Comparative Study of High TENS, Low TENS, Tramadol In Physiatric Management of Primary OA Knee.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Objectives: To compare the effectiveness and safety of High TENS, Low TENS and Tramadol in the management of OA Knee Study Design – Prospective randomized controlled parallel group study. Study Area – Osteoarthritis Clinic and OPD of Physical Medicine and Rehabilitation Deptt. IPGMER, SSKM, Hospital. Sample - Patients with bilateral symmetrical primary OA Knee attending Osteoarthritis Clinic and OPD of PMR. IPGMER, SSKM Hospital from November2008 – November2014. Patients were divided into 4 groups. • GR 1: life style modification, Exercise, Orthoses, Paracetamol • GR 2: above + High TENS • GR3: above for GR1 + Low TENS • GR4: above for GR1 + Tramadol(100mg controlled release BD) Outcome measures- VAS score for pain, WOMAC (pain, function), ROM by goniometry, Results- Pain is decreased in all groups significantly (p=0.000006). There is statistically no significant differences observed between groups. Discussion-High TENS, Low TENS and Tramadolis effective to alleviate symptoms of OA. • Conclusion- TENS has superior effect in Pain (VAS), Tenderness, and WOMAC (Pain) score. High TENS the best to control pain and stiffness and ultimately excellent to improve function. Low TENS and Tramadolis effective and safe for OA.
Authors and Affiliations
Dr. Partha Pratim Das, Dr. Swapan Mishra, Prof. (Dr) Rajesh Pramanik, Prof(Dr)Khetra Madhab Das, Prof(Dr)Pankaj Kumar Mandal, Prof(Dr)Pallab Das, Prof(Dr)Asim Kumar Palit
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