Efficacy of Therapeutic Ultrasound for the Management of Knee Osteoarthritis

Abstract

The present study demonstrated that all assessment parameters significantly improved in all groups without a significant difference. This result suggested that therapeutic US provided no additional benefit in improving pain and functions in addition to exercise training.

Phisical modalities on the functional performance in knee osteoarthritis: a sytematic review

“…It was found that the groups with pulsed US were effective to increase the range of motion and functional performance and hyaluronic acid group was more effective in functional performance, discomfort and fibromyalgia. The parameters used in these studies (13)(14)(15) Discordant results were obtained in the study of Cakir et al (16), who reported improvement in pain, physical function, stiffness and functional performance, at the continuous US (1 MHz and 1 W / cm², 12 minutes), pulsed US (1 MHz, 1 W / cm² and a working cycle 1: 4, 12 minutes) and placebo US groups, with no differences among the groups, after 10 therapy sessions. All groups performed home exercises and the authors suggest that these exercises masked the US effects.…”

Uso del ultrasonido terapéutico pulsado en el tratamiento de personas con osteoartritis de rodilla

“…Así, la búsqueda bibliográfica concluyó con 13 ECC [11][12][13][14][15][16][17][18][19][20][21][22][23] (figura 1). La tabla 1 muestra los artículos incluidos en la revisión describiendo el objetivo, la población del estudio, las variables, el análisis y los principales resultados.…”

“…El puntaje máximo fue de 10 en dos de los estudios 12,23 y el puntaje mínimo fue de 5 para el estudio de Kozanoglu et al 17 (Tabla 2). Dentro de las limitaciones metodológicas encontradas en los estudios revisados se destaca principalmente la ausencia de un cálculo de tamaño muestral, lo que puede afectar el poder del estudio para establecer diferencias induciendo al error sistemático tipo II.…”

“…Solo dos de los estudios revisados 12,13 , reportan el cálculo del tamaño de muestra, pero no es clara la forma como este fue realizado.…”

Effects of Ultrasound versus Low Level Laser Therapy in Levofloxacin-Induced Rat Model of Knee Osteoarthritis

“…Continuous US represents safe and effective method in the management of knee osteoarthritis [5], [6].LLLT has analgesic effect and improves microcirculation in knee OA [7]. The use of LLLT and exercise training program provide better effect than exercise training alone in management of chronic OA of knee joint [8].Although physiotherapy of OA has recently greatly advanced, few studies have evaluated the underlying mechanisms and compare the efficacy of different methods.…”