Evidence map›Paper›PMID 30326947›Full record

ArticleJournal of orthopaedic surgery and research2018

Effect of low-intensity long-duration ultrasound on the symptomatic relief of knee osteoarthritis: a randomized, placebo-controlled double-blind study.

David O Draper, Dominic Klyve, Ralph Ortiz, Thomas M Best

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02083861 nacompletednot on this map

ZetrOZ Wearable Ultrasound Clinical Study

TypeinterventionalSponsorZetrOZ, Inc.Ran2014 to 2014Enrolled93ConditionsKnee OsteoarthritisArmsSam Ultrasonic Diathermy Device
NCT05254574 phase1recruitingnot on this mapstarted 2022, after this paper: background citation

Sustained Acoustic Medicine for Osteoarthritis Pain

TypeinterventionalSponsorZetrOZ, Inc.Ran2022 to 2026Enrolled200ConditionsOsteoarthritisArmsSustained Acoustic Device with 2.5% Diclofenac Patch, 2.5% Diclofenac Patches
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 59 citations in OpenAlex.

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  10. Long Duration Continuous Ultrasound with Diclofenac Sodium Enhances Recovery from Sprains and Strains.International journal on physical medication & rehabilitation · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

David O DraperDepartment of Exercise Sciences, Brigham Young University, 106 SFH, Provo, UT, USA. David_draper@byu.edu.ORCID http://orcid.org/0000-0002-3230-7184
Dominic KlyveDepartment of Mathematics, Central Washington University, Ellensburg, USA.
Ralph OrtizMedical Pain Consultants, Dryden, Dryden, USA.
Thomas M BestUHealth Sports Performance and Wellness Institute, University of Miami, Florida, USA.
Brigham Young University · USCentral Washington University · USUniversity of Miami Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWearable long-duration low-intensity ultrasound is an emerging non-invasive and non-narcotic therapy for the daily treatment of musculoskeletal pain. The aim of this randomized, double-blind, placebo-controlled study was to examine whether long-duration low-intensity ultrasound was effective in treating pain and improving function in patients with knee osteoarthritis.

methodsNinety patients with moderate to severe knee pain and radiographically confirmed knee osteoarthritis (Kellgren-Lawrence grade I/II) were randomized for treatment with active (n = 55) or placebo (n = 35) devices applied daily to the treated knee. Investigators and subjects were blinded to treatment groups. Ultrasound (3 MHz, 0.132 W/cm

resultsThe study had a 93% retention rate, and there were no significant differences between the groups regarding demographic variables or baseline outcome measures. Patients treated with active therapy observed a significant mean NRS pain reduction over the 6-week study of 1.96 points for active (p < 0.0001), compared with a 0.85 points reduction for placebo (p = 0.13). The functional score was also significantly improved by 505 points for the active group over the 311-point improvement for placebo group compared to baseline (p = 0.02). In the pilot subset evaluated, rotational strength increased from baseline to 6 weeks (3.2 N, p = 0.03); however, no other measures were significant.

conclusionsLong-duration low-intensity ultrasound significantly reduced pain and improved joint function in patients with moderate to severe osteoarthritis knee pain. The clinical findings suggest that ultrasound may be used as a conservative non-pharmaceutical and non-invasive treatment option for patients with knee osteoarthritis. Additional research is warranted on non-weight bearing joints of the musculoskeletal system as well as extended treatment time frames and follow-up.

trial registrationNCT02083861, registered 11 March 2014, https://clinicaltrials.gov/ct2/show/results/NCT02083861.

Indexed as

Wearable Electronic DevicesAdultAgedAged, 80 and overDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMiddle AgedOsteoarthritis, KneePain ManagementPain MeasurementProspective StudiesRange of Motion, ArticularTime FactorsKneeLong durationLow-intensity ultrasoundMusculoskeletalOsteoarthritisPainSustained acoustic medicine

Identifiers

PMID30326947
PMCPMC6192104
OpenAlexW2897613324

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.