Proloterapi uygulanan diz osteoartritli hastalarda derin ısıtıcının(kısa dalga diatermi) ağrı, fonksiyonellik ve yaşam kalitesi üzerine etkisi: Prospektif, randomize, plasebo kontrollü, çift kör çalışma

Objective: In this double-blind randomized controlled trial we aimed to investigate the effectiveness of short-wave diathermy(SWD) implementation following injections of dextrose prolotherapy on pain, functionality and quality of life in patients with knee osteoarthritis. Material and Method: 37 , Kellgren-Lawrence(K-L) grade 2-3, patients with knee osteoarthritis in our hospital were included. Patients were randomized into two groups; Group 1: Prolotherapy + SWD (intervention group)(n:18), Group 2 : Prolotherapy + sham SWD (control)(n:19). Intra-articular(% 15 dextrose) and peri-articular(% 25 dextrose) injections were performed at 0. 3. and 6. weeks. SWD were applied to the patients after each injection. Additionally, all participants received quadriceps strengthening exercises. Outcome measures were VAS(Visual Analog Scale), WOMAC(Western Ontario and McMaster Universities Osteoarthritis Index) and SF-36(Short Form). Patients were assessed pre and post-intervention. Findings: Both groups showed significant improvement at VAS and WOMAC scores over time. The items of the SF-36 quality of life questionnaire showed statistically significant improvement in the aspects physical functioning , pain , emotional role, general health and social functioning compared with baseline status(P0,05). There was no statistically significant change in the scores of vitality, mental health and physical role(P>0,05). There wasn't any significant differences between groups in any outcome measures(P>0,05). Conclusion: In this study, both groups had significant improvement at pain, functionality and quality of life but there wasn't any significant differences between groups. It is difficult to draw definitive conclusions about the positive contribution of SWD. Therefore, future research is needed larger sample size, comparing dextrose prolotherapy with other treatment options for knee OA and high-quality RCTs. ; Amaç: Diz osteoartritinde Proloterapi uygulamasına ek olarak Kısa Dalga Diatermi tedavisinin ağrı, fiziksel fonksiyon ...