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The Comparison of the Effects of Electrical Stimulation and Exercise in the Treatment of Knee Osteoarthritis

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Author(s): Ömer Kocaman | Halil Koyuncu | Ahmet Dinç | Halime Toros | Şafak S. Karamehmetoğlu

Journal: Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi
ISSN 1302-0234

Volume: 54;
Issue: 2;
Start page: 54;
Date: 2008;
Original page

Keywords: Knee osteoarthritis | exercise | electrical stimulation

ABSTRACT
Objective: Pain is the the main symptom of knee osteoarthritis. Pain causes immobilisation, limitation in the range of motion (ROM) and periarticular muscle spasm through reflex inhibition. Consequently, patients develop weakness and atrophy in the quadriceps muscle. In this study, the effect of isometric exercises and electrical stimulation was compared on patients with knee osteoarthritis. Materials and Methods: Thirty-eight patients were separated into two groups randomly. In the first group; the combination of paracetamol + infrared + electrical stimulation (20 times, once a day) treatment was applied. In the second group; the combination of paracetamol + infrared + active resistive isometric exercises (20 times, once a day) treatment was applied. The evaluations performed include pre and post-treatment pain, active ROM, thigh circumference measurements, activity time and WOMAC and Lequesne indices. Cross-sections of rectus femoris muscle were measured quantitatively by computerized tomography before and after the treatment. Clinical and radiological findings were evaluated for both groups.Results: Statistically a significant improvement was observed in all of the parameters for both of the groups (p
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