Cargando…
Comparing the effectiveness of ultrasound guided versus blind genicular nerve block on pain, muscle strength with isokinetic device, physical function and quality of life in chronic knee osteoarthritis: a prospective randomized controlled study
BACKGROUND: The genicular nerve block (GNB) is demonstrated from several reports to alleviate pain and improve knee functionality in patients with chronic knee osteoarthritis (OA). Ultrasound (US)-guided GNB has been the most used imaging method. This study aimed to compare the effectiveness of US-g...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Pain Society
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336352/ https://www.ncbi.nlm.nih.gov/pubmed/32606270 http://dx.doi.org/10.3344/kjp.2020.33.3.258 |
_version_ | 1783554302882611200 |
---|---|
author | Cankurtaran, Damla Karaahmet, Ozgur Zeliha Yildiz, Sadik Yigit Eksioglu, Emel Dulgeroglu, Deniz Unlu, Ece |
author_facet | Cankurtaran, Damla Karaahmet, Ozgur Zeliha Yildiz, Sadik Yigit Eksioglu, Emel Dulgeroglu, Deniz Unlu, Ece |
author_sort | Cankurtaran, Damla |
collection | PubMed |
description | BACKGROUND: The genicular nerve block (GNB) is demonstrated from several reports to alleviate pain and improve knee functionality in patients with chronic knee osteoarthritis (OA). Ultrasound (US)-guided GNB has been the most used imaging method. This study aimed to compare the effectiveness of US-guided versus blind GNB in the treatment of knee OA. METHODS: This prospective, randomized clinical trial included patients with knee OA based on American College of Rheumatology diagnostic criteria. The patients were evaluated for clinical and dynamometer parameters at the baseline, 4 weeks after treatment, and 12 weeks after treatment. The patients underwent blind injection or US-guided injection. RESULTS: When compared with the baseline, both groups showed significant improvement in pain, physical function, and quality of life parameters. Significant differences were observed between the groups for clinical parameters (30-second chair stand test, 6-minute walk test) in favor of the US-guided group. On the other hand, blind injection was more significantly effective on some parameters of the Nottingham Health Profile. There wasn’t any significant improvement in isokinetic muscle strength for either group. CONCLUSIONS: This study demonstrated that both US-guided and blind GNB, in the treatment of knee OA, were effective in reducing symptoms and improving physical function. GNB wasn’t an effective treatment for isokinetic muscle function. US-guided injections may yield more effective clinical results than blind injections. |
format | Online Article Text |
id | pubmed-7336352 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Korean Pain Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-73363522020-07-16 Comparing the effectiveness of ultrasound guided versus blind genicular nerve block on pain, muscle strength with isokinetic device, physical function and quality of life in chronic knee osteoarthritis: a prospective randomized controlled study Cankurtaran, Damla Karaahmet, Ozgur Zeliha Yildiz, Sadik Yigit Eksioglu, Emel Dulgeroglu, Deniz Unlu, Ece Korean J Pain Original Article BACKGROUND: The genicular nerve block (GNB) is demonstrated from several reports to alleviate pain and improve knee functionality in patients with chronic knee osteoarthritis (OA). Ultrasound (US)-guided GNB has been the most used imaging method. This study aimed to compare the effectiveness of US-guided versus blind GNB in the treatment of knee OA. METHODS: This prospective, randomized clinical trial included patients with knee OA based on American College of Rheumatology diagnostic criteria. The patients were evaluated for clinical and dynamometer parameters at the baseline, 4 weeks after treatment, and 12 weeks after treatment. The patients underwent blind injection or US-guided injection. RESULTS: When compared with the baseline, both groups showed significant improvement in pain, physical function, and quality of life parameters. Significant differences were observed between the groups for clinical parameters (30-second chair stand test, 6-minute walk test) in favor of the