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IRCT201608044641N12 IRCT 2017-02-06 Physical Medicine and Rehabilitation Research Center of Tabriz Effectiveness of Extra corporal Shock Wave therapy in the treatment of Knee Arthritis Clinical Trial to comparison the effectiveness of Extra Corporal Shock Wave Therapy and other conventional physiotherapy interventions on the amount of knee pain in patients With Moderate knee Osteoarthritis 2016-10-22 anticipated 120 Complete https://irct.ir/trial/4977 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. 2 Moderate knee osteoarthritis. Intervention 1: The control group will receive just exercise programs. Exercise program consists of strengthening exercise for quadriceps muscle, Isometric exercise with and without weight, weight bearing exercise inside and outside the water. Intervention 2: Intervention group 1: The patients will receive Shock Wave Therapy for the affected knee at the site with maximum pain amount in sitting position, flexion of knee joint and abduction and external rotation of hip joint, during 3 weeks; 2000 shock/session; 5 session; energy level 2-4; pulse rate 160/min; 6-10 Hz; density 0.18 mj/mm2; with zimmer shokwave device, made in Germany. Intervention 3: Group intervention 2:The patients will receive conventional physiotherapy interventions for 10 sessions which is consisted of 1) Hot Pack at 74.5 degrees centigrade for 20 minutes, at the knee region with maximum pain; and 2) TENS: pulse duration 20-100 Microsecond; 50% duty cycle; continuous amplitude at the maximum pain region of affected knee; frequency<200pps, and 3) Ultra Sound: 1MHz Frequency; intensity of 2.5 W/cm2; pulse at duty cycle of 25%; for 10 minute.
public Dr Razieh Ahmadi
Emam Reza Hospital, Golgasht street,Tabriz .
Tabriz Iran (Islamic Republic of) 5166614756 +98 41 3337 3967 ahmadi.dr62@gmail.com Tabriz University of Medical Science scientific Dr Bina Eftekhar Sadat
Emam Reza Hospital, Golgasht street, Tabriz.
Tabriz Iran (Islamic Republic of) 5166614756 +98 41 3337 3967 binasadat@yahoo.com Tabriz University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: patients with moderate knee osteoarthritis grade 2 and 3, based on kellegren &Lawrence scale; patients at the age of 50-70 years. Exclusion criteria: patients with rheumatologic disorders such as rheumatoid arthritis; past medical history of surgery on knee joints; past medical history of fracture in lower limbs with involvement of articular surface of knees; mild and sever knee osteoarthritis ( 1 and 4 radiological scale); patients with electrical implants such as pace makers; past medical history of conduction block cardiac disease; patients with epileptic disorders; patients with pregnancy; patients with deep vein thrombosis; past medical history of intra-articular injections since 6 month ago and systemic corticosteroid drugs consumption since 1 month ago; patients with balance disturbance; patients with neuropathy and sensory impairments; existence of any skin lesions around the knee joints; BMI above 30; patients who are unable to complete the questionnaire and procedures. 50 years 70 years Both M17 Gonarthrosis [arthrosis of knee] Other Other Other The control group will receive just exercise programs. Exercise program consists of strengthening exercise for quadriceps muscle, Isometric exercise with and without weight, weight bearing exercise inside and outside the water. Intervention group 1: The patients will receive Shock Wave Therapy for the affected knee at the site with maximum pain amount in sitting position, flexion of knee joint and abduction and external rotation of hip joint, during 3 weeks; 2000 shock/session; 5 session; energy level 2-4; pulse rate 160/min; 6-10 Hz; density 0.18 mj/mm2; with zimmer shokwave device, made in Germany Group intervention 2:The patients will receive conventional physiotherapy interventions for 10 sessions which is consisted of 1) Hot Pack at 74.5 degrees centigrade for 20 minutes, at the knee region with maximum pain; and 2) TENS: pulse duration 20-100 Microsecond; 50% duty cycle; continuous amplitude at the maximum pain region of affected knee; frequency<200pps, and 3) Ultra Sound: 1MHz Frequency; intensity of 2.5 W/cm2; pulse at duty cycle of 25%; for 10 minute. The amount of Pain. Timepoint: Time zero(baseline), 3weeks later,7 weeks later. Method of measurement: Visual Analog Scale. Knee range of motin. Timepoint: Time zero (baseline),3weeks later,7 weeks later. Method of measurement: Goniometer. Knee function. Timepoint: Time zero (baseline),3weeks later,7 weeks later. Method of measurement: WOMAC questionnaire. HSCRP level. Timepoint: Time zero (baseline),final evaluation at week 7. Method of measurement: laberatory kit. Physical Medicine and Rehabilitation Research Center of Tabriz Approved 2016-07-04 Ethics comittee of Tabriz University of Medical Sciences Central building number2 (third floor), Tabriz University of Medical Sciences, Golgasgt street,Tabriz. Tabriz Iran (Islamic Republic of)