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The Efficacay of Exercise and Alternative Applications of Neuromuscular Electrical Stimulation on Pain and Function in Patients with Knee Osteoarthritis
Author(s):
Aktay Ekin (Turkey)
,
Aktay Ekin (Turkey)
Affiliations:
Analay Akbaba Yildiz
,
Analay Akbaba Yildiz
Affiliations:
Kaynak G.
Kaynak G.
Affiliations:
ESSKA Academy. Aktay E. 05/09/18; 209633; P11-1308 Topic: Knee
Ekin Aktay
Ekin Aktay
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Abstract
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Objectives: The aim of the study was to investigate the efficacy of exercise and different sized electrodes of neuromuscular electrical stimulation (NMES) applications on pain, range of motion (ROM), msucle strength, function status and depression in knee osteoarthritis.

Methods: 51 voluntary patients were included in the study and these patients divided into three groups randomly. For Group 1 only exercise, for Group 2 simultaneously active contraction with NMES, for Group 3 simultaneously active contraction with NMES with large electrodes applied for 3 days per week, 18 session. Pain was measured with Visual analog Scale (VAS), ROM was measured with digital goniometer, muscle strength was measured with "Hand-held" dynamometer (Lafayette Instrument®, Lafayette, IN), functional status were measured with WOMAC (Western Ontario and McMaster Universities) Index and stair climbing test, balance was analysed with one leg standing test, depression was scored with Hospital Anxiety Depression Scale and patients satisfaction was scored with Global Rating Change Scales. The cases evaluated before and after treatment.

Results: There was no statistically significant difference between the sociodemographic and clinical caracteristics of the groups, except age of patients, before treatment (p>0,05). There was statistically significant improvement in pain, ROM, Functional status and depression in both three groups after treatment (p<0,05). In VAS Activity Score there was increase in the groups of NMES applications especially in the group of NMES application with large electrodes and this change was statistically significant (p<0,05).

Conclusions: This study cocluded with improvement in pain, ROM, functional status and depression in all groups. But treatments was as effective as in all groups.

Keywords:
Knee Osteoarthritis, Neuromuscular Electrical Stimulation, Exercise, Pain, Function
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