Immediate Effects of Manual Therapy Versus TENS in Patients With Knee Osteoarthritis

NCT02947451 | Completed

• 1 other identifier: TCC_Isabel
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

Patients with knee Osteoarthritis have high prevalence of pain , requiring ever more precise interventions in their management. This study aims to investigate the immediate effects of manual therapy and TENS on pain in patients with knee Osteoarthritis. Knowledge of best interventions favors reducing spending on health and safety for the patient.

Conditions

Knee Osteoarthritis

Outcome Measures

Primary Outcomes (2)

• Pain intensity in Visual Analogic Scale

  It consists of 11 points, ranging from 0 ( no pain) to 10 ( maximum possible pain ), the volunteer instructed to quantify their knee pain present at the time of evaluation.

  Immediately

• Pressure Pain Threshold in Algometer

  They will be scored 7 points, the first being located at the apex of the patella, the second three cm medial to the apex of the patella, the third two centimeters higher than the second, the fourth two centimeters lower than the second, the fifth three centimeters lateral to the apex of the patella, the sixth two centimeters above the fifth and seventh two centimeters below the fifth. Participants will be instructed to report to the appraiser whenever the feeling in the stimulus site becomes clearly painful. There will be two measurements at each point, each starting from point 1 to 7. It shall be considered the average of each isolated point and the average of the averages of the points how test result.

  Immediately

Secondary Outcomes (3)

• Global Rating of Change Scale

  Immediately and 72 hours after intervention

• Pain intensity in Visual Analogic Scale 72 hours after intervention

  72 hours after intervention

• Pressure Pain Threshold in Algometer 72 hours after intervention

  72 hours after intervention

Study Arms (2)

Manual therapy

EXPERIMENTAL

In manual therapy group will be assigned a protocol with manual passive stretching for the quadriceps muscles, hamstrings, triceps surae, adductors and abductors of the hip; myofascial release peripatellar; joint mobilization grades 1 and 2 for tibiofemoral joint and femoro - patellar in the affected knee, in a single application.

Other: Manual Therapy

TENS

EXPERIMENTAL

In TENS group will be applied to continuous current mode, frequency 100Hz and pulse width of 50μs for 40 minutes in a single application.

Other: TENS

Interventions

Manual Therapy OTHER

In manual therapy group will be assigned a protocol with manual passive stretching for the quadriceps muscles, hamstrings, triceps surae, adductors and abductors of the hip; myofascial release peripatellar; joint mobilization grades 1 and 2 for tibiofemoral joint and femoro - patellar in the affected knee. Stretching, myofascial release and mobilizations will be held for 30 seconds, with three repetitions of each. The intervention will be applied only once.

Manual therapy

TENS OTHER

In TENS group will be applied to continuous current mode, frequency 100Hz and pulse width of 50μs for 40 minutes in a single application. The intensity will be defined by the patient, should the stimulus be considered intense, but pleasant to it.

Also known as: Transcutaneous electrical nerve stimulation

TENS

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Knee osteoarthritis diagnosed by clinical criteria established by the American College of Rheumatology and radiological criteria of Kelgren-Lawrence
• Age over 50 years
• Pain intensity above 2 on the VAS

You may not qualify if:

• Other systemic inflammatory disease
• Changes in sensitivity
• Use of anti-inflammatory steroids, tranquillizers and/or antidepressants in the last month
• Analgesic in last 24 hours
• Use of cardiac pacemaker

Sponsors & Collaborators

• Gabriel Peixoto Leão Almeida: lead

Study Sites (1)

Federal University of Ceara

Fortaleza, Ceará, 60430-160, Brazil

Location

Related Publications (25)

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MeSH Terms

Conditions

Osteoarthritis, Knee

Interventions

Musculoskeletal Manipulations; Transcutaneous Electric Nerve Stimulation

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Electric Stimulation Therapy; Analgesia; Anesthesia and Analgesia

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Master

Study Record Dates

• First Submitted: September 6, 2016
• First Posted: October 27, 2016
• Study Start: November 1, 2016
• Primary Completion: November 1, 2016
• Study Completion: November 1, 2018
• Last Updated: July 8, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)