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Interferential current is widely used as a popular treatment in painful musculoskeletal disorders. And total knee arthroplasty patients present with extreme pain immediately after surgery. So this study is aimed to investigate the effectiveness of interferential current implementation following total knee arthroplasty surgery. In this study interferential current compared with sham interferential current . Patients were assessed with pain, range of motion , edema and the amount of used paracetamol.
A total of 132 patients ranging in 60-85 years who were undergoing their first total knee arthroplasty due to knee OA were recruited into a randomized, double-blind, prospective and controlled study. Participants were recruited at the Orthopedics and Traumatology inpatient clinic. The patients were seen postoperative first day and were assigned to receive either interferential current or sham interferential current by block randomization. After the procedure was explained to each subject, interferential current treatment was applied 2 times for 5 days, each treatment was continued approximately 30 minutes. Four electrodes were used to deliver quadripolar interferential current Subjects were told that in order to produce an effect, the intensity of the stimulator must be maintained at a "strong but comfortable level" at all times. The sham interferential current treatment consisted of the placement of the same pads for the same time but no electrical stimulation was applied to the probes. At the same time, all patients received standard postoperatively rehabilitation program. Patients were assessed with pain, range of motion , edema and the amount of used paracetamol.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interferential Current Treatment | Active Comparator | Interferential Current group received interferential current treatment 30 minutes, 2 times a day for 5 days after the surgery. |
|
| Sham Interferential Current Treatment | Sham Comparator | In the sham interferential Current treatment, no electrical stimulation was applied to the probes with the same pads for the same time. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interferential Current | Device |
| ||
| Sham Interferential Current |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Pain from baseline measured by visual analog scale | Pain intensity that was measured by visual analog scale (minimum score:0; maximum score:100)(higher values represent worse outcome) | Change in pain measured 5th and 30th days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Range of Motion from baseline | The measurement of the range of the motion was performed by a goniometer of active extension and flexion (higher values represent better outcome) | Change of Range of Motion measured 5th and 30th days after surgery |
| Change of Edema from baseline |
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Inclusion Criteria:
•Patients who underwent total knee arthroplasty surgery
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| mehmet r kadı, MD | Ege University School of Medicine | Principal Investigator |
| Simin Hepguler, prof | Ege University School of Medicine | Study Director |
| Funda C Atamaz, prof | Ege University School of Medicine | Study Chair |
| Emine Dede, md | Ege University School of Medicine | Study Chair |
| Semih Aydogu, prof | Ege University School of Medicine | Study Chair |
| Kemal AktuÄŸlu, prof | Ege University School of Medicine | Study Chair |
| Nadir Ozkayın, prof | Ege University School of Medicine | Study Chair |
| Cihat Ozturk, prof | Ege University School of Medicine | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ege University School of Medicine Hospital | Izmir | Bornova | 35030 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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| Device |
|
Edema as a change in circumference from the preoperative value was measured by a meter (higher values represent worse outcome) |
| Change of Edema measured 5th and 30th days after surgery |
| Amount of used paracetamol | the paracetamol intake was recorded as gr. (higher values represent worse outcome) | 5th and 30th days after surgery |