Ultrasound-guided genicular nerve block versus physical therapy for chronic knee osteoarthritis: a prospective randomised study
Abstract To compare the effectiveness of ultrasound-guided genicular nerve block (GNB) and physical therapy (PT) in patients with chronic knee osteoarthritis. A prospective randomised study with 102 patients (45–70 years) was performed wherein the patients received ultrasound-guided GNB (n = 51) and PT (n = 51) along with a standard home exercise programme. Scores for pain on a Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and 6-min walking test (6MWT) were assessed pre-treatment and at 2- and 12-weeks post-treatment. Both groups were comparable for sociodemographic characteristics. VAS scores (in mm) in the ultrasound-guided GNB group at 0, 2 and 12 weeks were 7.01 ± 1.36; 3.71 ± 2.18; 5.08 ± 2.22 (p < 0.001) and 6.64 ± 1.99; 4.35 ± 1.09; 5.25 ± 1.33, (p < 0.001) in the PT group. While the increase in the 6MWT test in the 2nd week was similar for both groups (p = 0.073), the increase in walking distance was greater in the ultrasound-guided GNB group at 12 weeks (p = 0.046). As compared to PT, ultrasound-guided GNB is beneficial in reducing pain and increasing functional and physical capacity, with greater retention of effects on the physical capacity seen at 12 weeks. Trial registration number: ClinicalTrials.gov (NCT04782401)..
Medienart: |
Artikel |
---|
Erscheinungsjahr: |
2022 |
---|---|
Erschienen: |
2022 |
Enthalten in: |
Zur Gesamtaufnahme - volume:42 |
---|---|
Enthalten in: |
Rheumatology international - 42(2022), 4 vom: 14. Feb., Seite 591-600 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Güler, Tuba [VerfasserIn] |
---|
Links: |
Volltext [lizenzpflichtig] |
---|
Themen: |
Knee joint |
---|
Anmerkungen: |
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022 |
---|
doi: |
10.1007/s00296-022-05101-8 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
OLC207831384X |
---|
LEADER | 01000caa a22002652 4500 | ||
---|---|---|---|
001 | OLC207831384X | ||
003 | DE-627 | ||
005 | 20230509190701.0 | ||
007 | tu | ||
008 | 221220s2022 xx ||||| 00| ||eng c | ||
024 | 7 | |a 10.1007/s00296-022-05101-8 |2 doi | |
035 | |a (DE-627)OLC207831384X | ||
035 | |a (DE-He213)s00296-022-05101-8-p | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
082 | 0 | 4 | |a 610 |q VZ |
100 | 1 | |a Güler, Tuba |e verfasserin |0 (orcid)0000-0002-7986-931X |4 aut | |
245 | 1 | 0 | |a Ultrasound-guided genicular nerve block versus physical therapy for chronic knee osteoarthritis: a prospective randomised study |
264 | 1 | |c 2022 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
338 | |a Band |b nc |2 rdacarrier | ||
500 | |a © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022 | ||
520 | |a Abstract To compare the effectiveness of ultrasound-guided genicular nerve block (GNB) and physical therapy (PT) in patients with chronic knee osteoarthritis. A prospective randomised study with 102 patients (45–70 years) was performed wherein the patients received ultrasound-guided GNB (n = 51) and PT (n = 51) along with a standard home exercise programme. Scores for pain on a Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and 6-min walking test (6MWT) were assessed pre-treatment and at 2- and 12-weeks post-treatment. Both groups were comparable for sociodemographic characteristics. VAS scores (in mm) in the ultrasound-guided GNB group at 0, 2 and 12 weeks were 7.01 ± 1.36; 3.71 ± 2.18; 5.08 ± 2.22 (p < 0.001) and 6.64 ± 1.99; 4.35 ± 1.09; 5.25 ± 1.33, (p < 0.001) in the PT group. While the increase in the 6MWT test in the 2nd week was similar for both groups (p = 0.073), the increase in walking distance was greater in the ultrasound-guided GNB group at 12 weeks (p = 0.046). As compared to PT, ultrasound-guided GNB is beneficial in reducing pain and increasing functional and physical capacity, with greater retention of effects on the physical capacity seen at 12 weeks. Trial registration number: ClinicalTrials.gov (NCT04782401). | ||
650 | 4 | |a Knee joint | |
650 | 4 | |a Nerve block | |
650 | 4 | |a Osteoarthritis | |
650 | 4 | |a Physical therapy modalities | |
650 | 4 | |a Ultrasound | |
700 | 1 | |a Yurdakul, Fatma Gül |0 (orcid)0000-0001-8630-9233 |4 aut | |
700 | 1 | |a Önder, Mustafa Erkut |0 (orcid)0000-0001-9349-9530 |4 aut | |
700 | 1 | |a Erdoğan, Faruk |0 (orcid)0000-0002-3372-8589 |4 aut | |
700 | 1 | |a Yavuz, Kaan |0 (orcid)0000-0002-4941-6432 |4 aut | |
700 | 1 | |a Becenen, Elif |0 (orcid)0000-0002-0980-342X |4 aut | |
700 | 1 | |a Uçkun, Aslı |0 (orcid)0000-0002-2492-4852 |4 aut | |
700 | 1 | |a Bodur, Hatice |0 (orcid)0000-0003-3008-7007 |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Rheumatology international |d Springer Berlin Heidelberg, 1981 |g 42(2022), 4 vom: 14. Feb., Seite 591-600 |w (DE-627)129098183 |w (DE-600)8286-7 |w (DE-576)014434903 |x 0172-8172 |7 nnns |
773 | 1 | 8 | |g volume:42 |g year:2022 |g number:4 |g day:14 |g month:02 |g pages:591-600 |
856 | 4 | 1 | |u https://doi.org/10.1007/s00296-022-05101-8 |z lizenzpflichtig |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a SYSFLAG_A | ||
912 | |a GBV_OLC | ||
912 | |a SSG-OLC-PHA | ||
912 | |a SSG-OLC-DE-84 | ||
951 | |a AR | ||
952 | |d 42 |j 2022 |e 4 |b 14 |c 02 |h 591-600 |