Does Osteoarthritis of the Knee also have a Psychogenic Component? Psycho-emotional Treatment with a Radio-electric Device VS. Intra-articular Injection of Sodium Hyaluronate: An Open-label,Naturalistic Study
Restricted accessResearch articleFirst published online February, 2010
Does Osteoarthritis of the Knee also have a Psychogenic Component? Psycho-emotional Treatment with a Radio-electric Device VS. Intra-articular Injection of Sodium Hyaluronate: An Open-label,Naturalistic Study
This study is to compare, in patients suffering of knee joint disorder, the effects of intra-articular injection of Sodium Hyaluronate, and those of a treatment aiming al the improvement of the emotional status carried out by means of a Radio Electric Device (REAC). 30 subjects were divided into two groups: 15 who preferred a non-drugs approach (Group A) and 15 who preferred an infiltrative treatment (Group B). The evaluations were expressed for both pain level and knee bending and extension. Group A showed significant decrease in pain, stiffness, joint noises and intra-articular effusion, and significant improvement in motion range, without any patients worsening. 8 patients showed complete disappearance of pain in Visual Analog Pain Scale (VAS) evaluation, evident by a level of 0. The initial VAS results were between 8 and 4. One month after treatment's end, VAS results of the patients in Group A were between 3 and 0. Group B showed significant decrease in pain, stiffness, joint noises and intra-articular effusion, but no significant improvement in motion range; 2 of 15 patients showed worsening symptoms and no significant improvement in muscular hypotrophy. Initial VAS results were between 7 and 4. One month after treatment's end, VAS results were between 6 and 0.
AndersonK. E. “Psychogenic movement disorders.” Current Treatment Options in Neurology, Vol. 5(2), pp. 169–176, 2003.
2.
MiyasakiJ. M.SaD. S.Galvez-JimenezN. & LangA. E. “Psychogenic movement disorders.” The Canadian Journal of Neurological Sciences. Le Journal Canadien des Sciences Neurologiques. Vol. 30 suppl 1. pp. 94–100.2003.
3.
ThomasM.JankovicJ. “Psychogenic movement disorders: Diagnosis and management.” CNS Drugs. Vol. 18(7). pp. 437–52. 2004.
4.
Schrag. A. Lang. A. E. “Psychogenic movement disorders.” Current Opinion in Neurology. Vol. 18(4), pp. 399–404,2005.
5.
Hallett. M. “Psychogenic movement disorders: A crisis for neurology.” Current Neurology and Neuroscience Reports. Vol. 6(4). pp. 269–71. 2006.
6.
Hinson. V. K. Haren. W. B. “Psychogenic movement disorders.” Lancet Neurology. Vol. 5(8). pp. 695–700. 2006.
7.
ReichS. G. “Psychogenic movement disorders.” Seminar in Neurology, Vol. 26(3), pp. 289–96,2006.
8.
Gupta. A. Lang. A. E. “Psychogenic movement disorders.” Current Opinion in Neurology. Vol. 22(4), pp. 430–6, 2009.
9.
NowakD. A.FinkG. R. “Psychogenic movement disorders: Aetiology, phenomenology, neuroanatomical correlates and therapeutic approaches.” Neuroimage. Vol. 47(3). pp. 1015–25, 2009.
10.
Peckham. E. L. Hallett. M. “Psychogenic movement disorders.” Neurologic Clinics. Vol. 27(3), pp. 801–19, vii, 2009.
11.
Baik. J. S. Lang. A. E. “Gait abnormalities in psychogenic movement disorders.” Movement Disorders: Official Journal of the Movement Disorder Society. Vol. 22(3). pp. 395–9. 2007.
12.
Wright. H. P. “Psychopenic arthralgia.” Annals of the Rheumatic Diseases. Vol. 6(4). pp. 204–7, 1947.
13.
ZwierrchowskiH.ZwierzchowskaD. “Psychogenic contractures of the joints.” Chirurgia Narzadóow Ruchu i Ortopedia Polska. Vol. 54(1). pp. 63–6, 1989.
14.
SchuteA.NeraalA. & WilkeA. “Psychogenic joint contractures exemplifled by somatoform hysteria.” Zeitschrift für Orthopädie und ihre Grenzgebiete. Vol. 138(4). pp. 369–72,2000.
