Document Detail


Transcutaneous pulsed radiofrequency treatment in patients with painful knee awaiting total knee joint replacement.
MedLine Citation:
PMID:  20473051     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Our study was designed to determine if transcutaneous-pulsed radiofrequency treatment (TCPRFT) was able to reduce the pain experienced by patients awaiting total knee joint replacement (TKJR). We conducted a randomized, double-blinded, placebo controlled trial of TCPRFT in patients referred for TKJR to our hospital's Orthopedic Outpatient Clinic. METHODS: Patients on the waiting list for assessment for TKJR were invited to participate and were examined in the clinic if they satisfied the inclusion criteria. Patients were randomized to receive active or sham TCPRFT. The alteration in pain and function of the treated knee after a single TCPRFT was assessed at examination at 1 and 4 weeks using visual analog pain score (VAS) at rest and after 20 and 400 m walks. RESULTS: The results of 50 patients showed a statistically significant reduction in VAS at 1 and 4 weeks compared with baseline in the group who received active treatment. We also demonstrated what is considered a clinically significant improvement in this group that became more pronounced at week 4 compared with week 1 and also more after a 400 m walk compared with a 20 m walk. Maximum improvement observed in group data was 19/100 VAS. Patients receiving sham treatment showed no statistically significant improvement. DISCUSSION: We believe this to be the first report of a controlled study of TCPRFT. This pilot study shows a benefit of the technique that justifies future research.
Authors:
Murray G Taverner; Tarin L Ward; Terence E Loughnan
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Clinical journal of pain     Volume:  26     ISSN:  1536-5409     ISO Abbreviation:  Clin J Pain     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-17     Completed Date:  2010-08-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507389     Medline TA:  Clin J Pain     Country:  United States    
Other Details:
Languages:  eng     Pagination:  429-32     Citation Subset:  IM    
Affiliation:
Department of Medicine, Peninsula Health, Frankston Hospital, Victoria, Australia. mgt@netspace.net.au
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MeSH Terms
Descriptor/Qualifier:
Aged
Arthroplasty, Replacement, Knee
Double-Blind Method
Female
Humans
Knee Joint / physiopathology*
Male
Middle Aged
Outpatients
Pain / physiopathology,  therapy*
Pain Measurement
Patient Satisfaction
Severity of Illness Index
Transcutaneous Electric Nerve Stimulation*
Treatment Outcome
Waiting Lists

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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