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Effects of Electrical Stimulation on Osteoarthritis of the Knee

Selfe, Terry Kit
Format
Thesis/Dissertation; Online
Author
Selfe, Terry Kit
Advisor
Elder, Lori
Taylor, Ann Gill
Xitao, Fan
Gansneder, Bruce
Abstract
Purpose: The purpose of this 12 week pilot study was to explore the effects of an electrical simulation device, the InterX 5000™, on pain and other symptoms in adults with osteoarthritis of the knee. Methods: This randomized, sham controlled, single blind clinical trial explored the effectiveness of InterX 5000™ therapy, when used in addition to usual care, on reducing symptoms of osteoarthritis of the knee. Participants were scheduled for 17 device sessions over 8 weeks, plus a Week 12 follow-up visit. Sample: Participants (N = 37) ranging in age from 50 to 91 years of age were recruited from the Charlottesville, Virginia area by local newspaper ads, flyers and brochures. Measures: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to measure knee pain, function, and stiffness. The primary outcome, knee pain, was also measured using an 11-point numeric rating scale. A patient global assessment of the degree to which arthritis impacted the participant was included. The SF-36 was used to measure health-related quality of life. Results: Repeated measures ANOVA revealed a statistically significant (p = .02) group by time interaction for the SF-36 Vitality scale. Simple contrast tests revealed a between group difference from Week 0 to Week 8 for Patient Global Assessment (p = .053). There was a main effect for time for the following: WOMAC pain, function, stiffness, and total; NRS average and worst pain; patient global assessment; and 4 of 8 SF-36 scales. The percent improvement in the active device group was comparable to that seen in larger studies with statistically significant differences between groups across time. Conclusions: Adjunctive InterX therapy was not shown to be statistically superior to sham therapy in reducing knee pain, dysfunction, or stiffness in participants with osteoarthritis of the knee. Even so, the patient assessment of overall impact of arthritis improved significantly more for the active versus sham device group. Further study of a larger sample using a three group design (active, sham, and standard care) with more frequent treatment over a longer intervention period is recommended. Use of a self-treatment device would make this more intensive treatment feasible. Research, Statistics, and Evaluation Curry School of Education University of Virginia Charlottesville, Virginia APPROVAL OF THE DISSERTATION This dissertation, "Effects of electrical stimulation on osteoarthritis of the knee", has been approved by the Graduate Faculty of the Curry School of Education in partial fulfillment of the requirements for the degree of Doctor of Philosophy. Name of Major Advisor, Bruce M. Note: Abstract extracted from PDF file via OCR.
Language
English
Published
University of Virginia, Curry School of Education, PHD, 2007
Published Date
2007-01-01
Degree
PHD
Notes
Digitization of this thesis was made possible by a generous grant from the Jefferson Trust, 2015. Thesis originally deposited on 2016-02-18 in version 1.28 of Libra. This thesis was migrated to Libra2 on 2017-03-23 16:33:34.
Collection
Libra ETD Repository
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