Ultraphonophoresis with a hyaluronic acid-containing gel for knee osteoarthritis with periarthritis

Management of patients with knee osteoarthritis (OA) in the presence of comorbidity causes significant difficulties associated with the limitations of pharmacotherapy.Objective: to evaluate the clinical efficacy of ultraphonophoresis with a hyaluronic acid (HA)-containing gel in patients with knee O...

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Main Authors: O. N. Anoshenkova, A. N. Kalyagin, Yu. V. Maksimova, N. G. Sindykheeva, A. V. Sinkov, G. M. Sinkova
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2018-12-01
Series:Современная ревматология
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Online Access:https://mrj.ima-press.net/mrj/article/view/871
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author O. N. Anoshenkova
A. N. Kalyagin
Yu. V. Maksimova
N. G. Sindykheeva
A. V. Sinkov
G. M. Sinkova
author_facet O. N. Anoshenkova
A. N. Kalyagin
Yu. V. Maksimova
N. G. Sindykheeva
A. V. Sinkov
G. M. Sinkova
author_sort O. N. Anoshenkova
collection DOAJ
description Management of patients with knee osteoarthritis (OA) in the presence of comorbidity causes significant difficulties associated with the limitations of pharmacotherapy.Objective: to evaluate the clinical efficacy of ultraphonophoresis with a hyaluronic acid (HA)-containing gel in patients with knee OA complicated by periarthritis.Patients and methods. The open observational comparative study included 30 patients with a reliable diagnosis of knee OA, who were divided into two groups: 1) 15 patients who had undergone ultraphonophoresis with a HA-containing gel for 10 days (a study group); 2) 15 patients who had received ultraphonophoresis with an intact gel (a control group). To determine the clinical efficiency of HA-containing gel ultraphonophoresis, the investigators conducted a survey of patients and a clinical examination with knee joint palpation to detect synovitis and periarthritis, ultrasonography, and an assessment of initial pain and pain on walking on a 100-mm visual analog scale (VAS) for pain.Results and discussion. HA-containing gel ultraphonophoresis was found to lead to a significant relief from both pain in the knee joints on walking from 50 [40; 50] to 20 [10; 20] mm (p = 0.0003) and from initial pain from 50 [40; 50] to 10 [0; 10] mm VAS (p = 0.0003). Ultrasonography revealed a reduction or even complete disappearance of the local inflammatory process in the anserine bursa from 5.5 [4.5; 6.4] to 0 [0; 3.0] mm (p = 0.0003). There were no statistically significant pre- and postoperative differences in Group 2 patients.Conclusion. HA-containing gel ultraphonophoresis in knee OA with periarthritis was shown to contribute to a significant reduction in knee joint pain and to the resolution of periarthritis.Management of patients with knee osteoarthritis (OA) in the presence of comorbidity causes significant difficulties associated with the limitations of pharmacotherapy.Objective: to evaluate the clinical efficacy of ultraphonophoresis with a hyaluronic acid (HA)-containing gel in patients with knee OA complicated by periarthritis.Patients and methods. The open observational comparative study included 30 patients with a reliable diagnosis of knee OA, who were divided into two groups: 1) 15 patients who had undergone ultraphonophoresis with a HA-containing gel for 10 days (a study group); 2) 15 patients who had received ultraphonophoresis with an intact gel (a control group). To determine the clinical efficiency of HA-containing gel ultraphonophoresis, the investigators conducted a survey of patients and a clinical examination with knee joint palpation to detect synovitis and periarthritis, ultrasonography, and an assessment of initial pain and pain on walking on a 100-mm visual analog scale (VAS) for pain.Results and discussion. HA-containing gel ultraphonophoresis was found to lead to a significant relief from both pain in the knee joints on walking from 50 [40; 50] to 20 [10; 20] mm (p = 0.0003) and from initial pain from 50 [40; 50] to 10 [0; 10] mm VAS (p = 0.0003). Ultrasonography revealed a reduction or even complete disappearance of the local inflammatory process in the anserine bursa from 5.5 [4.5; 6.4] to 0 [0; 3.0] mm (p = 0.0003). There were no statistically significant pre- and postoperative differences in Group 2 patients.Conclusion. HA-containing gel ultraphonophoresis in knee OA with periarthritis was shown to contribute to a significant reduction in knee joint pain and to the resolution of periarthritis.
