektrotherapie mit elektromagnetischen Wellen (Drei-Band) mit konstanter Amplitude (Gruppe A), Interferenz-Elektrotherapie (Gruppe B) und modulierter Mittelfrequenz-Elektrotherapie (Gruppe C), jeweils 20 min/Sitzung, 1-mal täglich an 5 Tagen/Woche über einen Zeitraum von vier Wochen. Andere Rehabilitationsmaßnahmen wurden auf die gleiche Weise durchgeführt. Die Beurteilung der Rehabilitationsbehandlung erfolgte mittels VAS-Score, Timed Up and Go (TUG)-Test und Gleichgewichtsprüfung.

Ergebnisse Nach vierwöchiger Behandlung fanden sich in allen drei Gruppen signifikante Therapieeffekte gegenüber dem Zustand vor der Behandlung. Im Vergleich der drei Gruppen war der Behandlungseffekt in der Gruppe B besser als in den beiden anderen Gruppen, und es gab keinen signifikanten Unterschied in der Wirkung der Behandlung zwischen Gruppe A und Gruppe C.

Schlussfolgerung Die Ergebnisse weisen darauf hin, dass der Interferenzstrom eine große Wirktiefe aufweist und der „endogene“ niederfrequenzmodulierte Mittelfrequenzstrom die Vorteile von Nieder- und Mittelfrequenz vereint. Da der Mittelfrequenzstrom den hohen Widerstand der Haut durchdringt, kann mit Nieder- und Mittelfrequenz-Strom eine Tiefenwirkung erzielt werden.

Key words

different intensity - electrotherapy - knee osteoarthritis - vas - function recovery

Schlüsselwörter

unterschiedliche Intensität - Elektrotherapie - Gonarthrose - VAS - Funktionswiederherstellung

