DICLOFENAC SODIUM PHONOPHORESIS VERSUS CONVENTIONAL THERAPEUTIC ULTRASOUND IN KNEE OSTEOARTHRITIS

AboElkhair, Ashraf M.S.; Elsayed, Wadida H.; Mohammad, Molham M.; Hassan, Hamada E.S.

doi:10.21608/svupts.2019.231047

DICLOFENAC SODIUM PHONOPHORESIS VERSUS CONVENTIONAL THERAPEUTIC ULTRASOUND IN KNEE OSTEOARTHRITIS

Document Type : Original research articles

Authors

¹ Physical therapist, Cairo University Hospitals, Egypt.

² Professor of Physical Therapy for Basic Science, Faculty of Physical Therapy, Cairo University, Egypt.

³ Assistant professor of Orthopedic Surgery, Faculty of Medicine, Cairo University, Egypt

⁴ Fellow and chief of orthopedic physiotherapy unit, Cairo University Hospitals, Egypt.

10.21608/svupts.2019.231047

Abstract

Purpose: to compare the effect of diclofenac sodium phonophoresis (DSPH) with
conventional therapeutic ultrasound (TUS) on knee OA. Subjects and methods: Fifty patients
(two groups) participated in this study. Group (A); consists of 25 patients (5 males, 20
females), with mean age 57 years, treated with TUS plus exercises. Group (B); consists of 25
patients (8 males, 17 females), with mean age 54 years, treated with DSPH plus exercises.
Each patient was assessed for knee pain intensity level and physical function using the
WOMAC score and knee flexion ROM using the digital inclinometer pretreatment,
posttreatment and follow up one month after treatment. Results: There were non-significant
differences among group (A) for WOMAC score, and significant only at posttreatment and
follow up compared to pretreatment for group (B) (P- value <0.003*). Significant differences
between posttreatment compared to pretreatment and follow up among group (A) for knee
flexion ROM (P- value <0.03*), and significant only between post and pretreatment for group < br />(B) (P- value = 0.000*). However, there was no significant difference between groups neither at
posttreatment nor at follow up. Conclusion: DSPH had improvement but not significant in
pain intensity level, physical function, and knee flexion ROM posttreatment but it had
no superior effect on TUS. Knee flexion ROM improved significantly posttreatment in both
groups, but only in PH the improvement sustained for one month after treatment. PH had long
term effect than TUS

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