Effect of Pulsed Electromagnetic Field and Pulsed Ultrasound in Treating Knee Osteoarthritis

Horus University

Status: Completed

Conditions: Ultrasound Therapy; Complications; Osteo Arthritis Knee

Treatments: Device: Sham Pulsed US & Electromagnetic field; Device: Pulsed Electromagnetic field; Device: Pulsed Ultrasound; Other: Traditional exercise program

Study type: Interventional

Funder types: Other

Identifiers

NCT05151432

Horus_MSc_2021

Details and patient eligibility

About

This study will be carried out to combine the effect of PEMF and PUT on pain, function, and ROM in patients with knee OA.

Full description

Osteoarthritis (OA) is one of the most frequent illnesses in the world, affecting the knee joint in particular. Osteoarthritis of the knee is the most common cause of physical limitations and a decline in quality of life. OA of the knee affects 250 million individuals worldwide (3.6 percent of the population). According to the World Health Organization's study on the global burden of illness, knee OA is expected to become the eighth-most

Ultrasound is one of the most often utilized and misunderstood treatment techniques. Ultrasound can help in the treatment or rehabilitation of musculoskeletal problems when utilized appropriately. When it is administered wrongly, however, the therapy provides little benefit at best, and at worst, the desired physiological effects are restricted or hindered.

Electrotherapy is frequently used for the treatment of different musculoskeletal disorders, The most common types of electrotherapy are ultrasound (US), iontophoresis, laser therapy, electromagnetic therapy, and transcutaneous electrical nerve stimulation (TENS). To our knowledge, no previous clinical trials have combined the effectiveness of PEMF and PUST in the treatment of knee OA. Therefore, this study will be conducted to combine the efficacy of PEMF and PUST in the treatment of knee osteoarthritis.

Enrollment: 80 patients

Sex: All

Ages: 40 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Subjects diagnosed with moderate unilateral knee OA according to the American College of Rheumatology criteria

   • Morning stiffness
   • Crepitus on knee motion
   • Bony tenderness
   • No palpable warmth.

2. a population of individuals (45-55 years old).

3. patients are not obese their body mass index (BMI) will be> 30kg/ m2.

4. with a diagnosis grade 2 radiographic severity according to the Kellgren/Lawrence scale. grading scale The severity of the disease was radiologically evaluated by an orthopedic knee specialist.

Exclusion criteria

Patients with the following criteria will be excluded from participating in this study:

1. if they had received an intra-articular injection of hyaluronic acid or corticoids during the six months prior to the study.
2. if they had a clinical history of orthopedic knee surgery, a skin disorder.
3. cardiovascular diseases, such as acute myocardial infarction, during the previous month, or uncontrolled arterial hypertension, acute-phase respiratory conditions.
4. or if they had been receiving another kind of physiotherapeutic treatment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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80 participants in 4 patient groups

Pulsed US + Exercise Group

Experimental group

Description:

Twenty subjects will receive PUT, plus an exercise program.

Treatment:

Other: Traditional exercise program

Device: Pulsed Ultrasound

Pulsed Electromagnetic + Exercise Group

Experimental group

Description:

Twenty subjects will receive PEMF, plus an exercise program.

Treatment:

Other: Traditional exercise program

Device: Pulsed Electromagnetic field

Pulsed US + Pulsed Electromagnetic + Exercise Group

Experimental group

Description:

Twenty subjects will receive PUT, PEMF, plus an exercise program.

Treatment:

Other: Traditional exercise program

Device: Pulsed Ultrasound

Device: Pulsed Electromagnetic field

Sham + Exercise group

Experimental group

Description:

Twenty subjects will receive sham PEMF and sham PUT plus exercises program.

Treatment:

Other: Traditional exercise program

Device: Sham Pulsed US & Electromagnetic field