Influence of ultrasound therapy on volume of the synovial fluid in knee joint arthrosis (gonarthrosis)-initial reports.

Beata Olesiak, Agnieszka Przedborska, Jan Wojciech Raczkowski



Aim of the paper: Aim of the study was impact assessment of the ultrasonic wave on production of synovial fluid in suprapatellar pouch, pain symptoms, and knee movement range.
Material and methods: The study group consisted of 23 patients that were diagnoses with excess of synovial fluid in suprapatellar pouch. The measurement of the fluid volume was made using ultrasound examination. Volume of the fluid < 4 mm is considered as positive result of the study. The data was collected with usage of a self-made study protocol. In assessment of pain symptom, the VAS scale was used.
Results: Statistically significant reduction of the synovial fluid volume in suprapatellar pouch (p<0.0001) was obtained. Worse result was notice in older patients (p=0.2807), and with greater body mass (p=0.3346). Statistically significant reduction of pain symptoms of knee joint at night (p=0.0002), and during walk on stairs (p<0.0001) was noted. In variable assessment, “walk on the flat ground” had the strongest result (p=0.0001). After the therapy, knee mobility has improved. Improvement of flexion mobility is considered as a statistically strong result (p=0.0013).
Conclusions: Formed during the therapy, endogenous heat reduces the volume of synovial fluid in suprapatellar pouch. The result of the thermal therapy increases joint movement and decreases pain symptoms.
Keywords: ultrasound therapy, knee joint, suprapatellar pouch, arthrosis (gonarthrosis).


Keywords: ultrasound therapy, knee joint, suprapatellar pouch, arthrosis (gonarthrosis).

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Scanzello CR, Goldring SR. The role of synovitis in osteoarthritis pathogenesis.Bone.2012;15:249-257.

Koç B, Boyraz Í, Sarman H. Pathophysiology and Clinical evaluation of Gonarthrosis. Abant Medical Journal.2015,Vol 4.

Szopińska-Sudoł I, Kontny E, Maśliński W, Sobieszek-Prochorec M, Kwiatkowska B, Kaniewska-Zaniewicz K, Warczyńska A. The pathogenesis of rheumatoid arthritis in radiological studies.Part I: Formation of inflammatory infiltrates within the synovial membrane. Journal of Ultranosography.2012;12:202-213.

Ciejka E, Stolarczyk M. Influence of the ultrasound therapy on the spine muscle's tension in patients with spondyloarthrosis.ActaBio-Optica et Informatica Medica 1/2011,vol.17.

Miłowska K. Ultrasound- mechanismis of action and application in sonodynamic therapy. Postępy HigMedDosw.(online),2007;61:338-349.

Rodriguez-Grande E, Osma-Rueda JL, Serrano-Villar Y, Rodrigez C. Effects of pulsed therapeutic ultrasound on the treatment of people with knee osteoarthritis. J PhysTherSci. 2017, 29(9); 1637–1643.

Zając M, Szyjka A, Kotela A, Szczepanowska-Wołowiec B, Lorkowski J, Hładki W, Kotela J. The effect of physiotherapeutic procedur es on the reduction of pain In the knee joint. Ostry Dyżur.2010,tom9,numer4.

Anand B, Kharat A, Singh A, Franklin J, Naware S, Thind SS. High resolution ultrasound evaluation of synovial thickness as a marker to assess response to deep tissue heating for pain relief in knee osteoarthritis. Medical Journal of Dr. D.Y Patil University.2012,vol5.

Zhang CH, Shi J, Zhu CH, Xiang T, Yi Z, Kong Y. Effect of ultrasound therapy for knee osteoarthritis:a meta-analysis of randomized, double-blind, placebo-controlled clinical trials. Int J Clin Exp Med.2016,9(11);30552-20561.

Chojnacki M, Kwapisz A, Synder M, Szemraj J. Osteoarthritis: etiology, risk factors, molecular mechanisms. Postępy Hig Med Dosw 2014,68;640-52.

Sarmanova A, Hall M, Fernandes GS, Bhattacharya A, Valdes AM, Walsh DA, Doherty M, Zang W. Association between ultrasound-detected synovitis and knee pain: a population-based case-control study with both cross-sectional and follow-up data.Arthritis Res Ther.2017,19:281.

Eitner A, Hofmann GO, Schaible HG. Mechanisms of Osteoarthritic Pain.Studies in Humans and Experimental Models.Front Mol Neurosci.2017,10,349.

Hall M, Doherty S, Courtney P, Latief K, Zhang W, Doherty M. Synovial pathology detected on ultrasound correlates with the severity of radiographic knee osteoarthritis more than with symptoms. Osteoarthritis an Cartilage.2014,1627-1633.

Draper OD, Klyve D, Ortiz R, Best MT. Effect of low-intensity long-duration ultrasound on the symptomic relief of knee osteoarthritis: a randomized, placebo-controlled double-blind study. Journal of Orthopaedic Surgery and Research.2018,13:257.

Ciosek Ż, Szylińska A, Kopacz Ł, Kot K, Rotter I. Evaluation of the effectiveness of selected physioterapy treatments in patients with degenerative disease of the knee joint. Pomeranian Life Sci.2017,63(4),13-17.

Rutjes A, Nüesch E, Sterchi R, Juni P. The effect of heat application on pain,stiffness,physical function and quality of life in patients with knee osteoarthritis.Journal of Clinical Nursing.2010,19(7-8);1113-20.



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