Phonophoresis versus topical application of aescin, diethylamine salicylate gel on patients with Knee osteoarthritis / Mervat Yousef Mahmoud ; Supervised Soheir Shehata Rezk Allah , Ahmed Mahmoud Kholief , Magda Gaid

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Basic Science

Background: Osteoarthritis (OA) is the most common type of joint diseases. Pain is the most common symptom of knee OA. Also it characterized by signs, symptoms of inflammation including pain, stiffness and loss of mobility. Proprioception is less accurate and there is functional impairment in knee O.A. Oral and Topical non steroidal anti inflammatory drugs are used in management of knee OA. The purpose: This study was conducted to investigate and compare the efficacy of Aescin, Diethylamine Salicylate phonophoresis versus topical application on pain intensity, Range of motion (ROM), proprioceptive accuracy and functional level in knee OA. Subjects and Methods: Forty five patients with knee OA (male and female) from Outpatient Clinic of Faculty of Physical Therapy, Cairo University participated in the study. Their ages ranged between 40 to 60 years with mean (48.80 ± 6.29), (50.13 ±6.71) and (50.07 ±6.61) years. They were randomly assigned into 3 groups of equal number. Group (A): received Aescin, Diethylamine Salicylate Phonophoresis with pulsed ultrasound therapy. Group (B): received topical application of Aescin, Diethylamine Salicylate gel. Group (C): received only a selected physical therapy exercise program .The three groups(A, B and C) received the selected physical therapy exercise program which included stretching exercises of the hamstrings and calf muscles, Straight leg raising of the knee and isometric strengthening of the quadriceps in addition to hot packs application. The treatment extended for four weeks; three sessions per week. Visual analogue scale used in assessment of pain intensity. Electronic\digital goniometer used in assessment of knee range of motion. Iso-kinetic dynamometer used in assessment of knee proprioceptive accuracy. Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC) used in assessment of functional level

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