US-guided group. On the other hand, blind injection was more significantly effective on some parameters of the Nottingham Health Profile. There wasn’t any significant improvement in isokinetic muscle strength for either group. CONCLUSIONS: This study demonstrated that both US-guided and blind GNB, in the treatment of knee OA, were effective in reducing symptoms and improving physical function. GNB wasn’t an effective treatment for isokinetic muscle function. US-guided injections may yield more effective clinical results than blind injections. The Korean Pain Society 2020-07-01 2020-07-01 /pmc/articles/PMC7336352/ /pubmed/32606270 http://dx.doi.org/10.3344/kjp.2020.33.3.258 Text en © The Korean Pain Society, 2020 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Cankurtaran, Damla Karaahmet, Ozgur Zeliha Yildiz, Sadik Yigit Eksioglu, Emel Dulgeroglu, Deniz Unlu, Ece Comparing the effectiveness of ultrasound guided versus blind genicular nerve block on pain, muscle strength with isokinetic device, physical function and quality of life in chronic knee osteoarthritis: a prospective randomized controlled study |
title | Comparing the effectiveness of ultrasound guided versus blind genicular nerve block on pain, muscle strength with isokinetic device, physical function and quality of life in chronic knee osteoarthritis: a prospective randomized controlled study |
title_full | Comparing the effectiveness of ultrasound guided versus blind genicular nerve block on pain, muscle strength with isokinetic device, physical function and quality of life in chronic knee osteoarthritis: a prospective randomized controlled study |
title_fullStr | Comparing the effectiveness of ultrasound guided versus blind genicular nerve block on pain, muscle strength with isokinetic device, physical function and quality of life in chronic knee osteoarthritis: a prospective randomized controlled study |
title_full_unstemmed | Comparing the effectiveness of ultrasound guided versus blind genicular nerve block on pain, muscle strength with isokinetic device, physical function and quality of life in chronic knee osteoarthritis: a prospective randomized controlled study |
title_short | Comparing the effectiveness of ultrasound guided versus blind genicular nerve block on pain, muscle strength with isokinetic device, physical function and quality of life in chronic knee osteoarthritis: a prospective randomized controlled study |
title_sort | comparing the effectiveness of ultrasound guided versus blind genicular nerve block on pain, muscle strength with isokinetic device, physical function and quality of life in chronic knee osteoarthritis: a prospective randomized controlled study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336352/ https://www.ncbi.nlm.nih.gov/pubmed/32606270 http://dx.doi.org/10.3344/kjp.2020.33.3.258 |
work_keys_str_mv | AT cankurtarandamla comparingtheeffectivenessofultrasoundguidedversusblindgenicularnerveblockonpainmusclestrengthwithisokineticdevicephysicalfunctionandqualityoflifeinchronickneeosteoarthritisaprospectiverandomizedcontrolledstudy AT karaahmetozgurzeliha comparingtheeffectivenessofultrasoundguidedversusblindgenicularnerveblockonpainmusclestrengthwithisokineticdevicephysicalfunctionandqualityoflifeinchronickneeosteoarthritisaprospectiverandomizedcontrolledstudy AT yildizsadikyigit comparingtheeffectivenessofultrasoundguidedversusblindgenicularnerveblockonpainmusclestrengthwithisokineticdevicephysicalfunctionandqualityoflifeinchronickneeosteoarthritisaprospectiverandomizedcontrolledstudy AT eksiogluemel comparingtheeffectivenessofultrasoundguidedversusblindgenicularnerveblockonpainmusclestrengthwithisokineticdevicephysicalfunctionandqualityoflifeinchronickneeosteoarthritisaprospectiverandomizedcontrolledstudy AT dulgerogludeniz comparingtheeffectivenessofultrasoundguidedversusblindgenicularnerveblockonpainmusclestrengthwithisokineticdevicephysicalfunctionandqualityoflifeinchronickneeosteoarthritisaprospectiverandomizedcontrolledstudy AT unluece comparingtheeffectivenessofultrasoundguidedversusblindgenicularnerveblockonpainmusclestrengthwithisokineticdevicephysicalfunctionandqualityoflifeinchronickneeosteoarthritisaprospectiverandomizedcontrolledstudy |