Effect of Extracorporeal Shockwave Therapy Versus Intra-articular Injections of Hyaluronic Acid for the Treatment of Knee Osteoarthritis.
10.5535/arm.2017.41.5.828
- Author:
June Kyung LEE
1
;
Bong Yeon LEE
;
Woo Yong SHIN
;
Min Ji AN
;
Kwang Ik JUNG
;
Seo Ra YOON
Author Information
1. Department of Rehabilitation Medicine, Gwangju Veterans Hospital, Gwangju, Korea. standupmd@hanmail.net
- Publication Type:Original Article
- Keywords:
Knee osteoarthritis;
High-energy shock waves;
Hyaluronic acid
- MeSH:
High-Energy Shock Waves;
Humans;
Hyaluronic Acid*;
Injections, Intra-Articular*;
Knee*;
Ontario;
Osteoarthritis;
Osteoarthritis, Knee*;
Shock
- From:Annals of Rehabilitation Medicine
2017;41(5):828-835
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To evaluate and compare the effects and outcomes of extracorporeal shock wave therapy (ESWT) and intra-articular injections of hyaluronic acid (HA) in patients with knee osteoarthritis (OA). METHODS: Of the 78 patients recruited for the study, 61 patients met the inclusion criteria. The enrolled patients were randomly divided into two groups: the ESWT group and the HA group. The ESWT group underwent 3 sessions of 1,000 shockwave pulses performed on the affected knee with the dosage adjusted to 0.05 mJ/mm² energy. The HA group was administered intra-articular HA once a week for 3 weeks with a 1-week interval between each treatment. The results were measured with the visual analogue scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Lequesne index, 40-m fast-paced walk test, and stair-climb test (SCT). A baseline for each test was measured before treatment and then the effects of the treatments were measured by each test at 1 and 3 months after treatment. RESULTS: In both groups, the scores of the VAS, WOMAC, Lequesne index, 40-m fast-paced walk test, and SCT were significantly improved in a time-dependent manner (p<0.01). There were no statistically significant differences measured at 1 and 3 months after treatment between the two groups (p>0.05). CONCLUSION: The ESWT can be an alternative treatment to reduce pain and improve physical functions in patients with knee OA.
