1
|
Ramalho RC, Fernandes TD, Peraro FDF, Pugliese GM, Arliani GG, Ferreira GF. ULTRASOUND-GUIDED GENICULAR NERVE BLOCK FOR KNEE OSTEOARTHRITIS: A CASE SERIES. ACTA ORTOPEDICA BRASILEIRA 2024; 32:e277781. [PMID: 39086844 PMCID: PMC11288321 DOI: 10.1590/1413-785220243203e277781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 10/20/2023] [Indexed: 08/02/2024]
Abstract
Objective Knee genicular nerve blocks have been a topic of discussion among various types of treatment for knee osteoarthritis. This study aims to evaluate the pain and function of patients diagnosed with knee osteoarthritis after undergoing ultrasound-guided genicular nerve blockade using pharmacological agents. Methods The study included 36 patients diagnosed with knee osteoarthritis, comprising 17 bilateral cases, totaling 53 knees undergoing UGNB using a mixture of triamcinolone, ropivacaine, and lidocaine under ultrasound guidance. Epidemiological data, pain outcomes measured by the Visual Analog Scale (VAS), and function assessed using the Western Ontario and McMaster Universities (WOMAC) score were evaluated before and after 12 weeks of the procedure. Results The mean age was 75.5 years (standard deviation of 9.4 years), with a predominance of females and right-sided involvement. There was a mean reduction of 3.0 points in VAS (p < 0.001) and 15.4 points in WOMAC (p < 0.001). Two cases reported only minor and transient complications related to the procedure (skin anesthesia and edema). Conclusion Ultrasound-guided genicular nerve blockade using pharmacological agents demonstrated pain reduction and improved function with a low complication rate after 12 weeks in patients with knee gonarthrosis. Level of Evidence IV, Case Series.
Collapse
|
2
|
Astini R, Riberto M. Acupuncture in the Treatment of a Series of Patients with Chronic Pain Associated with Hip Osteoarthritis. Rev Bras Ortop 2023; 58:e750-e754. [PMID: 37908518 PMCID: PMC10615607 DOI: 10.1055/s-0043-1776134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 06/26/2023] [Indexed: 11/02/2023] Open
Abstract
Objective Hip osteoarthritis (HO) causes pain and deranges functioning. Surgical treatment is the preferred approach in severe cases, but clinical comorbidities, age and the long waiting list may compromise quality of life. This study aimed to describe the results of acupuncture for the control pain and improvement of functioning in subjects with HO. Method Twelve severe HO patients were treated with ten weekly sessions of a standardized acupuncture point protocol. Pain intensity was assessed with the Visual Analog Pain Scale (VAS) and quality of life with WOMAC Index. Results Pain intensity (VAS) reduced from 75.8 ± 18.8 mm to 20.0 ± 22.6 mm after 10 acupuncture sessions and 48.3 ± 26.6mm in the follow-up (ANOVA F = 7.99; p < 0.001). WOMAC Index values reduced from 74.7 ± 12.7 to 45.7 ± 22.1 and 54.6 ± 22.9 at the same timepoints. Conclusion Acupuncture is an effective conservative rehabilitation strategy to reduce pain and improve quality of life in subjects with severe HO.
Collapse
Affiliation(s)
- Rafael Astini
- Programa de Pós-Graduação em Ciências da Saúde Aplicadas ao Aparelho Locomotor da Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Marcelo Riberto
- Programa de Pós-Graduação em Ciências da Saúde Aplicadas ao Aparelho Locomotor da Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil
| |
Collapse
|
3
|
Lima MVV, Freire ADO, Sousa ELF, Vale AAM, Lopes AJO, Vasconcelos CC, Lima-Aragão MVV, Serra HO, Liberio RNMG, dos Santos APSDA, Silva GEB, da Rocha CQ, Moreira Lima FCV, Cartágenes MDSDS, Garcia JBS. Therapeutic Use of Scoparia dulcis Reduces the Progression of Experimental Osteoarthritis. Molecules 2019; 24:molecules24193474. [PMID: 31557835 PMCID: PMC6803828 DOI: 10.3390/molecules24193474] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 09/07/2019] [Accepted: 09/10/2019] [Indexed: 11/20/2022] Open
Abstract
Pain is recognized as one of the main symptoms in knee osteoarthritis and is the main reason why patients seek medical attention. Scoparia dulcis has been popularly used to relieve discomfort caused by various painful conditions. The objective of the study is to evaluate the analgesic and anti-inflammatory effect of the crude extract of S. dulcis, in an experimental model of osteoarthritis. The experiment was performed with Wistar rats divided into 4 groups with 5 animals each: healthy, saline, crude extract, and meloxicam groups. Knee osteoarthritis was induced by intra-articular injection of sodium mono-iodoacetate. First, clinical parameters of pain were assessed at days 0, 5, 10, 15, and 20 after induction. Second, the potential cyclooxygenase inhibition was evaluated, and the cytokines of the synovial fluid were quantified. An in silico test and Molecular Docking tests were performed. A histopathological evaluation was made on articular cartilage with safranin O staining. The results showed that a 15-day treatment with crude extract reduced edema, spontaneous pain, peripheral nociceptive activity, and proinflammatory cytokines in the synovial fluid. The highest inhibition of cyclooxygenase 2 in the crude extract occurred at 50 µg/mL. The crude extract of S. dulcis presents therapeutic potential for the treatment of osteoarthritis due to its anti-inflammatory and anti-nociceptive action.
