https://doi.org/10.1177/0269215519829856
Clinical Rehabilitation
1–8
© The Author(s) 2019
Article reuse guidelines:
sagepub.com/journals-permissions
DOI: 10.1177/0269215519829856
journals.sagepub.com/home/cre
CLINICAL
REHABILITATION
Is interferential current effective
in the management of pain, range
of motion, and edema following
total knee arthroplasty surgery?
A randomized double-blind
controlled trial
Mehmet Resul Kadı
1
, Simin Hepgüler
1
,
Funda Calıs Atamaz
1
, Emine Dede
1
, Semih Aydoğdu
2
,
Kemal Aktuglu
2
, Nadir Ozkayın
2
and Cihat Ozturk
1
Abstract
Objective: To investigate the effectiveness of interferential current implementation following total knee
arthroplasty surgery.
Design: Double-blind randomized controlled study.
Setting: Orthopedics and traumatology in-patient clinic.
Participants: From an initial enrollment of 132 patients, 113 who met the study inclusion criteria were randomly
separated into two groups: the interferential current group (n = 57) and the sham current group (n = 56). A total
of 98 patients completed the study: 49 in the interferential current group and 49 in the sham group.
Intervention: Patients in the interferential current group received interferential current treatment for
30 minutes, twice a day for five days postoperatively. For the patients in the sham interferential current
treatment group, the same pads were applied to the patients for the same time periods but no electrical
stimulation was applied.
Main outcome measures: Patients were assessed in respect of pain, range of motion (ROM), edema,
and the amount of paracetamol used at baseline and on the 5th and 30th days after surgery.
Results: No significant difference was determined between the groups in respect of pain, ROM, and
edema at days 0, 5, and 30. At the end of the 5th day, the amount of paracetamol used was significantly
lower in the interferential current group (P < 0.05).
Conclusion: In this study, both groups showed significant improvements in pain, ROM, and edema with
no significant difference between the groups. Although there was a significant difference in paracetamol
intake of the two groups, this cannot be argued as showing the effectiveness of interferential current.
Keywords
Total knee arthroplasty, interferential current, pain, range of motion
Received: 20 April 2018; accepted: 19 January 2019
1
Department of Physical Medicine and Rehabilitation, School
of Medicine, Ege University, Izmir, Turkey
2
Department of Orthopaedic Surgery, School of Medicine,
Ege University, Izmir, Turkey
Corresponding author:
Mehmet Resul Kadı, Department of Physical Medicine and
Rehabilitation, School of Medicine, Ege University, 35040
Bornova, Izmir, Turkey
Email: resulkadi@gmail.com
829856CRE 0 0 10.1177/0269215519829856Clinical RehabilitationKadı et al
research-article 2019
Original article