Background and aim: Knee osteoarthritis (OA) is one of the most common synovial joint diseases (i.e. weight bearing joints) of the human body. This problem probably is more common in Iranian society that is used to sit on the floor and carpet. Following knee OA, patients complain of pain, inflammation, decrease of range of motion and muscle weakness. Therefore, they can not independently do their activity of daily living (ADL). Consequently, the side effects of physical incapability may render to psychological problems and this in respect do affect on their quality of life.Various treatments such as pharmalogical, surgical and physiotherapy have been recommended at different stages of OA by specialist. In the present study, the effect of physical therapy agents (considering the point that physiotherapy has no or negligible side effects) have been studied on OA. 

Materials and methods: 40 patients participated in this study the patients were refereed by orthopedic surgeon to the physiotherapy clinic of the Faculty of Rehabilitation. University ethical committee approved the procedures. Patients were randomly divided in two groups and physiotherapy treatments were applied as following:

Group I.  Low Level Laser Therapy, heat, exercise.

Group II. Placebo (i.e. inactive Laser), heat, exercise.

Results: The result of current study shows that both methods of physical therapy were quiet efficient on 7 variables that measured in this study (p< 0.05).  However, the result of this study showed that in laser group, pain and speed of gait were more effectively influenced (p< 0.000 and p<0.048 respectively) in comparison with routine physiotherapy. Consequently, patients can fairly independently do their activity of daily living and this in respect may reduce the psychological side effects of illness. 

Background and Aim: The normal response of H-reflex depression (HD) was reduced in chronic spinal cord injury (SCI) patients. The reduction of this normal response can lead to increase the muscle tone and spasticity. The purpose of this study is to investigate the effect of tripolar cathodal stimulation on HD in SCI patients.

Materials and Methods: This study was conducted in 10 volunteered SCI patients and 13 healthy male and female aged 28.91 ± 5.78 years. H-reflexes were elicited at 0.2, 5 and 0.2 Hz and intensity of 65-70 percent of the maximum H-reflex amplitude, before and after tripolar cathodal electrical stimulation of the spinal cord at T₁₁ level.

Results : Before trioplar stimulation, H-reflex amplitude decreased with increasing stimulation frequency only in healthy group. H-reflex amplitude decreased from 2.60 ± 1.48 to 1.34 ± 1.30 by 5Hz frequency (P=0.000). After trioplar stimulation in SCI patients group, HD increased with increasing stimulation frequency and H-reflex amplitude decreased significantly from 2.21 ± 1.98 by 0.2 Hz frequency to 1.29 ± 1.50 by 5Hz frequency(P=0.014).

Conclusion: Application of one session of cathodal trioplar stimulation can result the returning of normal HD in SCI patients. Cathodal trioplar stimulation is a non-invasive, without side effects, and an inexpensive method that may be a valuable tool to return the normal inhibition and modulating behavior of the spinal cord circuits.

Keywords: Spinal cord injury , Tripolar stimulation, H-reflex depression, Soleus muscle