Clinical Study

Efficacy and Safety of a Stimulator Using Low-Intensity Pulsed Ultrasound Combined with Transcutaneous Electrical Nerve Stimulation in Patients with Painful Knee Osteoarthritis

Table 3

Differences between the groups for changes from baseline.

VariablesΔV1−V2Difference between groups in change from baseline (97.5% CI) valueΔV1−V3Difference between groups in change from baseline (97.5% CI) value

VAS-P1
 Only TENS group1.53 (0.34)−0.74 (−1.70 to 0.23)0.0361.37 (0.41)−0.26 (−1.61 to 1.08)0.650
 LIPUS + TENS group2.26 (0.24)1.63 (0.40)
VAS-P2
 Only TENS group1.79 (0.35)−0.89 (−2.01 to 0.22)0.0271.95 (0.42)−0.21 (−1.50 to 1.08)0.457
 LIPUS + TENS group2.68 (0.32)2.16 (0.36)
VAS-P3
 Only TENS group1.37 (0.28)−0.58 (−1.47 to 0.31)0.1341.63 (0.31)0.16 (−1.04 to 1.35)0.759
 LIPUS + TENS group1.95 (0.26)1.47 (0.41)
WOMAC
 Pain
  Only TENS group2.89 (0.55)−1.21 (−3.23 to 0.81)0.1703.26 (0.59)−0.05 (−2.49 to 2.39)0.960
  LIPUS + TENS group4.11 (0.67)3.32 (0.86)
 Stiffness
  Only TENS group0.68 (0.31)−0.16 (−1.06 to 0.74)0.6530.53 (0.29)−0.42 (−1.31 to 0.47)0.241
  LIPUS + TENS group0.84 (0.23)0.95 (0.25)
 Physical function
  Only TENS group7.05 (1.39)−4.11 (−8.68 to 0.47)0.04810.11 (1.55)0.89 (−3.95 to 5.74)0.668
  LIPUS + TENS group11.16 (1.38)9.21 (1.37)
 Total
  Only TENS group10.6 (1.82)−5.47 (−11.78 to 0.83)0.05013.89 (1.97)0.42 (−6.42 to 7.26)0.886
  LIPUS + TENS group16.11 (1.99)13.47 (2.16)
FAC thickness (cm)
 Medial
  Only TENS group0.00 (0.00)0.00 (−0.00 to 0.00)0.623−0.01 (0.00)−0.00 (−0.02 to 0.01)0.931
  LIPUS + TENS group0.00 (0.00)−0.01 (0.00)
 Central
  Only TENS group0.00 (0.00)0.00 (−0.00 to 0.00)0.6360.00 (0.00)−0.00 (−0.01 to 0.01)0.808
  LIPUS + TENS group0.00 (0.00)0.00 (0.00)
 Lateral
  Only TENS group0.00 (0.00)0.00 (−0.00 to 0.01)0.6950.00 (0.00)−0.00 (−0.01 to 0.01)0.483
  LIPUS + TENS group0.00 (0.00)0.00 (0.00)
 SF-36 global score
  Only TENS group−8.09 (2.28)2.65 (−6.08 to 11.38)0.328−9.09 (3.14)−0.41 (−10.37 to 9.56)0.925
  LIPUS + TENS group−10.74 (2.95)−8.69 (2.87)

Data are presented as mean (SE). . Bonferroni correction was applied to adjust the 2-time comparisons. ΔV1−V2, difference of values between visit 1 and visit 2; ΔV1−V3, difference of values between visit 1 and visit 3; CI; confidence interval; TENS, transcutaneous electrical nerve stimulation; LIPUS, low-intensity pulsed ultrasound; VAS, visual analogue scale (range, 1 to 10), with higher values indicating worse outcomes; VAS-P1, visual analogue scale for knee pain at the current moment; VAS-P2, visual analogue scale for knee pain with movement; VAS-P3, visual analogue scale for knee pain at the resting position; WOMAC, Western Ontario and McMaster index with higher scores representing worse pain, stiffness, and impaired physical function; FAC, femoral articular cartilage; SF-36, the MOS 36-Item Short-Form Health Survey with a higher score indicating better health.