4 research outputs found
Phisical modalities on the functional performance in knee osteoarthritis: a sytematic review
Efeito do ultrassom pulsado e do ultrassom contĂnuo associado a exercĂcios em pacientes com osteoartrite de joelho: estudo piloto Effect of pulsed ultrasound and continuous ultrasound linked to exercise in patients with knee osteoarthritis: pilot study
A osteoartrite (OA) Ă© uma doença crĂ´nica associada Ă morbidade significante. O objetivo deste estudo foi comparar o exercĂcio isolado ao ultrassom pulsado (USP) e contĂnuo (USC) associados a exercĂcio na redução da dor, melhora da amplitude de movimento (ADM), força muscular (FM), qualidade de vida (QV) e funcionalidade de pacientes com OA de joelhos. Trinta indivĂduos, 50 a 75 anos, OA grau 2-4, foram randomizados: Grupo USC (USC + exercĂcios), Grupo USP (USP + exercĂcios) e Grupo EXE (exercĂcios). Os grupos foram avaliados antes e apĂłs o tratamento. A intervenção foi realizada trĂŞs vezes por semana durante oito semanas: nas quatro primeiras foi aplicado USC ou USP e, nas demais foram realizados os exercĂcios. O Grupo EXE realizou exercĂcios durante oito semanas. Para análises intragrupos, utilizou-se o teste de Wilcoxon e, intergrupos, o teste de Kruskall-Walis. Na comparação intragrupos, o Grupo USC apresentou melhora significativa (p<0,05) nas variáveis da Western Ontario and McMaster Universities Osteoarthritis (WOMAC) dor, função e escore total; o Grupo USP na dor repouso, ADM, FM e nas variáveis da WOMAC dor, função e escore total; já, o Grupo EXE na mobilidade e ADM. Na comparação intergrupos, o Grupo USC apresentou melhora significativa (p<0,05) quando comparado aos demais grupos na dor repouso, ADM, escores função e total da WOMAC e o Grupo EXE na dor da WOMAC. A associação do USC a exercĂcios foi mais efetiva na melhora da dor, ADM, função e QV em pacientes com OA de joelho.<br>Osteoarthritis (OA) is a chronic disease associated with significant morbidity. The aim of this study was to compare the isolated exercises with association of pulsed (PUS) and continuous (CUS) ultrasound with exercise in reducing pain, improving range of motion (ROM), muscle strength (MS), quality of life (QL) and functionality of patients with knee OA. Thirty individuals, 50 to 75 years old, 2-4 OA grade, were randomized: Group CUS (CUS + exercise), Group PUS (PUS + exercise) and EXE group (exercises). The groups were evaluated before and after treatment. The intervention was performed three times a week for eight weeks: in the first four weeks, it was applied CUS or PUS, and in other weeks, exercises were carried out. The EXE group performed exercises for eight weeks. For intra-group analysis, the Wilcoxon test was used and inter-group analysis, the Kruskall-Walis test was used. Within the groups, the USC group showed significant improvement (p<0.05) in variables of Western Ontario and McMaster Universities Osteoarthritis (WOMAC) pain, function and total score; the Group USP in pain-rest, ROM, MS, variables of WOMAC pain, function and total score; and EXE Group in mobility and ROM. In intergroup comparison, the USC group showed significant improvement (p<0.05) when compared to other groups in pain-rest, ROM, variables of WOMAC function and total score and EXE group in WOMAC-pain. The association of USC and exercise was more effective in reducing pain, ROM, function and QL in patients with knee OA