Use of different doses of pulsed short waves in the treatment of patients with osteoarthritis of the knee
Keywords:
Pain, Physical therapy modalities, OsteoarthritisAbstract
Objective
To evaluate the effectiveness of the application of pulsed short waves in the reduction of pain, and functional improvement in patients with osteoarthritis of the knee, and also to investigate changes in treatment between the groups with doses of 17 kilojoules or 33 kilojoules.
Methods
Forty-two female subjects with type II or III osteoarthritis of the knee and over 40 years of age, participated in this study, and were submitted to the application ofpulsed short wave doses of 17 or 33 kilojoules. They were evaluated by means of a knee and osteoarthritis score questionnaire, visual analog pain scale and knee flexion goniometry.
Results
The active groups of 17 or 33 kilojoules had less pain and improved function when compared with the control group. There was, however, no significant difference between the active groups.
Conclusion
This study demonstrated that the application of both 17 and 33 kilojoule doses of pulsed short waves is efficient in pain reduction and improved function in the treatment of osteoarthritis of the knee.
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References
Marques AP, Kondo A. A fisioterapia na osteoartrose uma revisão da literatura. Rev Bras Reumatol. 1998; 38(2):83-90.
Tuzun HE, Otman S, Kird N, Comparison of different methods of pulsed shortwave diathermy in knee osteoarthritis. Pain Clinic. 2003; 15(4):421-7.
Shields N, O'Hare N. Boyle G, Gormtey J. Development and application of a quality control procedure for short-wave diathermy units. Med Biol Eng Comp 2003; 41 (1):62-8.
Garret LC, Draper OD, Knight LK. Heat distribution in the lower leg from pulsed short-wave diathermy and ultrasound treatments. J Athl Train. 2000; 35(1):50-5.
Guerra SR. Fukuda YT, Chicuto RD. Tratamento de pacientes com osteoartrite através da aplicação de ondas curtas pulsado atérmico: dosage ideal e tempo de aplicação. Med Reab. 2005; 24(1):15-9.
Evans P, The healing process at the cellular level: a review, Physiotherapy. 1980; 66(8):256-9.
Kitchen S, Partridge C . Review of shortwave diathermy continuous and pulsed patterns. Physiotherapy. 1992; 78:243-52.
Laufer Y, Zilberman R, Porat R, Nahir AM. Effect of pulsed short-wave diathermy on pain and function of subjects with osteoarthritis of the knee: a placebocontrolled double-blind clinical trial. Clin Rehab 2005; 19(3):255-63.
Wang JL, Chan RC, Cheng HH, Huang CJ, Lu YC, Chen IS, et al. Short waves induced enhancement of proliferation of human chondrocytes: involvement of extra-cellular signal-regulated rnap-kinase. Clln Exp Pharmacol Physiol. 2007; 34(7):581-5.
Trock DH, Bollet AJ, Dyer Jr. RH, Fielding LP, Miner WK, Markoll R. A double-blind trial of the clinical effects of pulsed electromagnetic fields in osteoarthritis J Rheumatol. 1993; 20(3):456-60.
offett JA. Richardson PH. Frost H. Osborn A. A placebo controlled double blind trial to evaluate the effectiveness of pulsed short wave therapy for osteoarthritis hip and knee pain. Pain. 1996; 67(1): 121-7
Callaghan MJ, Whittaker PE, Grimes S, Smith L. An evaluation of pulsed shortwave on knee osteoarthritis using radioleucoscintigraphy: a randomized, double-blind, controlled trial. Joint Bone Spine. 2005; 72(2): 150-5.
Gupta KB, Duryea J. Weissman BN. Radiographic evaluation of osteoarthritis. Radiol Clin N Am. 2004: 42(1): 11-41.
Bjordal JM, Couppé C. Chow RT, Tunér J, Ljunggren EA. A systernatic review of low level laser therapy with location-specific dosages for pain from chronic joint disorders. Australian J Physiother. 2003; 49(2):107-16.
Bellarny N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to anti-rheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988; 15(12):1833-40.
Roos EM. Roos HP. Lohmander LS. WOMAC osteoarthritis index: additional dimensions for use in subjects with posttraumatic osteoarthritis of the knee Western Ontario and MacMaster Universities Osteoarthritis Cartilage. 1999; 7(2):216-21.
Xie F, Li SC, Roos EM, Frong KY, Lo NM, Yeo SJ, ef al. Cross-cultural adaptation and validation of Singapore English and Chinese versions of the Knee injury Osteoarthritis Outcome Score (KOOS) in Asians with knee osteoarthritis in Singapore. Ostearthritis Cartilage. 2006; 14(11):1098-103.
Paradowski PT, Bergman S, Sundén-Lundius A, Lohmander LS, Roos EM. Knee complaints vary with age and gender in the adult population. Populationbased reference data for the knee injury and Osteoarthritis Outcome Score (KOOS). BMC Muscularskeletal Dis. 2006; 7:38.
Hoppenfeld S. Propedêutica ortopédica: coluna e extremidades. São Paulo: Atheneu; 2002.
Scott LD, Pipitone N. Magnetic pulse treatment for knee osteoarthritis: a randomised, double-blind. placebo-controlled study. Curr Med Res Opin. 2001; 17(3): 190-6.
Svarcová J, TrnavskV K, Zvárová J, The influence of ultrasound, galvanic currents and short wave diathermy on pain intensity in patients with osteoarthritis. Scand J Rheumatol Suppl. 1987; 67:83-5.