Comparing Hot Pack, Short-Wave Diathermy, Ultrasound, and TENS on Isokinetic Strength, Pain, and Functional Status of Women with Osteoarthritic Knees

Çetin, Nuri; Aytar, Aydan; Atalay, Ayçe; Akman, Mahmut Nafız

doi:10.1097/phm.0b013e318174e467

Cited by 152 publications

(144 citation statements)

References 26 publications

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“…Las medidas de resultado más comúnmente utilizadas en los artículos seleccionados fueron: dolor medido con Escala Visual Análoga (EVA) (40)(41)(42)(44)(45)(46)(47)49,51,53,55,(61)(62)(63)(64), Lattinen Test Score (LTS) (53,59,62) (42,56,57) y solo 2 realizaron un seguimiento a largo plazo (1 año) (41,48).…”

Section: Medidas De Resultadounclassified

“…De acuerdo con el análisis de los datos extraídos de los artículos que cumplían los criterios de elegibilidad de nuestra RS, hubo 3 comparaciones que aparentemente cumplían con la condición de homogeneidad clínica: los grupos 5 y 6 del estudio de Cetin et al (46) …”

Section: Síntesis Y Análisis De Datosunclassified

“…Catorce estudios (41,42,46,(52)(53)(54)56,57,59,60,(62)(63)(64)(65), con un n = 1.710 pacientes, investigaron la efectividad de un programa de tratamiento que incluía OC versus otro programa de tratamiento, en pacientes con OA de rodilla, dolor cervical, SD lumbar, capsulitis adhesiva y tendinitis cálcica de hombro.…”

Section: Programa De Tratamiento Que Incluya Oc Versus Otro Programa unclassified

“…Cetin et al (46), con un n = 100 pacientes, comparó la efectividad de varios agentes físicos adicionado a un programa de ejercicio isocinético. Grupo n° 1: OCC más CHC, grupo n° 2: Tens más CHC, grupo n° 3: US más CHC, grupo n° 4 CHC y grupo n° 5: solo ejercicios isocinéticos.…”

Section: Programa De Tratamiento Que Incluya Oc Versus Otro Programa unclassified

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Onda corta para el dolor musculoesquelético: revisión sistemática

M.²,

H.³

2013

Rev. Soc. Esp. Dolor

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Recibido: 18-12-12. Aceptado: 25-03-12. H. Gutiérrez E. et al. Onda corta para el dolor musculoesquelético. Revisión sistemática. Rev Soc Esp Dolor 2013; 20(5): 230-262. ABSTRACTShortwave is a type of electromagnetic radiation whose frequency band commonly used is 27.12 MHz with a wavelength of 11.6 m, is a one of the most commonly used by physiotherapists for pain management of musculoskeletal origin, will be a synthesis of evidence through a systematic review of randomized controlled clinical trials.Objetive: To determine whether there is scientific evidence to support the analgesic effectiveness of shortwave therapy in musculoskeletal pathologies source.Search strategy: We included in the search for randomized clinical trials (RCTs) and controlled clinical trials (CCTs), the databases used were MEDLINE, CINAHL, Central, PEDro, and LILACS.Results: 26 studies that met our eligibility criteria. Conclusions:There is moderate evidence that the short and long term PSW to high and low doses reduce pain and improve function; and the CSW to add an exercise program an education does not reduce pain or analgesic consumption reduced in patients with knee OA; there is moderate evidence that shortterm CSW adding to NSAID and exercise program produces a decrease in pain in patients with chronic low back pain.Key words: Short-wave. Electromagnetic radiation. Musculoskeletal pain. Randomized clinical trial. Systematic review. RESUMENLa onda corta es un tipo de radiación electromagnética, cuya banda de frecuencia más comúnmente usada es 27,12 MHz con una longitud de onda de 11,06 m, es una de las modalidades más usadas por los fisioterapeutas para el manejo del dolor de origen musculoesquelético. Se realizará una síntesis de la evidencia a través de una revisión sistemática de ensayos clínicos aleatorizados y controlados.Objetivo: Determinar si existe evidencia científica que avale la efectividad analgésica de la onda corta en patologías de origen musculoesquelético.Estrategia de búsqueda: Se incluyeron en la búsqueda ensayos clínicos aleatorizados (ECAs) y ensayos clínicos controlados (ECCs), las bases de datos usadas fueron: MEDLINE, CINAHL, Central, PEDro y LILACS.Resultados: Se seleccionaron 26 artículos que cumplían con nuestros criterios de elegibilidad.Conclusión: Existe moderada evidencia de que a corto y largo plazo la OCP a dosis altas y bajas reducen el dolor y mejoran la función; y el adicionar OCC a un programa de ejercicios y educación no disminuye el dolor ni reduce el consumo de analgésicos en pacientes con OA de rodilla; existe moderada evidencia a corto plazo de que adicionar OCC a un programa terapéutico con AINEs y ejercicios produce una disminución del dolor en pacientes con SDL crónico.Palabras clave: Onda corta. Radiación electromagnética. Dolor musculoesquelético. Ensayo clínico aleatorizado. Revisión sistemática. INTRODUCCIÓNLa onda corta (OC) es un tipo de radiación electromagnética (RE) usada por los fisioterapeutas (FT), cuyo rango REVISIONES MBA