Collapse
Affiliation(s)
- Marcus Vinícius Viégas Lima
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
- Universidade Ceuma, São Luís 65075-120, Brazil
- Correspondence: (M.V.V.L.); (M.d.S.d.S.C.); (J.B.S.G.); Tel.: +55-(98)-3272-9527 (M.V.V.L.)
| | - Abner de Oliveira Freire
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
| | - Emerson Lucas Frazão Sousa
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
| | - André Alvares Marques Vale
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
| | - Alberto Jorge Oliveira Lopes
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
- Universidade Federal do Maranhão, Coordenação de Ciências Naturais, Campus Bacabal, São Luís 65080-80, Brazil
| | - Cleydlenne Costa Vasconcelos
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
| | - Mônica Virginia Viégas Lima-Aragão
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
| | | | - Rosane Nassar Meireles Guerra Liberio
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
| | - Ana Paula Silva de Azevedo dos Santos
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
| | - Gyl Eanes Barros Silva
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
- Hospital Universitário Presidente Dutra, São Luís 65020-070, Brazil;
| | | | | | - Maria do Socorro de Sousa Cartágenes
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
- Correspondence: (M.V.V.L.); (M.d.S.d.S.C.); (J.B.S.G.); Tel.: +55-(98)-3272-9527 (M.V.V.L.)
| | - João Batista Santos Garcia
- Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís 65080-805, Brazil; (A.d.O.F.); (E.L.F.S.); (A.A.M.V.); (A.J.O.L.); (C.C.V.); (R.N.M.G.L.); (A.P.S.d.A.d.S.); (G.E.B.S.)
- Correspondence: (M.V.V.L.); (M.d.S.d.S.C.); (J.B.S.G.); Tel.: +55-(98)-3272-9527 (M.V.V.L.)
| |
Collapse
|
4
|
Fangel R, Vendrusculo-Fangel LM, Albuquerque CPD, Parizotto NA, Paz CCDSC, Matheus JPC. Low level laser therapy for reducing pain in rheumatoid arthritis and osteoarthritis: a systematic review. FISIOTERAPIA EM MOVIMENTO 2019. [DOI: 10.1590/1980-5918.032.ao29] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction: Treatments for rheumatoid arthritis (RA) and osteoarthritis (OA) can reduce, modulate inflammation, and reduce deformities. Low-Level Laser Therapy is a biomodulator and may aid in the clinical picture of these conditions. Objective: To analyze the parameters most frequently used to determine the responses of patients with RA and OA in controlled and uncontrolled clinical trials. Method: This is a systematic review with search of articles in English, Portuguese and Spanish in PUBMED, SCOPUS, LILACS and Web of SCIENCE, of articles published between 2006 and 2018. MeSH terms were used. Inclusion criteria: evaluation of LLLT in the evaluations, evaluation and evaluation of the period, controlled and uncontrolled clinical trials, full publications. The base date of the energy dosimetry and the analysis of mean, median and mode of energy per point and energy per treatment. Results: Three articles on RA and 16 on OA were included in this study. Regarding dosimetry, it was one of the most recent of the pain, being this one with a greater energy dose. In OA, most of the articles presented are of importance, with variability in the dosage applied. Conclusion: There are several reports for patient studies purposes, mainly with doses of 6 J per point and 48 J. In the joints affected with OA and AR, it would be important to publish more scientific articles with better methodological quality and description of dosimetry.
Collapse
Affiliation(s)
- Renan Fangel
- Centro Universitário EuroAmericano, Brazil; Universidade de Brasília, Brazil
| | | | | | | | | | | |
Collapse
|
5
|
Gondim ITGDO, Torres ABDC, Lacerda ATBD, Fernandes DQK, Couto MCD, Pedrosa MAC. Effects of a therapeutic exercises program associated with pompage technique on pain, balance and strength in elderly women with knee osteoarthritis. FISIOTERAPIA EM MOVIMENTO 2017. [DOI: 10.1590/1980-5918.030.s01.ao01] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Introduction: Knee Osteoarthritis (OA) affects mainly elderly, being characterized by arthralgia, stiffness and strength and balance deficits. Scientific evidence suggests beneficial effects of exercise therapy on these changes, but lacks detailed protocols. In addition, there were published studies on effects of therapeutic exercise associated with pompage that were not located. Objective: To investigate the effects of a therapeutic exercise program associated with pompage on pain, balance and muscle strength in elderly women with knee osteoarthritis. Methods: A randomized pilot clinical trial that included 22 women (60 - 80 years) diagnosed with knee OA, randomized and allocated by simple raffle into two groups: intervention and control. Intervention group (strengthening and balance exercises and knee pompage) performed two sessions per week for 12 weeks. The control group received educational lectures, they were evaluated before and after 12 weeks: arthralgia- subscale pain of the Western Ontario and McMaster Universities Osteoarthritis Index questionnaire (WOMAC); postural stability- postural balance protocol by Biodex Balance SD and muscle strength- concentric peak torque of the knee extensor by isokinetic dynamometer. The Independent Student t test was used for intergroup analysis. Results: The intervention group compared with the control showed better results for the outcomes pain, balance and muscle strength after 12 weeks. However, the difference was statistically significant (p < 0.05) for levels of antero-posterior oscillation (DM -0.28, 95% CI -0.54 a -0.02; p = 0.035) and global oscillation (DM -0.36, 95% CI -0.68 a -0.04; p = 0.028). Conclusion: The intervention had a positive effect on postural balance in elderly women with knee osteoarthritis.
