Skip to main content

Advertisement

SpringerLink
Log in

Comparison of the efficacy of ketoprofen phonophoresis, ultrasound, and short-wave diathermy in knee osteoarthritis

  • Original Article
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

The present study aimed to compare the efficacy of three different deep heating modalities: phonophoresis (PH), short-wave diathermy (SWD), and ultrasound (US), in knee osteoarthritis. Patients who consented to participate in the study were randomly divided into the following three groups. Group 1 (n = 33) received PH, Group 2 (n = 33) received US, and Group 3 (n = 35) received SWD. These deep heating therapies were applied by the same therapist. Each therapy began with 20-min hot pack application. Each of the three physical therapy modalities was applied 5 days a week for 2 weeks (a total of 10 sessions). The patients were evaluated using visual analogue scale (VAS) at rest, 15-m walking time, and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) both before and after the treatment. Moreover, at the end of the treatment, both the physician and the patient made an overall evaluation, by rating the treatment efficacy. The results of the study showed that VAS, 15-m walking time, and WOMAC parameters were improved with all three deep heating modalities, and all the three modalities were effective. However, there was no significant difference between the three modalities in terms of efficacy. There was also no significant difference between the three groups in terms of post-treatment general evaluation of the physician and the patient. The present study is the first to suggest that choosing one of PH/US/SWD therapy options would provide effective results and none of them are superior to the others, and we believe that these findings will be a basis for further studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Centers for Disease Control and Prevention (CDC) (2001) Prevalence of disabilities and associated health conditions among adults—United States, 1999. MMWR Morb Mortal Wkly Rep 50(7):120–125

    Google Scholar 

  2. Centers for Disease Control and Prevention (CDC) (1994) Arthritis prevalence and activity limitations—United States, 1990. MMWR Morb Mortal Wkly Rep 43(24):433–438

    Google Scholar 

  3. Felson DT (1988) Epidemiology of hip and knee osteoarthritis. Epidemiol Rev 10:1–28

    CAS  PubMed  Google Scholar 

  4. Pelletier JP, Martel-Pelletier J, Howell DS (1997) Etiopathogenesis of osteoarthritis. In: Koopman WJ (ed) Arthritis and allied conditions: a textbook of rheumatology, 13th edn. Williams and Wilkins, Baltimore, pp 1969–1984

    Google Scholar 

  5. Basford JR (1998) Physical agents. In: DeLisa JA, Gans BM (eds) Rehabilitation medicine: principles and practice. Lippincott-Raven, Philadelphia, pp 483–503

  6. Klaiman MD, Shrader JA, Danoff JV, Hicks JE, Pesce WJ, Ferland J (1998) Phonophoresis versus ultrasound in the treatment of common musculoskeletal conditions. Med Sci Sports Exerc 30(9):1349–1355

    CAS  PubMed  Google Scholar 

  7. Sharma L (2002) Nonpharmacologic management of osteoarthritis. Curr Opin Rheumatol 14(5):603–607

    Article  PubMed  Google Scholar 

  8. Luksurapan W, Boonhong J (2013) Effects of phonophoresis of piroxicam and ultrasound on symptomatic knee osteoarthritis. Arch Phys Med Rehabil 94(2):250–255

    Article  PubMed  Google Scholar 

  9. Kozanoglu E, Basaran S, Guzel R, Guler-Uysal F (2003) Short term efficacy of ibuprofen phonophoresis versus continuous ultrasound therapy in knee osteoarthritis. Swiss Med Wkly 133(23–24):333–338

    CAS  PubMed  Google Scholar 

  10. Vlak T (1999) Comparative study of the efficacy of ultrasound and sonophoresis in the treatment of painful shoulder syndrome. Reumatizam 46(1):5–11

    CAS  PubMed  Google Scholar 

  11. Goats GC (1989) Pulsed electromagnetic (short-wave) energy therapy. Br J Sports Med 23(4):213–216

    Article  CAS  PubMed  Google Scholar 

  12. Shields N, Gormley J, O’Hare N (2002) Short-wave diathermy: current clinical and safety practices. Physiother Res Int 7(4):191–202

    Article  PubMed  Google Scholar 

  13. Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, Christy W, Cooke TD, Greenwald R, Hochberg M et al (1986) 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(8):1039–1049

    Article  CAS  PubMed  Google Scholar 

  14. Kellgren JH, Lawrence JS (1957) Radiological assessment of osteoarthrosis. Ann Rheum Dis 16(4):494–502

    Article  CAS  PubMed  Google Scholar 

  15. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15:1833–1840

    CAS  PubMed  Google Scholar 

  16. Tuzun EH, Eker L, Aytar A, Daskapan A, Bayramoglu M (2005) Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage 13:28–33

    Article  CAS  PubMed  Google Scholar 

  17. Faul F, Erdfelder E, Buchner A, Lang AG (2009) Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41:1149–1160

    Article  PubMed  Google Scholar 

  18. Akinbo SR, Aiyejusunle CB, Akinyemi OA, Adesegun SA, Danesi MA (2007) Comparison of the therapeutic efficacy of phonophoresis and iontophoresis using dexamethasone sodium phosphate in the management of patients with knee osteoarthritis. Niger Postgrad Med J 14(3):190–194

