Title: Comparative Study of Short Wave Diathermy and Therapeutic Exercise on Pain and Physical Functioning of Patients with Osteoarthritis Knee
Authors: Dr Sumit Roy Chowdhury, Prof. Dr A.A. Khan, Dr Md. Zahirul Hoque Bhuiyan, Dr Md. Saiful Alam, Dr Mohammad Amanul Hoque, Dr Mohamemd Abdur Rahim, Dr Khaled Bin Islam
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.66
Abstract
Introduction: Osteoarthritis (OA) is a chronic joint disorder in which there is a progressive softening and disintegration of articular cartilage accompanied by new growth of cartilage and bone at the joint margin (osteophytes) and capsular fibrosis. Heat especially deep heat (diathermy) is an appropriate adjunct in the treatment of those patients with chronic osteoarthritis. The physiological response to the thermal effect includes increase in the extensibility of collagen tissue, the pain threshold, the promotion of blood flow, and enhancement of the efficiency of the muscular activity. To maximize the functional capacity of patients with OA, comprehensive exercise programs that emphasize stretching, strengthening, flexibility exercise and reconditioning are recommended. The purpose of this study is to assess the value of short- wave diathermy and therapeutic exercise on pain and physical functioning of the patients with OA of knee.
Materials and Methods / Study Design: This randomized clinical trial was conducted in the department of physical medicine and rehabilitation, Chittagong medical college hospital from June to August, 2011. A total of 50 (fifty) patients were selected randomly for this study according to ACR selection criteria. The selected patients were divided into two groups - in group A. Patients were treated with ADLS instructions, NSAIDS and SWD and in group B, patients were treated with ADLS instruction, NSAIDS and TE. Each treatment session consists of 30 minutes for 6 weeks.
Results: In study group, age and sex did not show any significant variation. Assessment of pre-treatment & post- treatment pain and tenderness score of the study showed that group B had significant improvement than group a at the end of six weeks following treatment. Assessment of WOMAC pain, stiffness physical function subscale score shored that Group B had significant improvement than group A.
Conclusion: The results indicate that therapeutic exercise is better than shortwave dithery in OA knee.
Keyword: Therapeutic exercise, short wave diathermy, arthritis.
References
- Lone AR, Wafai ZA, Buth BA, Wani TA, Koul PA, Khan SH. Analgesic efficacy of transcutaneous electrical nerve stimulation compared with diclofenac sodium in osteoarthritis of the knee; Physiotherapy 2003 ; 89(8) : 478-485.
- Levy E, Ferme A, Perocheau D, Bono I, and Socioeconomic costs of osteoarthritis in France. Revre de Rheumatisme, 1993 ; 60 : 63-67.
- William J Koop man. Arthritis and allied conditions. A textbook of rheumatology, 13th Ed, Vol 1, 1997 : 20 13-2025.
- Lane NE Block DA, Jones HH’. Long distance mnning, bone densi and osteoarthrjtjs. Journal of Am Medical Ass 1986 ; 225: 1147-52.
- Kellgran JH, Lawrence JS. Osteoarthritis and disk degeneration in an urban population. Ann Rheum Dis 1958;17: 388-97.
- D. The Biology of osteoarthritis. N Engl. J Med 1989;320: 1322-29.
- Gerber LH. Jeane EH. Exercise in the rheumatic disease. In: Basmijian JV. Wolf SL, editors. Therapeutic exercise. 5th USA: Williams & Wilkins, 1990;333-50.
- Leach R E, Baumgard S, Broom J. Obesity: its relationship to osteoarthritis of the knee. Clin orthop 1973;93:271-73
- Hukission EC, Dieppe PA, Tucker AK, Cannel LB. Another Look at osteoarthitis. Ann Rheum Dis 1979:389:23-8.
- Hernhorg J S, Nilsson B E. The natural course of untreated osteoarthritis of the knee. Clin Orthop 1977;123:130-37.
- Nutt J, Anderson V, Peacock J, et al. DBS and diathermy interaction induces severe CNS damage. Neurology 2001; 56:1384-1386.
- Docker M, Basin S, Dyson M,et al. Guidelines for safe use of contin uous shortwave therapy equip ment. Physiotherapy 1992;78 :755-757
- Brady SJ, Brook S P, Conghan P, Kenyon L M. Pharmacotherapy and osteoartritis in Bailliere's clinical rheumatology 1997;11: 749-68.
- Jon M H, Lai J S, The effects of physiotherapy on osteoarthritic knees of females. J Formos Med Assoc 1991;90: 1008-13.
- Pnett D W, Griffin M R. Published trials of non- medicinnal and non- invasive therapies for hip and knee OA. Ann Intern Med 1994;121:133-40.
- Ettinger J H Jr, Burns R, et al A randomized trial comparing aerobic excrcise and resistance exercise with a health education program in older adults with knee OA. The Fitness Arthritis and Seniors Trial (FAST). JAMA 1997;277:25-31`