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Section: Medidas De Resultadounclassified

Section: Síntesis Y Análisis De Datosunclassified

Section: Programa De Tratamiento Que Incluya Oc Versus Otro Programa unclassified

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Onda corta para el dolor musculoesquelético: revisión sistemática

M.²,

H.³

2013

Rev. Soc. Esp. Dolor

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“…Cetin et al 27 , assim como no presente estudo, concluíram que a aplicação do US antes do exercício ocasiona um aumento do desempenho na realização do exercí-cio, diminuição da dor e melhora da função. Huang et al 5 concluíram que especialmente o US pulsado pode aumentar os efeitos terapêuticos dos exercícios isociné-ticos no alívio da dor e melhora da função de pacientes com OA de joelho.…”

Section: Discussionunclassified

Efeito do ultrassom pulsado e do ultrassom contínuo associado a exercícios em pacientes com osteoartrite de joelho: estudo piloto

2012

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RESUMO | A osteoartrite (OA) é uma doença crônica associada à morbidade significante. O objetivo deste estudo foi comparar o exercício isolado ao ultrassom pulsado (USP) e contínuo (USC) associados a exercício 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 indivíduos, 50 a 75 anos, OA grau 2-4, foram randomizados: Grupo USC (USC + exercícios), Grupo USP (USP + exercícios) e Grupo EXE (exercícios). Os grupos foram avaliados antes e após o tratamento. A intervenção foi realizada três vezes por semana durante oito semanas: nas quatro primeiras foi aplicado USC ou USP e, nas demais foram realizados os exercícios. O Grupo EXE realizou exercícios 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 exercícios foi mais efetiva na melhora da dor, ADM, função e QV em pacientes com OA de joelho.Descritores | osteoartrite do joelho; terapia por exercício; terapia por ultrassom.ABSTRACT | 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 intergroup 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 effe...

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Transcutaneous electrostimulation for osteoarthritis of the knee

Rutjes

Nüesch

Sterchi

et al. 2009

Cochrane Database of Systematic Reviews

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Background Osteoarthritis is the most common form of joint disease and the leading cause of pain and physical disability in the elderly. Transcutaneous electrical nerve stimulation (TENS), interferential current stimulation and pulsed electrostimulation are used widely to control both acute and chronic pain arising from several conditions, but some policy makers regard efficacy evidence as insufficient. Objectives To compare transcutaneous electrostimulation with sham or no specific intervention in terms of effects on pain and withdrawals due to adverse events in patients with knee osteoarthritis. Search strategy We updated the search in CENTRAL, MEDLINE, EMBASE, CINAHL and PEDro up to 5 August 2008, checked conference proceedings and reference lists, and contacted authors. Selection criteria Randomised or quasi-randomised controlled trials that compared transcutaneously applied electrostimulation with a sham intervention or no intervention in patients with osteoarthritis of the knee. Data collection and analysis We extracted data using standardised forms and contacted investigators to obtain missing outcome information. Main outcomes were pain and withdrawals or dropouts due to adverse events. We calculated standardised mean differences (SMDs) for pain and relative 4 Transcutaneous electrostimulation for osteoarthritis of the knee (Review)

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Comparing Hot Pack, Short-Wave Diathermy, Ultrasound, and TENS on Isokinetic Strength, Pain, and Functional Status of Women with Osteoarthritic Knees

Abstract: Using physical agents before isokinetic exercises in women with knee osteoarthritis leads to augmented exercise performance, reduced pain, and improved function. Hot pack with a transcutaneous electrical nerve stimulator or short-wave diathermy has the best outcome.

Cited by 152 publications

References 26 publications

Onda corta para el dolor musculoesquelético: revisión sistemática

Onda corta para el dolor musculoesquelético: revisión sistemática

Efeito do ultrassom pulsado e do ultrassom contínuo associado a exercícios em pacientes com osteoartrite de joelho: estudo piloto

Transcutaneous electrostimulation for osteoarthritis of the knee

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