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spelling doaj-art-9462e8563fb84b0882c06d0084cef7862025-08-20T03:38:19ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2018-12-0112411211710.14412/1996-7012-2018-4-112-1172135Ultraphonophoresis with a hyaluronic acid-containing gel for knee osteoarthritis with periarthritisO. N. Anoshenkova0A. N. Kalyagin1Yu. V. Maksimova2N. G. Sindykheeva3A. V. Sinkov4G. M. Sinkova5Healthcare Department of the Tomsk Region; Maximum Health Medical Center.Irkutsk State Medical University, Ministry of Health of Russia; Irkutsk City Clinical Hospital One.Maximum Health Medical Center.Irkutsk State Medical University, Ministry of Health of Russia.Irkutsk State Medical University, Ministry of Health of Russia.Irkutsk State Medical University, Ministry of Health of Russia.Management of patients with knee osteoarthritis (OA) in the presence of comorbidity causes significant difficulties associated with the limitations of pharmacotherapy.Objective: to evaluate the clinical efficacy of ultraphonophoresis with a hyaluronic acid (HA)-containing gel in patients with knee OA complicated by periarthritis.Patients and methods. The open observational comparative study included 30 patients with a reliable diagnosis of knee OA, who were divided into two groups: 1) 15 patients who had undergone ultraphonophoresis with a HA-containing gel for 10 days (a study group); 2) 15 patients who had received ultraphonophoresis with an intact gel (a control group). To determine the clinical efficiency of HA-containing gel ultraphonophoresis, the investigators conducted a survey of patients and a clinical examination with knee joint palpation to detect synovitis and periarthritis, ultrasonography, and an assessment of initial pain and pain on walking on a 100-mm visual analog scale (VAS) for pain.Results and discussion. HA-containing gel ultraphonophoresis was found to lead to a significant relief from both pain in the knee joints on walking from 50 [40; 50] to 20 [10; 20] mm (p = 0.0003) and from initial pain from 50 [40; 50] to 10 [0; 10] mm VAS (p = 0.0003). Ultrasonography revealed a reduction or even complete disappearance of the local inflammatory process in the anserine bursa from 5.5 [4.5; 6.4] to 0 [0; 3.0] mm (p = 0.0003). There were no statistically significant pre- and postoperative differences in Group 2 patients.Conclusion. HA-containing gel ultraphonophoresis in knee OA with periarthritis was shown to contribute to a significant reduction in knee joint pain and to the resolution of periarthritis.Management of patients with knee osteoarthritis (OA) in the presence of comorbidity causes significant difficulties associated with the limitations of pharmacotherapy.Objective: to evaluate the clinical efficacy of ultraphonophoresis with a hyaluronic acid (HA)-containing gel in patients with knee OA complicated by periarthritis.Patients and methods. The open observational comparative study included 30 patients with a reliable diagnosis of knee OA, who were divided into two groups: 1) 15 patients who had undergone ultraphonophoresis with a HA-containing gel for 10 days (a study group); 2) 15 patients who had received ultraphonophoresis with an intact gel (a control group). To determine the clinical efficiency of HA-containing gel ultraphonophoresis, the investigators conducted a survey of patients and a clinical examination with knee joint palpation to detect synovitis and periarthritis, ultrasonography, and an assessment of initial pain and pain on walking on a 100-mm visual analog scale (VAS) for pain.Results and discussion. HA-containing gel ultraphonophoresis was found to lead to a significant relief from both pain in the knee joints on walking from 50 [40; 50] to 20 [10; 20] mm (p = 0.0003) and from initial pain from 50 [40; 50] to 10 [0; 10] mm VAS (p = 0.0003). Ultrasonography revealed a reduction or even complete disappearance of the local inflammatory process in the anserine bursa from 5.5 [4.5; 6.4] to 0 [0; 3.0] mm (p = 0.0003). There were no statistically significant pre- and postoperative differences in Group 2 patients.Conclusion. HA-containing gel ultraphonophoresis in knee OA with periarthritis was shown to contribute to a significant reduction in knee joint pain and to the resolution of periarthritis.https://mrj.ima-press.net/mrj/article/view/871hyaluronic acidosteoarthritisultraphonophoresishyaluronic acid-containing gelphysiotherapyinflammatory process in the anserine bursa
spellingShingle O. N. Anoshenkova
A. N. Kalyagin
Yu. V. Maksimova
N. G. Sindykheeva
A. V. Sinkov
G. M. Sinkova
Ultraphonophoresis with a hyaluronic acid-containing gel for knee osteoarthritis with periarthritis
Современная ревматология
hyaluronic acid
osteoarthritis
ultraphonophoresis
hyaluronic acid-containing gel
physiotherapy
inflammatory process in the anserine bursa
title Ultraphonophoresis with a hyaluronic acid-containing gel for knee osteoarthritis with periarthritis
title_full Ultraphonophoresis with a hyaluronic acid-containing gel for knee osteoarthritis with periarthritis
title_fullStr Ultraphonophoresis with a hyaluronic acid-containing gel for knee osteoarthritis with periarthritis
title_full_unstemmed Ultraphonophoresis with a hyaluronic acid-containing gel for knee osteoarthritis with periarthritis
title_short Ultraphonophoresis with a hyaluronic acid-containing gel for knee osteoarthritis with periarthritis
title_sort ultraphonophoresis with a hyaluronic acid containing gel for knee osteoarthritis with periarthritis
topic hyaluronic acid
osteoarthritis
ultraphonophoresis
hyaluronic acid-containing gel
physiotherapy
inflammatory process in the anserine bursa
url https://mrj.ima-press.net/mrj/article/view/871
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AT ngsindykheeva ultraphonophoresiswithahyaluronicacidcontaininggelforkneeosteoarthritiswithperiarthritis
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