Effects of Transcutaneous Electrical Nerve Stimulation (Tens) and Therapeutic Ultrasound (US) Given Concurrently (Combination Therapy) Versus Consecutively on Pain and Disability in Patients with Osteoarthritis Knee- A Randomized Clinical Trial
DOI:
https://doi.org/10.37506/ijpot.v16i1.17746Keywords:
Osteoarthritis, Combination therapy, TENS, Therapeutic ultrasound.Abstract
Background : The severity of pain and disability due to osteoarthritis of the knee can lead to an
increase in replacement surgeries making conservative management important in improving quality
of life. By combining US and TENS, effects of both treatments can be achieved simultaneously also
making it time efficient.
Objective : To investigate the effects of combination therapy in reducing pain and disability in patients
with OA knee.
Method: 26 participants were recruited for the study and were randomly assigned into two groups.
Group A received TENS and US as combination therapy. Group B received TENS and US separately.
Both groups received the exercise program for 30 minutes per day for 10 days. The pain was measured
by using VAS and WOMAC. Physical function and stiffness was also assessed by using WOMAC scale
on the first and tenth day.
Results : Both the groups showed a significant difference in pain outcomes for VAS, physical function,
and stiffness in WOMAC (p<0.001) but there was no significant difference seen between the groups
(p= 0.5).
Conclusion : Both treatment modalities are safe and effective in reducing pain and disability in patients
with OA knee. Combination therapy had an added benefit of achieving the similar result in a shorter
period as compared to when given consecutively
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Copyright (c) 2021 Jisha Kuriakose, Leah Mohandas, Sudeep M. J. Pais
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.