    CAS  PubMed  Google Scholar 

  19. Yang PF, Li D, Zhang SM, Wu Q, Tang J, Huang LK, Liu W, Xu XD, Chen SR (2011) Efficacy of ultrasound in the treatment of osteoarthritis of the knee. Orthop Surg 3(3):181–187

    Article  PubMed  Google Scholar 

  20. Ozgonenel L, Aytekin E, Durmusoglu G (2009) A double-blind trial of clinical effects of therapeutic ultrasound in knee osteoarthritis. Ultrasound Med Biol 35(1):44–49

    Article  PubMed  Google Scholar 

  21. Falconer J, Hayes KW, Chang RW (1992) Effect of ultrasound on mobility in osteoarthritis of the knee. A randomized clinical trial. Arthr Care Res 5(1):29–35

    Article  CAS  Google Scholar 

  22. Tascioglu F, Kuzgun S, Armagan O, Ogutler G (2010) Short-term effectiveness of ultrasound therapy in knee osteoarthritis. J Int Med Res 38(4):1233–1242

    Article  CAS  PubMed  Google Scholar 

  23. Huang MH, Lin YS, Lee CL, Yang RC (2005) Use of ultrasound to increase effectiveness of isokinetic exercise for knee osteoarthritis. Arch Phys Med Rehabil 86(8):1545–1551

    Article  PubMed  Google Scholar 

  24. Fukuda TY, Alves da Cunha R, Fukuda VO, Rienzo FA, Cazarini C Jr, Carvalho Nde A, Centini AA (2011) Pulsed shortwave treatment in women with knee osteoarthritis: a multicenter, randomized, placebo-controlled clinical trial. Phys Ther 91(7):1009–1017

    Article  PubMed  Google Scholar 

  25. Cetin N, Aytar A, Atalay A, Akman MN (2008) Comparing hot pack, short-wave diathermy, ultrasound, and TENS on isokinetic strength, pain, and functional status of women with osteoarthritic knees: a single-blind, randomized, controlled trial. Am J Phys Med Rehabil 87(6):443–451

    Article  PubMed  Google Scholar 

  26. Akyol Y, Durmus D, Alayli G, Tander B, Bek Y, Canturk F, Tastan Sakarya S (2010) Does short-wave diathermy increase the effectiveness of isokinetic exercise on pain, function, knee muscle strength, quality of life, and depression in the patients with knee osteoarthritis? A randomized controlled clinical study. Eur J Phys Rehabil Med 46(3):325–336

    CAS  PubMed  Google Scholar 

  27. Rattanachaiyanont M, Kuptniratsaikul V (2008) No additional benefit of shortwave diathermy over exercise program for knee osteoarthritis in peri-/post-menopausal women: an equivalence trial. Osteoarthritis Cartilage 16(7):823–828

    Article  CAS  PubMed  Google Scholar 

  28. Laufer Y, Zilberman R, Porat R, Nahir AM (2005) Effect of pulsed short-wave diathermy on pain and function of subjects with osteoarthritis of the knee: a placebo-controlled double-blind clinical trial. Clin Rehabil 19(3):255–263

    Article  CAS  PubMed  Google Scholar 

  29. Jan MH, Lai JS (1991) The effects of physiotherapy on osteoarthritic knees of females. J Formos Med Assoc 90(10):1008–1013

    CAS  PubMed  Google Scholar 

  30. Kalpakcioglu BA, Cakmak B, Bahadir C (2006) Comparison of ultrasound and short wave diathermy therapy in knee osteoarthritis. Turk J Phys Med Rehab 52:168–173

    Google Scholar 

  31. Felson DT, Zhang Y, Hannan MT, Naimark A, Weissman B, Aliabadi P, Levy D (1997) Risk factors for incident radiographic knee osteoarthritis in the elderly: the Framingham Study. Arthritis Rheum 40:728–733

    Article  CAS  PubMed  Google Scholar 

  32. Cooper C, Snow S, McAlindon TE, Kellingray S, Stuart B, Coggon D, Dieppe PA (2000) Risk factors for the incidence and progression of radiographic knee osteoarthritis. Arthritis Rheum 43:995–1000

    Article  CAS  PubMed  Google Scholar 

  33. Neogi T, Felson D, Niu J, Nevitt M, Lewis CE, Aliabadi P, Sack B, Torner J, Bradley L, Zhang Y (2009) Association between radiographic features of knee osteoarthritis and pain: results from two cohort studies. BMJ 339:b2844

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Harran University Medical School, Yenisehir Kampusu, 63100, Sanliurfa, Turkey

    Ahmet Boyaci, Ahmet Tutoglu & Rifat Aridici

  2. Department of Radiology, Harran University Medical School, Sanliurfa, Turkey

    Nurefsan Boyaci

  3. Department of Physical Medicine and Rehabilitation, Gaziantep University Medical School, Gaziantep, Turkey

    Irfan Koca

Authors
  1. Ahmet Boyaci
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ahmet Tutoglu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nurefsan Boyaci
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rifat Aridici
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Irfan Koca
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ahmet Boyaci.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Boyaci, A., Tutoglu, A., Boyaci, N. et al. Comparison of the efficacy of ketoprofen phonophoresis, ultrasound, and short-wave diathermy in knee osteoarthritis. Rheumatol Int 33, 2811–2818 (2013). https://doi.org/10.1007/s00296-013-2815-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-013-2815-z

Keywords

Search

Navigation