Ultrasound-guided genicular nerve block versus physical therapy for chronic knee osteoarthritis: a prospective randomised study

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dc.authorid0000-0002-7986-931X
dc.authorid0000-0003-3008-7007
dc.authorid0000-0002-2492-4852
dc.authorid0000-0002-0980-342X
dc.authorid0000-0002-4941-6432
dc.authorid0000-0002-3372-8589
dc.authorid0000-0001-9349-9530
dc.authorid0000-0001-8630-9233
dc.contributor.authorGüler, Tuba
dc.contributor.authorYurdakul, Fatma Gül
dc.contributor.authorErkut Önder, Mustafa
dc.contributor.authorErdoğan, Faruk
dc.contributor.authorYavuz, Kaan
dc.contributor.authorBecenen, Elif
dc.contributor.authorUçkun, Aslı
dc.contributor.authorBodur, Hatice
dc.date.accessioned2022-02-24T12:06:00Z
dc.date.available2022-02-24T12:06:00Z
dc.date.issued2022
dc.departmentTıp Fakültesi
dc.description.abstractTo compare the effectiveness of ultrasound-guided genicular nerve block (GNB) and physical therapy (PT) in patients with chronic knee osteoarthritis. A prospective randomised study with 102 patients (45–70 years) was performed wherein the patients received ultrasound-guided GNB (n = 51) and PT (n = 51) along with a standard home exercise programme. Scores for pain on a Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and 6-min walking test (6MWT) were assessed pre-treatment and at 2- and 12-weeks post-treatment. Both groups were comparable for sociodemographic characteristics. VAS scores (in mm) in the ultrasound-guided GNB group at 0, 2 and 12 weeks were 7.01 ± 1.36; 3.71 ± 2.18; 5.08 ± 2.22 (p < 0.001) and 6.64 ± 1.99; 4.35 ± 1.09; 5.25 ± 1.33, (p < 0.001) in the PT group. While the increase in the 6MWT test in the 2nd week was similar for both groups (p = 0.073), the increase in walking distance was greater in the ultrasound-guided GNB group at 12 weeks (p = 0.046). As compared to PT, ultrasound-guided GNB is beneficial in reducing pain and increasing functional and physical capacity, with greater retention of effects on the physical capacity seen at 12 weeks. Trial registration number: ClinicalTrials.gov (NCT04782401).
dc.identifier.doi10.1007/s00296-022-05101-8
dc.identifier.endpage-en_US
dc.identifier.issn0172-8172
dc.identifier.issue-en_US
dc.identifier.pmid35165769
dc.identifier.scopusqualityQ1
dc.identifier.startpage-en_US
dc.identifier.urihttps:/dx.doi.org/10.1007/s00296-022-05101-8
dc.identifier.urihttps://hdl.handle.net/20.500.12451/9224
dc.identifier.volume-en_US
dc.identifier.wosWOS:000756275700001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Science and Business Media Deutschland GmbH
dc.relation.ispartofRheumatology International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectKnee Joint
dc.subjectNerve Block
dc.subjectOsteoarthritis
dc.subjectPhysical Therapy Modalities
dc.subjectUltrasound
dc.titleUltrasound-guided genicular nerve block versus physical therapy for chronic knee osteoarthritis: a prospective randomised study
dc.typeArticle

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