The Effect of Shock Wave Therapy as a New Modality for Treatment of Primary Knee Osteoarthritis

El-Sakka, Safaa Shebl; Hussein, Mervat Ismail; El-Barbary, Amal Mohamad; Rehan, Fahema Saad

doi:10.21608/ejhm.2019.29721

Cited by 4 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A study by Lizis et al investigated the effectiveness of ESWT on patients with KOA and reported an improvement in the physical function in those patients 28 . Similarly, El- Sakka et al reported the beneficial impact of shock wave therapy in enhancing the functional performance in patients with primary OA 39 . However, both of these studies included patients who were diagnosed with a lower grade (grade I-III) of OA on the Kellgren-Lawrence scale.…”

Section: Discussionmentioning

confidence: 91%

Effectiveness of extracorporeal shock wave therapy on functional ability in grade IV knee osteoarthritis – a randomized controlled trial

CP,

Jayaraman,

Babkair

et al. 2024

Sci Rep

View full text Add to dashboard Cite

Extracorporeal shockwave therapy (ESWT) is a non-invasive physical therapy intervention that has emerged in the recent past to address the upswing of osteoarthritis (OA). However, insufficient evidence is present to prove the efficacy of ESWT on grade IV knee osteoarthritis (KOA). The present study aimed to examine the effects of ESWT on functional ability in patients suffering from grade IV KOA. Thirty volunteers aged 45–60 years with grade IV primary KOA diagnosed by an orthopaedic surgeon based on the Kellgren-Lawrence score participated in the study. The participants were equally and randomly divided into two groups (i.e. experimental and control), with 15 participants in each group. The participants in the control group performed conventional physiotherapy (CPT) that included ultrasound therapy, isometric quadriceps, SLR and isometric hip adductor strengthening exercises. The participants in the experimental group received ESWT in addition to CPT. Lower extremity functional scale (LEFS) score was measured before and after the four weeks of intervention. In both groups, a statistically significant (p = 0.001) improvement in LEFS was observed. In the experimental groups, it improved by 81.92% and in the control groups by 48.15%. A statistically significant (p < 0.001) difference was observed in LEFS post-intervention values between both groups. As demonstrated by our trial results, the addition of ESWT to the CPT program will yield beneficial results in ameliorating the functional disability in patients with primary KOA (grade IV). Further studies are needed to confirm and apply these findings to a larger cohort.

show abstract

Section: Discussionmentioning

confidence: 91%

Effectiveness of extracorporeal shock wave therapy on functional ability in grade IV knee osteoarthritis – a randomized controlled trial

CP,

Jayaraman,

Babkair

et al. 2024

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Second, only 1 treatment protocol was selected in our study. There has been several studies [6,[23][24][25][26][27][28][29][39][40][41][42][43][44][45] on the ESWT on human knee OA, in which at least 14 different ESWT treatment protocols were chosen. Therefore, more investigation is required in order to determine the optimal protocol of ESWT on knee OA, considering dose, frequency, intensity, and location.…”

Section: Discussionmentioning

confidence: 99%

Effects of extracorporeal shockwave therapy for mild knee osteoarthritis: A pilot study

Choi,

Jeon,

Choi

et al. 2023

Medicine

View full text Add to dashboard Cite

Background: Extracorporeal shockwave therapy (ESWT) has been widely used for various musculoskeletal disorders, including knee osteoarthritis (OA), and has been shown in several studies to be a safe treatment. Although some studies have confirmed the pain-relieving effect of ESWT for knee OA, research on objectivity for structural changes in knee OA is lacking. The aim of this study was to evaluate the ESWT treatment mechanisms in patients with knee OA by means of clinical symptoms and ultrasound techniques as objective measures. Methods: Eighteen patients with mild knee OA were enrolled and randomized to 1 of 2 treatment groups: active or sham. Patients in the experimental group received 0.05 mJ/mm² total energy with 1000 pulses weekly for 3 weeks. We then assessed them before, immediately after, and 1-month after the last treatment using the following measurements: pain on a visual analog scale, Western Ontario and McMaster Universities Osteoarthritis Index, Lequesne index, knee joint range of motion, and ultrasonographic features (articular cartilage thickness, Doppler activity, and joint effusion height). Results: All 18 patients completed the 3 treatment sessions without any complication. Both the experimental and control groups improved in terms of OA symptoms, as measured by the visual analog scale, Western Ontario and McMaster Universities Osteoarthritis Index score, and Lequesne index (P < .05). The height of the suprapatellar effusion decreased with time course in the experimental group (P < .05) and showed significant differences with control group at 1-month follow-up (P < .05). The experimental group showed an increase in knee flexion range of motion and Doppler activity immediately following the last treatment session (P < .05), but the effect was not sustained at the 1-month follow-up. Conclusions: Although the therapeutic activity itself could improve OA symptoms, objective improvements were only observed after ESWT. Suprapatellar effusion height was reduced after ESWT and the effect was maintained after 1-month. Our results suggest that ESWT may be effective in reducing suprapatellar effusion and improving symptoms in mild knee OA. However, studies with a larger sample size are required.

show abstract

Extracorporeal shockwave therapy improves pain and function in subjects with knee osteoarthritis: A systematic review and meta-analysis of randomized clinical trials

Avendaño‐Coy

Comino-Suárez

Grande-Muñoz³

et al. 2020

International Journal of Surgery

View full text Add to dashboard Cite

The Effect of Shock Wave Therapy as a New Modality for Treatment of Primary Knee Osteoarthritis

Cited by 4 publications

References 7 publications

Effectiveness of extracorporeal shock wave therapy on functional ability in grade IV knee osteoarthritis – a randomized controlled trial

Effectiveness of extracorporeal shock wave therapy on functional ability in grade IV knee osteoarthritis – a randomized controlled trial

Effects of extracorporeal shockwave therapy for mild knee osteoarthritis: A pilot study

Extracorporeal shockwave therapy improves pain and function in subjects with knee osteoarthritis: A systematic review and meta-analysis of randomized clinical trials

Contact Info

Product

Resources

About