Application of kinesiotherapy and electrothermotherapy in the treatment of elderly with knee osteoarthrosis: a comparative study

Abstract

Introduction Among the treatment modalities in this disease , the surgical and conservative means stand out through therapy resources such as electro-thermotherapy and kinetic therapy. The general objective of this study was to evaluate the effects from two protocols of physical therapy in elder women with knee osteoarthritis. Methods An experimental clinical trial type study consisting of pre and post tests was performed, in which 30 female patients were selected, all between 61 and 80 years old, diagnosed with primary knee OA, treated at the Center for Comprehensive Health Care for the Elder (CAISI - Centro de Atenção Integral à Saúde do Idoso). They were divided into 2 groups of 15 persons for each type of treatment: Group I was treated with kinetic therapy, and group II was treated with electro-thermotherapy. Patients from both groups underwent 36 physical therapy sessions during 12 weeks. For data collection, protocol sheets with socio-demographic data, Body Mass Index (BMI) at kg/m2, visual analogue scale (VAS) and measurement of motion range (ADM) were used. For statistics analysis, the Mann-Whitney, Wilcoxon and Chi-square's non-parametric tests were used. Student's parametric tests were also applied as independent samples. Results The tests performed in both groups contributed to the reduction in the level of pain. There were differences in group I and II on the increase of ADM, except in bending the left knee in group II. Conclusion It was concluded that both treatment modalities showed effective therapeutic responses, but these benefits were even higher in OA treatment by kinetic therapy.

Análise dos recursos terapêuticos em pacientes idosos com osteoartrite do joelho: revisão de literatura

“…Um estudo mais antigo realizado por Silva e Sá (2011), é apontado os recursos eletrotermofototerapêuticos dispostos para tratamento dessa afecção, que possuem efeito positivo quando aplicados em osteoartrite grau 2. Já Almeida et al (2016), explica que os mesmos recursos trazem resultados significativos na melhora da dor e amplitude de movimento do joelho. Shimoura et al (2019), contribui para esses argumentos citando como benefício destes recursos, a melhora da caminhada.…”

“…Entretanto, não foi constatado a redução da dor. Almeida, et al (2016), realizou um estudo com dois grupos de idosas com diagnóstico de OA do joelho. Para o grupo 1, descrevem o alongamento passivo de isquiostibiais, tensor da fáscia lata, tríceps sural, além de outras técnicas ativo e passivo.…”

Fisioterapia e qualidade de vida na osteoartrose de joelho

“…No estudo de Elbadawy et al [17], no qual foram avaliados 60 indivíduos que realizaram um programa de exercícios domiciliares + TENS (1x semana durante o período de 10 semanas), obtiveram como resultados, uma redução significativa na dor e melhora na escala de Knee and Osteoarthritis Outcome Score (KOOS), corroborando o estudo de Saw et al [23] no qual demonstraram que exercícios físicos associados à educação em saúde tem efeito significativo na qualidade de vida à longo prazo. O mesmo se mostra no estudo de Almeida et al [24], no qual há resultados significativos quanto à redução da dor e melhora da mobilidade articular em grupos de pacientes idosas que realizaram cinesioterapia e eletrotermoterapia.…”

Study to Increase the TRL of Exoskeleton ERMIS Based on a Methodology to the Identification of Real Performance Parameters

“…The essential type of rehabilitation that restores mobility and movement efficiency is a therapy based on the movement and exercise called kinesitherapy [3]. If the therapeutic movement is carried out without any collaboration from the patient, it is called passive rehabilitation [4].…”