15.
DekkerJ.BootB. Van der Woude, L. H. & Bijlsma, J. W., “Pain and disability in osteoarthritis: A review of biobehavioral mechanisms.” Journal of Behavioral Medicine. Vol. 15(2), pp. 189–214,1992.
16.
SmithS. J.KeefeF. J.CaldwellD. S.RomanoJ. & BaucomD. “Gender differences in patient-spouse interactions: A sequential analysis of behavioral interactions in patients having osteoarthritic knee pain.” Pain. Vol. 112(1-2), pp. 183–7,2004.
17.
Van Baar, M. E., DekkerJ., Lemmens, J. A., Oostendorp, R. A. & Bijlsma, J. W., “Pain and disability in patients with osteoarthritis of hip or knee: The relationship with articular, kinesiological. and psychological characteristics.” The Journal of Rheumatology. Vol. 25(1). pp. 125–33, 1998.
18.
Szer. I. S. “Musculoskeletal pain syndromes that affect adolescents.” Archives of Pediatrics & Adolescent Medicine. Vol. 150(7). pp. 740–7. 1996.
19.
SteultjensM. P.DekkerJ. & BijismaJ. W. “Coping, pain, and disability in osteoarthritis: A longitudinal study.” The Journal of Rheumatology. Vol. 28(5). pp. 1068–72. 2001.
20.
Van BeilenM., Griffioen, B. T. & Leenders, K. L., “Coping strategies and IQ in psychogenic movement disorders and paralysis.” Movement Disorders: Official Journal of the Movement Disorder Society. Vol. 24(6). pp. 922–5.2009.
21.
KvartsakhavaM. L.SaakadzeV. P.TsimakuridzeM. P.ZurashviliD. G. & KhachapuridzeN. A. “Health peculiarities among Georgian national ballet dancers.” Georpian Medical News. Vol. (136). pp. 121–4. 2006.
22.
KeefeF. J.CaldwellD. S.QueenK.GilK. M.MartinezS.CrissonJ. E.OgdenW. & NunleyJ. “Osteoarthritic knee pain: A behavioral analysis.” Pain. Vol. 28(3), pp. 309–21, 1987.
23.
EmraniP. S.KatzJ. N.KesslerC. L.ReichmannW. M.WrightE. A.McAlindonT. E. & LosinaE. “Joint space narrowing and Kellgren-Lawrence progression in knee osteoarthritis: An analytic literature synthesis.” Osteoarthritis and Carlilage / OARS. Osteoarthritis Research Society. Vol. 16(8). pp. 873–82. 2008.
24.
WatkinsM. A.RiddleD. L.LambR. L. & PersoniusW. J. “Reliability of goniometric measurements and visual estimates of knee range of motion obtained in a clinical setting.” Physical Therapy. Vol. 71. no. 2. pp. 90–6. discussion 96–7. 1991.
25.
BroxJ. I.LereimP.MerckollE. & FinnangerA. M. “Radiographic classification of glenohumeral arthrosis.” Acta Orthopaedica Scandinavica. Vol. 74. no. 2. pp. 186–9.2003.
26.
PiriyaprasarthP.MorrisM. E. “Psychometric properties of measurement tools for quantifying knee joint position and movement: A systematic review.” The Knee. Vol. 14. no. 1, pp. 2–8,2007.
27.
Ten Berge, S. R., Halbertsma, J. P., Maathuis, P. G., Verheij, N. P., Dijkstra P. U. & Maathuis, K.G., “Reliability of popliteal angle measurement: A study in cerebral palsy patients and healthy controls.” Journal of Pediatric Orthopedics. Vol. 27. no. 6. pp. 648–52, 2007.
28.
AustinM. S.GhanemE.JoshiA.TrappierR.ParviziJ. & HozackW. J. “The assessment of intraoperative prosthetic knee range of motion using two methods.” The Journal of Arthroplasty. Vol. 23(4). pp. 515–21. 2008.
29.
CohenM. M.AltmanR. D.HollstromR.HollstromCSunC. & GipsonB. “Safety and efficacy of intra-articular sodium hyaluronate (Hyalgan) in a randomized, double-blind study for osteoarthritis of the ankle.” Foot & Ankle International / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society. Vol. 29(7). pp. 657–63,2008.
