Effect of Extracorporeal Shockwave Therapy Versus Intra-articular Injections of Hyaluronic Acid for the Treatment of Knee Osteoarthritis
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
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 (p<0.01). There were no statistically significant differences measured at 1 and 3 months after treatment between the two groups (p>0.05).Conclusion The ESWT can be an alternative treatment to reduce pain and improve physical functions in patients with knee OA.
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 (p<0.01). There were no statistically significant differences measured at 1 and 3 months after treatment between the two groups (p>0.05).Conclusion The ESWT can be an alternative treatment to reduce pain and improve physical functions in patients with knee OA.
참고문헌 (32)
- Abramson SB, "Developments in the scientific understanding of osteoarthritis", Arthritis Res Ther, 11, pp.227~ (2009)
- Zhang W, "OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines", Osteoarthritis Cartilage, 16, pp.137~162 (2008)
- Roberts E, "Paracetamol: not as safe as we thought? A systematic literature review of observational studies", Ann Rheum Dis, 75, pp.552~559 (2016)
- Nguyen C, "Evidence and recommendations for use of intraarticular injections for knee osteoarthritis", Ann Phys Rehabil Med, 59, pp.184~189 (2016)
- Sofat N, "What makes osteoarthritis painful? The evidence for local and central pain processing", Rheumatology (Oxford), 50, pp.2157~2165 (2011)
- Wang CJ, "Extracorporeal shockwave therapy in musculoskeletal disorders", J Orthop Surg Res, 7, pp.11~ (2012)
- Revenaugh MS, "Extracorporeal shock wave therapy for treatment of osteoarthritis in the horse: clinical applications", Vet Clin North Am Equine Pract, 21, pp.609~625 (2005)
- Frisbie DD, "Evaluation of the effect of extracorporeal shock wave treatment on experimentally induced osteoarthritis in middle carpal joints of horses", Am J Vet Res, 70, pp.449~454 (2009)
- Zhao Z, "Extracorporeal shock-wave therapy reduces progression of knee osteoarthritis in rabbits by reducing nitric oxide level and chondrocyte apoptosis", Arch Orthop Trauma Surg, 132, pp.1547~1553 (2012)
- Ochiai N, "Extracorporeal shock wave therapy improves motor dysfunction and pain originating from knee osteoarthritis in rats", Osteoarthritis Cartilage, 15, pp.1093~1096 (2007)
- Wang CJ, "Extracorporeal shockwave shows regression of osteoarthritis of the knee in rats", J Surg Res, 171, pp.601~608 (2011)
- Wang CJ, "Extracorporeal shockwave therapy shows timedependent chondroprotective effects in osteoarthritis of the knee in rats", J Surg Res, 178, pp.196~205 (2012)
- Zhao Z, "Efficacy of extracorporeal shockwave therapy for knee osteoarthritis:a randomized controlled trial", J Surg Res, 185, pp.661~666 (2013)
- 김진홍, "The Dose-Related Effects of Extracorporeal Shock Wave Therapy for Knee Osteoarthritis", Annals of Rehabilitation Medicine, 39(4), pp.616~623 (2015), 대한재활의학회
- Sung Jun Cho, "Effects of Extracorporeal Shockwave Therapy in Chronic Stroke Patients With Knee Osteoarthritis: A Pilot Study", Annals of Rehabilitation Medicine, 40(5), pp.862~870 (2016), 대한재활의학회
- Elerian AE, "Effect of shock wave therapy versus corticosteroid injection in management of knee osteoarthritis", Int J Physiother, 3, pp.246~251 (2016)
- Altman R, "Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association", Arthritis Rheum, 29, pp.1039~1049 (1986)
- Kellgren JH, "Radiological assessment of osteo-arthrosis", Ann Rheum Dis, 16, pp.494~502 (1957)
- Telikicherla M, "Accuracy of needle placement into the intra-articular space of the knee in osteoarthritis patients for viscosupplementation", J Clin Diagn Res, 10, pp.RC15~17 (2016)
- Carlsson AM, "Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale", Pain, 16, pp.87~101 (1983)
- Bellamy N, "Validation study of a computerized version of the Western Ontario and McMaster Universities VA3.0 Osteoarthritis Index", J Rheumatol, 24, pp.2413~2415 (1997)
- Lequesne MG, "Indexes of severity for osteoarthritis of the hip and knee. Validation:value in comparison with other assessment tests", Scand J Rheumatol Suppl, 65, pp.85~89 (1987)
- Wright AA, "A comparison of 3 methodological approaches to defining major clinically important improvement of 4performance measures in patients with hip osteoarthritis", J Orthop Sports Phys Ther, 41, pp.319~327 (2011)
- Kennedy DM, "Assessing stability and change of four performance measures: a longitudinal study evaluating outcome following total hip and knee arthroplasty", BMC Musculoskelet Disord, 6, pp.3~ (2005)
- Maheu E, "Efficacy and safety of hyaluronic acid in the management of osteoarthritis:Evidence from real-life setting trials and surveys", Semin Arthritis Rheum, 45(4 Suppl), pp.S28~33 (2016)
- Hochberg MC, "American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee", Arthritis Care Res (Hoboken), 64, pp.465~474 (2012)
- Wang CJ, "Extracorporeal shockwave therapy shows a number of treatment related chondroprotective effect in osteoarthritis of the knee in rats", BMC Musculoskelet Disord, 14, pp.44~ (2013)
- Richette P, "Hyaluronan for knee osteoarthritis: an updated meta-analysis of trials with low risk of bias", RMD Open, 1, pp.e000071~ (2015)
- Altman RD, "The mechanism of action for hyaluronic acid treatment in the osteoarthritic knee: a systematic review", BMC Musculoskelet Disord, 16, pp.321~ (2015)
- Petrella RJ, "Effects of hyaluronate sodium on pain and physical functioning in osteoarthritis of the knee: a randomized, doubleblind, placebo-controlled clinical trial", Arch Intern Med, 162, pp.292~298 (2002)
- Sun SF, "Hyaluronate improves pain, physical function and balance in the geriatric osteoarthritic knee: a 6-month follow-up study using clinical tests", Osteoarthritis Cartilage, 14, pp.696~701 (2006)
- Marks R, "An investigation of the influence of age, clinical status, pain and position sense on stair walking in women with osteoarthrosis", Int J Rehabil Res, 17, pp.151~158 (1994)