Pulse Electromagnetic Field Therapy (PEMT) is effective in the treatment of many diseases, especially musculoskeletal system diseases, due to its analgesic effect with the effect of induced currents, and also its anti-inflammatory , edema reducing, antispasmodic and blood flow accelerating effects with additional mechanisms. The aim of our study is to evaluate the effects of Pulsed Electromagnetic Field Therapy (PEMT) degenerative To investigate the effects on pain, quality of life and function in patients with meniscal lesions.
Menisci are responsible for carrying the load in the knee joint, transmitting the load, absorbing impacts, lubricating the joint and stabilizing the joint .The menisci to perform their functions properly, the integrity of their anterior and posterior roots at their attachment points on the tibial plateau must be preserved. The male/female ratio of meniscus injuries is 2.5/1, with an incidence of around 60-70 per 100,000. Medial meniscus tears, lateral It is detected 3 times more frequently than meniscus tears. In patients under the age of 30, trauma and in patients over the age of 30, degenerative causes often cause tears. Meniscus tears can be divided into two groups: traumatic and degenerative . Traumatic tears occur in healthy menisci , most often in young people, as a result of excessive and inappropriate loading. Degenerative tears are common in the elderly, occurring in degenerated menisci under normal load or after minimal trauma . Traumatic injuries most often occur when the body rotates on the knee while the foot is fixed on the ground. meniscus tears can be divided into two groups : conservative (pharmacological and non -pharmacological) and surgical. Non -pharmacological treatment approaches consist of programs such as patient education, use of assistive devices, lifestyle changes, weight control, and conventional physical therapy methods. Magnetic Field Therapy is a cheap, non-invasive and safe physical therapy method with no known significant side effects. It is suggested that Pulse Electromagnetic Field Therapy (PEMT) is effective in the treatment of many diseases, especially musculoskeletal system diseases, due to its analgesic effect with the effect of induced currents, and also its anti-inflammatory , edema reducing, antispasmodic and blood flow accelerating effects with additional mechanisms. Current literature suggests that magnetic field therapy may be effective in the treatment of fracture union, knee osteoarthritis , cervical fusion, lumbar and cervical There are studies on its effectiveness in the treatment of various musculoskeletal problems such as discopathy. Pulsed electromagnetic field therapy (PEMT) has been shown to enhance healing of meniscal tears and reduce post- traumatic osteoarthritis in a rat model . However, in the literature Pulsed electromagnetic field therapy (PEMT) degenerative No clinical studies have been found on the effectiveness of meniscus lesions.The aim of our study is to evaluate the effects of Pulsed Electromagnetic Field Therapy (PEMT) degenerative To investigate the effects on pain, quality of life and function in patients with meniscal lesions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
80
As a therapeutic exercise program, it was planned to apply joint range of motion, walking, balance, coordination, cycling, isometric and isotonic strengthening exercises by a trained physiotherapist with at least 5 years of experience and that the patients would do these exercises three times a day, in 3 sets, with 10 repetitions.
Visual Pain Scale (VAS) - night - rest - movement
In treatments applied for knee pain, the primary goal is to focus on the restoration of pain and movement function. Visual Pain Scale (VAS), which is easy to understand, apply and interpret, and provides valid and reliable data in a short time, is the most commonly used method in clinics. With a 100 mm visual linear scale, the patient is told that there is no pain at 0, and that the most severe pain ever felt at 100, and the patient is asked to mark the point corresponding to rest, movement and night pain.
Time frame: Before treatment (T0) At the end of treatment (4 weeks) (T1) At 6 months (T2)
KOOS ( KNEE INJURY AND OSTEOARTHRITIS OUTCOME SCORE)
It is a scale used to evaluate symptoms and functional status related to knee injuries and knee osteoarthritis . It has 5 subgroups: pain, daily living activities (ADL), functional status in sports and leisure activities and quality of life related to the knee. Each question is scored with a total of 5 options between 0-4. The average score in each section is multiplied by 100, divided by 4 and subtracted from 100. The possible score varies between 0 and 100 points in each case. A score of 100 indicates no restrictions due to the affected knee , while a score of 0 indicates excessive problems and restrictions.
Time frame: Before treatment (T0) At the end of treatment (4 weeks) (T1) At 6 months (T2)
Lysholm Knee Scoring Scale
8 items are asked about symptoms and a total score (0-100) is calculated. A score of 0 indicates the lowest knee function, while a score of 100 indicates the highest knee function. There is a Turkish validity and reliability study.
Time frame: Before treatment (T0) At the end of treatment (4 weeks) (T1) At 6 months (T2)
Western Ontario Meniscus Assessment Questionnaire
Physical symptoms experienced by patients due to knee problems are questioned. A total of 16 questions in 3 sections are given 0-10 points. The score for each subgroup is obtained by dividing the marked values of the questions in that section by the number of questions and multiplying by 10. For the total score, all marked values are added, divided by 16 and multiplied by 10. The score is between 0-100. 0 indicates the best symptoms and function, while 100 indicates the worst symptoms and function. There is a Turkish validity and reliability study.
Time frame: Before treatment (T0) At the end of treatment (4 weeks) (T1) At 6 months (T2)
Knee joint range of motion (ROM)
In measuring knee range of motion, flexion and extension movements are measured with a goniometer while the patient lies on his back, including active and passive measurements of the knee.
Time frame: Before treatment (T0) At the end of treatment (4 weeks) (T1) At 6 months (T2)
Tegner Activity Level Scale
This scale aims to evaluate the activity level of people with knee injuries. The patient's activity is scored between 0 and 10. 0 indicates the lowest activity level, while 10 indicates the highest activity level. There is a Turkish validity and reliability study.
Time frame: Before treatment (T0) At the end of treatment (4 weeks) (T1) At 6 months (T2)
Lower Extremity Y Dynamic Balance Test:
Balance is maintained on the Y dynamic balance test platform by keeping the hands fixed on the waist area and the foot fixed at the center point. Then, while maintaining the fixed stance with one foot, the blocks are pushed with the toe tip with the other foot in the anterior (0°), posteromedial (45°) and posterolateral (45°) directions (each time bringing the foot back to the fixed stance point without touching the ground) . After the test is repeated 3 times in each of the three directions ( anterior , posteromedial , posterolateral ), the normalization formula is used. The sum of the 3 directions is divided by 3 times the leg length and multiplied by 100.
Time frame: Before treatment (T0) At the end of treatment (4 weeks) (T1) At 6 months (T2)
SF -36
SF -36 is a generic quality of life scale. It provides the opportunity to ev.aluate the health status of the person in 10 sub-parameters such as physical function, body pain, limitation due to physical problems, emotional well-being, social function, energy/fatigue, general health perception. It contains a total of 36 items. It is evaluated between 0-100 points. It was created to evaluate the health status.
Time frame: Before treatment (T0) At the end of treatment (4 weeks) (T1) At 6 months (T2)
Isokinetic Evaluation of Knee
Isokinetic systems are complex systems used for both rehabilitation and patient evaluation. Isokinetic contraction is defined as a contraction at a constant speed throughout the entire range of motion and is equal in speed at every angle of motion. No matter how much force the person applies to the device, they can never exceed the predetermined speed (e.g. 90 degrees per second). The ability to evaluate the desired muscle or muscle groups in isolation and the repeatability and comparability of the measurements are advantageous features.
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Time frame: Before treatment (T0) At the end of treatment (4 weeks) (T1) At 6 months (T2)