Article Text

THU0747-HPR Effect of different physical therapy programs on pain, strength and functional situations on knee osteoarthritis
  1. ÖE Günaydın,
  2. V Tunay Bayrakcı
  1. Sports Physiotherapy, Hacettepe University, Ankara, Turkey


Background Knee Osteoarthritis (OA) is one of the most common causes of disability with an increasing prevalence and incidence with age. Although there are studies in the literature that examine the efficacy of ESWT, Kinesio taping and exercise on knee OA, there is no study to compare these methods with each other.

Objectives The purpose of this study is to compare the effects of Extracorporeal Shockwave Therapy (ESWT), Kinesio taping and exercise therapy on pain, knee strength and functional situations of patients with knee osteoarthritis (OA).

Methods Forty eight female patients aged between 50–65 and previously diagnosed with a grade 1–3 (Kellgren-Lawrence scale) knee OA included in this study. Patients were assessed before treatment and after treatment at 6 weeks and at 12 weeks. Visual Analog Scale, (VAS), (ISOMED®2000 D&R GmbH, Germany) isokinetic device, Timed Up and Go test (TUG) and WOMAC scale were carried out for assessing patients' pain, knee strength and functional situations. After randomising the patients into 3 different groups, the first group received 1 session of ESWT per 6 weeks, the second group received 2 sessions of Kinesio tape per 6 weeks and the third group was prescribed with an exercise program only.

Results The between-groups results showed a significant improvement for the pain during night, pain during resting,and WOMAC test in the exercise group (p<0,05), while no difference was found for the other measurements (p>0,05). The inter-groups results showed significant improvements in 3 of the groups (p<0,05), while there was no difference in 60 degrees/sec isokinetic quadriceps strength test in the Kinesio taping group and TUG test in the ESWT group.

Conclusions The results of this study showed that; ESWT, Kinesio tape and exercise therapies are all effective in decreasing pain intensity, improving knee strength and functional status levels of patients with knee OA and can be used as alternative approaches to treat symptoms of knee OA.


  1. Plotnikoff, R., Karunamuni, N., Lytvyak, E., Penfold, C., Schopflocher, D., Imayama, I. ve diğerleri. (2015) Osteoarthritis prevalence and modifiable factors: a population study. BMC Public Health, 15, 1195.

  2. Sarzi-Puttini, P., Cimmino, M.A., Scarpa, R., Caporali, R., Parazzini, F., Zaninelli, A. ve diğerleri. (2005). Osteoarthritis: an overview of the disease and its treatment strategies [Bildiri].Seminars in arthritis and rheumatism.

  3. De Oliveira Melo, M., Aragão, F.A.,Vaz, M.A. (2013) Neuromuscular electrical stimulation for muscle strengthening in elderly with knee osteoarthritis–a systematic review. Complementary therapies in clinical practice, 19 (1), 27–31.

  4. Zhao, Z., Jing, R., Shi, Z., Zhao, B., Ai, Q.,Xing, G. (2013) Efficacy of extracorporeal shockwave therapy for knee osteoarthritis: a randomized controlled trial. Journal of surgical research, 185 (2), 661–666.


Disclosure of Interest None declared

Statistics from

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.