30.
TurajaneT.TanavareeA.LabpiboonpongV. & MaungsiriS. “Outcomes of intraarticular injection of sodium hyaluronate for the treatment of osteoarthritis of the knee.” Journal of the Medical Association of Thailand. Vol. 90. no. 9. pp. 1845–52,2007.
31.
XuP.ZhangY. & YaoJ. “Study on the effect of sodium hyaluronate intra-articular injection on the treatment of knee osteoarthritis.” Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, Vol. 19, no. 3, pp. 210–4,2005.
32.
TheilerR.BruhlmannP. “Overall tolerability and analgesic activity of intra-articular sodium hyaluronate in the treatment of knee osteoarthritis.” Current Medical Research and Opinion. Vol. 21. no. 11. pp. 1727–33. 2005.
33.
TasciotaogluF.OnerC “Efficacy of intra-articular sodium hyaluronate in the treatment of knee osteoarthritis.” Clinical Rheumatology. Vol. 22. no. 2. pp. 112–7, 2003.
34.
PunziL. “Intra-articular sodium hyaluronate reduces pain and improves function in osteoarthritis of knee.” Clinical and Experimental Rheumatology. Vol. 19. no. 1, pp. 9–10. 2001.
35.
AltmanR. D. “Intra-articular sodium hyaluronate in osteoarthritis of the knee.” Seminars Arthritis Rheumatism. Vol. 30 (2 suppl 1), pp. 11–8, 2000.
36.
DixonA. S.JacobyR. K.BerryH. & HamiltonE. B. “Clinical trial of intra-articular injection of sodium hyaluronate in patients with osteoarthritis of the knee.” Current Medical Research and Opinion. Vol. 11 (4). pp. 205–13. 1988.
37.
Rinaldi. S. Fontani. V. “Radioelectric Asymmetric Conveyer for therapeutic use.” European Patent Office - World Intellectual Property Organization. 2 October 11. 2006.2001.
38.
OmuraY. “Basic electrical parameters for safe and effective Electro-Therapeutics [Electroacupuncture, Tes, Tenms (or Terns), Tens, and electromagnetic Held stimulation with or without drug field] for pain, neuromuscular skeletal problems, and circulatory disturbances.” Acupuncture and Electro-Therapeutics Research. The International Journal. Vol. 12 (3/4), pp. 201–226, 1987.
39.
CollodelG.MorettiE.FontaniV.RinaldiS.AravagliL.SaragòG.CapitaniS.& Anichini. C, “Effect of emotional stress on sperm quality.” Indian Journal of Medical Research, Vol. 128, pp. 254–61,2008.
40.
MannuP.RinaldiS.FontaniV.CastagnaA. Lotti MargottiM., “Radio Electric Treatment Vs. Es-Citalopram in the treatment of panic disorders associated with major depression: An open-label, naturalistic study.” Acupuncture & Electro -Therapeutics Research. The International Journal, no. In press. 2010.
41.
RinaldiS.FontaniV.AravagliL. Lotti MargottiM., “Psychological and symptomatic stress-related disorders with Radio-Electric Treatment: Psychometric evaluation.” Stress and Health. DOI: 10.1002/smi.1298. In Press, 2009.
42.
RinaldiS.FontaniV. “Evaluation of dysfunctional patellar misalignment at the passage from the supine to the sitting position and vice versa in patients with a negative anamnesis for muscular or bone-relevant trauma.” Austalian New Zeland Clinical Trials Register. 2007.
43.
RinaldiS.FontaniV. “Evaluation of the effectiveness of the Neuro Postural Optimization Therapy with Coneyer of Modulating Radiance to treat functional dysmetria.”. Australian New Zeland Clinical Trials Register. 2008.
44.
RinaldiS., FontaniV., “Ottimizzazione Neuro Posturale.” III Congresso Mondiale di Posturologia. Cranium Mandibular Disease. Rome. pp. 77–87. 2000.
45.
MattssonE.BrostromL. A. “The Physical and psychosocial effect of moderate osteoarthrosis of the knee.” Scandinavian Journal of Rehabilitation Medicine. Vol. 23. pp. 215–8, 1991.
