الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Extracorporeal shock wave therapy (ESWT) considered as a conservative treatment of knee osteoarthritis (OA) in recent years. Purpose: was to determine and compare between low and medium energy radial shock wave on pain, knee physical function and proprioception in knee OA. Method: Forty five subjects (26 females and 19 male) with knee osteoarthritis grade 3 according to kelgren and Lawrence classification participated in this study, their age ranged from 45 to 55 years old, were randomly assigned into three equal groups, group ”A” consisted of 15 subjects (9 females and 6 males), their mean age are (50.4± 3.4) years, weight (86.9± 10.5) kg., height (168.3± 8.9) cm and BMI (30.7±3.5) kg/m2, they received low energy radial shock wave therapy plus strengthening exercises once per week for four weeks, group ”B consisted of 15 subjects (10 females and 5 males), their mean age are (49.9± 2.6) years, weight (88.6± 10) kg., height (167.4± 9.5) cm. and BMI (31±2.4) kg/m2, they received medium energy radial shock wave therapy plus strengthening exercises once per week for four weeks and group ”C” (control group) consisted of 15 subjects (7 females and 8 males), their mean age are (49.7± 3.1) years, weight (87.3± 9.7) kg., height (167.6± 8.1) cm. and BMI (31.1±3) kg/m2, they received sham shock wave plus strengthening exercises once per week for four weeks. Assessments of pain by visual analogue scale, knee physical function by Arabic version of the knee injury and osteoarthritis outcome score physical function short form and knee proprioception by Isokinetic dynamometer were performed before and at the end of the treatment program. Results: within group analysis revealed significant difference in pain, knee physical function and proprioception in group A and B before and after the treatment program as p value {u02C2} 0.05, and between group analysis revealed significant difference in all variables after treatment in favor to group B, as p value {u02C2} 0.05. Conclusion: Low and medium energy radial shock wave therapy are effective modalities for treating Knee OA with superior effect of medium energy radial shock wave therapy |