Ondas curtas pulsado em diferentes doses no tratamento de pacientes com osteoartrite de joelho
Palavras-chave:
Dor, Modalidade de fisioterapia, OsteoartriteResumo
ObJetIvo
Avaliar a eficácia da aplicação de ondas curtas pulsadas na redução da dor e melhora funcional dos pacientes com osteoartrite de joelho. investigar se há alguma diferença no tratamento entre os grupos com doses de 17 ou 33 kílobytes.
Métodos
Participaram deste estudo 42 mulheres portadoras de osteoartrite no joelho graus 11 ou IiI, com idade acima de 40 anos, submetidas à aplicação de ondas curtas pulsadas com doses de 17 ou 33 kilojoules, avaliadas por meio do questionário knee and osteoarthritís score escala visual analógica de dor e goniometria de flexão de joelho.
Resultados
Os grupos ativos de 17 ou 33 kilojoules obtiveram uma melhora do quadro álgico e funcional quando comparados com o grupo controle, porém não se encontrou diferença significativa na análise entre os grupos ativos.
Conclusão
Este estudo demonstrou que a aplicação de ondas curtas pulsadas com doses de 17 ou 33 kilobytes é eficaz no tratamento da osteoartrite de joelho.
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Referências
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.
