Effect of Extracorporeal Shockwave Therapy Versus Intra-articular Injections of Hyaluronic Acid for the Treatment of Knee Osteoarthritis
Annals of Rehabilitation Medicine
;
: 828-835, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-60209
ABSTRACT
OBJECTIVE:
To evaluate and compare the effects and outcomes of extracorporeal shock wave therapy (ESWT) and intra-articular injections of hyaluronic acid (HA) in patients with knee osteoarthritis (OA).METHODS:
Of the 78 patients recruited for the study, 61 patients met the inclusion criteria. The enrolled patients were randomly divided into two groups the ESWT group and the HA group. The ESWT group underwent 3 sessions of 1,000 shockwave pulses performed on the affected knee with the dosage adjusted to 0.05 mJ/mm² energy. The HA group was administered intra-articular HA once a week for 3 weeks with a 1-week interval between each treatment. The results were measured with the visual analogue scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Lequesne index, 40-m fast-paced walk test, and stair-climb test (SCT). A baseline for each test was measured before treatment and then the effects of the treatments were measured by each test at 1 and 3 months after treatment.RESULTS:
In both groups, the scores of the VAS, WOMAC, Lequesne index, 40-m fast-paced walk test, and SCT were significantly improved in a time-dependent manner (p0.05).CONCLUSION:
The ESWT can be an alternative treatment to reduce pain and improve physical functions in patients with knee OA.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ontário
/
Osteoartrite
/
Choque
/
Ondas de Choque de Alta Energia
/
Osteoartrite do Joelho
/
Ácido Hialurônico
/
Injeções Intra-Articulares
/
Joelho
Limite:
Humanos
País/Região como assunto:
América do Norte
Idioma:
Inglês
Revista:
Annals of Rehabilitation Medicine
Ano de publicação:
2017
Tipo de documento:
Artigo
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