Observation on the therapeutic effect of transcutaneous electrical nerve stimulation combined with mobilization with movement in the treatment of knee osteoarthritis
- VernacularTitle:经皮神经电刺激联合动态关节松动术对膝骨关节炎疗效观察
- Author:
Lin CUI
1
;
Haiqing LI
1
;
Yutong CHEN
1
;
Jiaxuan ZHU
1
;
Luyi WANG
1
Author Information
- Publication Type:Journal Article
- Keywords: osteoarthritis,knee; transcutaneous electric nerve stimulation therapy; mobilization with movement; musculoskeletal ultrasound; bone metabolism
- From: Tianjin Medical Journal 2025;53(12):1285-1289
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the effects of transcutaneous electrical nerve stimulation(TENS)combined with mobilization with movement(MWM)on clinical efficacy,musculoskeletal ultrasound findings and bone metabolism indicators in patients with knee osteoarthritis(KOA).Methods Ninety KOA patients were collected and randomly divided into the control group(conventional rehabilitation+TENS,n=45)and the observation group(conventional rehabilitation+TENS+MWM,n=45)using a random number table.Clinical efficacy,knee joint function,musculoskeletal ultrasound indices and bone metabolism indices were compared between the two groups.Results The clinical efficacy of the observation group was superior to that of the control group(P＜0.05).At 2 and 6 months post-treatment,Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)were significantly lower in the observation group than those of the control group,and Lysholm Knee Scoring Scale scores were higher in the observation group than those of the control group(P＜0.05).Additionally,articular cartilage thickness,bone gla protein(BGP)and bone-specific alkaline phosphatase(BALP)were higher in the observation group than those of the control group,and synovial thickness,suprapatellar effusion and tartrate-resistant acid phosphatase 5b(TRACP-5b)were lower in the observation group than those of the control group(P＜0.05).Conclusion TENS combined with MWM in the treatment of KOA patients can not only improve knee joint function but also optimize musculoskeletal ultrasound indices and regulate bone metabolism indices.