Publikationsverlauf

Eingereicht: 21. November 2022

Angenommen: 28. Februar 2023

Artikel online veröffentlicht:
04. April 2023

• References

• 1 Montiel Terrón V, Vitoria M, Lamo de Espinosa Vázquez de Sola JM. et al. Do we really improve life quality after total knee arthroplasty in patients with Parkinson's disease?. Arch Orthop Trauma Surg 2021; 141: 313-319 DOI: 10.1007/s00402-020-03644-8.
• 2 Devers BN, Conditt MA, Jamieson ML. et al. Does greater knee flexion increase patient function and satisfaction after total knee arthroplasty?. J Arthroplasty 2011; 26: 178-186 DOI: 10.1016/j.arth.2010.02.008.
• 3 Xuan J, Shao R. A commentary on "The efficacy and safety of extracorporeal shockwave therapy in knee osteoarthritis: A systematic review and meta-analysis" [Int J Surg. 2020 Jan 21; 75: 24-34]. Int J Surg 2022; 103: 106701 DOI: 10.1016/j.ijsu.2022.106701.
• 4 Han JH, Yang J-H, Bhandare NN. et al. Total knee arthroplasty after failed high tibial osteotomy: a systematic review of open versus closed wedge osteotomy. Knee Surg Sports Traumatol Arthrosc 2016; 24: 2567-2577 DOI: 10.1007/s00167-015-3807-1.
• 5 Rabelo NDDA, Lucareli PRG. Do hip muscle weakness and dynamic knee valgus matter for the clinical evaluation and decision-making process in patients with patellofemoral pain?. Braz J Phys Ther 2018; 22: 105-109 DOI: 10.1016/j.bjpt.2017.10.002.
• 6 Bartholdy C, Juhl C, Christensen R. et al. The role of muscle strengthening in exercise therapy for knee osteoarthritis: A systematic review and meta-regression analysis of randomized trials. Semin Arthritis Rheum 2017; 47 DOI: 10.1016/j.semarthrit.2017.03.007.
• 7 Suzuki Y, Iijima H, Tashiro Y. et al. Home exercise therapy to improve muscle strength and joint flexibility effectively treats pre-radiographic knee OA in community-dwelling elderly: a randomized controlled trial. Clin Rheumatol 2019; 38: 133-141 DOI: 10.1007/s10067-018-4263-3.
• 8 Kaya Mutlu E, Ercin E, Razak Ozdıncler A. et al. A comparison of two manual physical therapy approaches and electrotherapy modalities for patients with knee osteoarthritis: A randomized three arm clinical trial. Physiother Theory Pract 2018; 34: 600-612 DOI: 10.1080/09593985.2018.1423591.
• 9 Oka T, Ono R, Tsuboi Y. et al. Effect of preoperative sedentary behavior on clinical recovery after total knee arthroplasty: a prospective cohort study. Clin Rheumatol 2020; 39: 891-898 DOI: 10.1007/s10067-019-04849-y.
• 10 Rabe KG, Matsuse H, Jackson A. et al. Evaluation of the Combined Application of Neuromuscular Electrical Stimulation and Volitional Contractions on Thigh Muscle Strength, Knee Pain, and Physical Performance in Women at Risk for Knee Osteoarthritis: A Randomized Controlled Trial. PM R 2018; 10: 1301-1310 DOI: 10.1016/j.pmrj.2018.05.014.
• 11 Bruvoll M, Torstensen TA, Conradsson DM. et al Feasibility of high dose medical exercise therapy in patients with long-term symptomatic knee osteoarthritis. Physiother Theory Pract 2021; DOI: 10.1080/09593985.2021.1885086. 1-9. 10.1080/09593985.2021.1885086
• 12 Chen Z, Ye X, Wang Y. et al. The Efficacy of Backward Walking on Static Stability, Proprioception, Pain, and Physical Function of Patients with Knee Osteoarthritis: A Randomized Controlled Trial. Evid Based Complement Alternat Med 2021; 2021: 5574966 DOI: 10.1155/2021/5574966.
• 13 Chen Y-P, Huang Y-Y, Wu Y. et al. Depression negatively affects patient-reported knee functional outcome after intraarticular hyaluronic acid injection among geriatric patients with knee osteoarthritis. J Orthop Surg Res 2019; 14: 387 DOI: 10.1186/s13018-019-1419-z.
• 14 Tanaka S, Nishigami T, Wand BM. et al. Identifying participants with knee osteoarthritis likely to benefit from physical therapy education and exercise: A hypothesis-generating study. Eur J Pain 2021; 25: 485-496 DOI: 10.1002/ejp.1687.
• 15 Alcalde GE, Fonseca AC, Bôscoa TF. et al. Effect of aquatic physical therapy on pain perception, functional capacity and quality of life in older people with knee osteoarthritis: study protocol for a randomized controlled trial. Trials 2017; 18: 317 DOI: 10.1186/s13063-017-2061-x.
• 16 Chen H, Zheng X, Huang H. et al. The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study. BMC Musculoskelet Disord 2019; 20: 160 DOI: 10.1186/s12891-019-2521-4.
• 17 Atamaz FC, Durmaz B, Baydar M. et al. Comparison of the efficacy of transcutaneous electrical nerve stimulation, interferential currents, and shortwave diathermy in knee osteoarthritis: a double-blind, randomized, controlled, multicenter study. Arch Phys Med Rehabil 2012; 93: 748-756 DOI: 10.1016/j.apmr.2011.11.037.
• 18 Cai W, Xu D, Xiao A. et al. Comparing the efficacy of non-invasive physical therapy in improving pain and joint function of knee osteoarthritis: A protocol for systematic review and network meta-analysis. Medicine (Baltimore) 2021; 100: e25671 DOI: 10.1097/MD.0000000000025671.
• 19 Zhang QB, Zhou Y, Zhong HZ. et al. Effect of Stretching Combined With Ultrashort Wave Diathermy on Joint Function and Its Possible Mechanism in a Rabbit Knee Contracture Model. Am J Phys Med Rehabil 2018; 97: 357-363 DOI: 10.1097/PHM.0000000000000873.
• 20 Urquhart DM, Tobing JFL, Hanna FS. et al. What is the effect of physical activity on the knee joint? A systematic review. Medicine and science in sports and exercise 2011; 43: 432-442 DOI: 10.1249/MSS.0b013e3181ef5bf8.
• 21 Ma Y, Deie M, Iwaki D. et al. Balance ability and proprioception after single-bundle, single-bundle augmentation, and double-bundle ACL reconstruction. ScientificWorldJournal 2014; 2014: 342012 DOI: 10.1155/2014/342012.
• 22 Roos EM, Herzog W, Block JA. et al. Muscle weakness, afferent sensory dysfunction and exercise in knee osteoarthritis. Nat Rev Rheumatol 2011; 7: 57-63 DOI: 10.1038/nrrheum.2010.195.
• 23 Al-Khlaifat L, Okasheh R, Muhaidat J. et al. Perceptions and performance of exercise in people with knee osteoarthritis in the Middle East: are they different to countries in the developed world? A qualitative study in Jordan. Physiother Theory Pract 2022; 38: 55-66 DOI: 10.1080/09593985.2020.1728793.
• 24 San Martín-Mohr C, Cristi-Sánchez I, Pincheira PA. et al. Knee sensorimotor control following anterior cruciate ligament reconstruction: A comparison between reconstruction techniques. PloS one 2018; 13: e0205658 DOI: 10.1371/journal.pone.0205658.