Collapse
|
6
|
Faleiro TB, Schulz RDS, Jambeiro JEDS, Tavares Neto A, Delmonte FM, Daltro GDC. VISCOSUPPLEMENTATION IN ANKLE OSTEOARTHRITIS: A SYSTEMATIC REVIEW. ACTA ORTOPEDICA BRASILEIRA 2016; 24:52-4. [PMID: 26997916 PMCID: PMC4775491 DOI: 10.1590/1413-785220162401139470] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
To evaluate the efficacy of viscosupplementation in patients with osteoarthritis of the ankle. A systematic review to evaluate the evidence in the literature on the use of viscosupplementation for osteoarthritis of the ankle. For this review, we considered blind randomized prospective studies involving the use of viscosupplementation for osteoarthritis of the ankle. A total of 1,961 articles were identified in various databases. After examining each of the articles, five articles were included in this review. Treatment with intraarticular hyaluronic acid is a safe treatment modality that significantly improves functional scores of patients, with no evidence of superiority in relation to other conservative treatments. Further clinical trials with larger numbers of patients are needed so that we can recommend its use and address unanswered questions. Systematic Review of Randomized Clinical Trials.
Collapse
|
7
|
Veronezi CCD, de Azevedo Simões PWT, Dos Santos RL, da Rocha EL, Meláo S, de Mattos MC, Cechinel C. COMPUTATIONAL ANALYSIS BASED ON ARTIFICIAL NEURAL NETWORKS FOR AIDING IN DIAGNOSING OSTEOARTHRITIS OF THE LUMBAR SPINE. Rev Bras Ortop 2015; 46:195-9. [PMID: 27027010 PMCID: PMC4799207 DOI: 10.1016/s2255-4971(15)30239-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2010] [Accepted: 06/07/2010] [Indexed: 10/27/2022] Open
Abstract
OBJECTIVE To ascertain the advantages of applying artificial neural networks to recognize patterns on lumbar spine radiographies in order to aid in the process of diagnosing primary osteoarthritis. METHODS This was a cross-sectional descriptive analytical study with a quantitative approach and an emphasis on diagnosis. The training set was composed of images collected between January and July 2009 from patients who had undergone lateral-view digital radiographies of the lumbar spine, which were provided by a radiology clinic located in the municipality of Criciúma (SC). Out of the total of 260 images gathered, those with distortions, those presenting pathological conditions that altered the architecture of the lumbar spine and those with patterns that were difficult to characterize were discarded, resulting in 206 images. The image data base (n = 206) was then subdivided, resulting in 68 radiographies for the training stage, 68 images for tests and 70 for validation. A hybrid neural network based on Kohonen self-organizing maps and on Multilayer Perceptron networks was used. RESULTS After 90 cycles, the validation was carried out on the best results, achieving accuracy of 62.85%, sensitivity of 65.71% and specificity of 60%. CONCLUSIONS Even though the effectiveness shown was moderate, this study is still innovative. The values show that the technique used has a promising future, pointing towards further studies on image and cycle processing methodology with a larger quantity of radiographies.
Collapse
Affiliation(s)
| | - Priscyla Waleska Targino de Azevedo Simões
- PhD Student in Health Sciences - Universidade do Extremo Sul Catarinense (UNESC), Master's Degree in Computer Science - Universidade Federal de Santa Catarina (UFSC), Professor in Medical Informatics at the Universidade do Extremo Sul Catarinense (UNESC), SC, Brazil
| | - Robson Luiz Dos Santos
- Specialist in Orthopedics and Traumatology- Hospital Regional de São José, Specialist in Surgery of the Hand and Microsurgery at the Universidade de São Paulo (USP), Professor of Orthopedics at the Universidade do Extremo Sul Catarinense (UNESC), SC, Brazil
| | - Edroaldo Lummertz da Rocha
- Master's Degree in Electrical Engineering - Universidade Federal de Santa Catarina, Bachelor's Degree in Computer Science - Universidade do Extremo Sul Catarinense (UNESC), SC, Brazil
| | - Suelen Meláo
- Undergraduate Student in Medicine - Universidade do Extremo Sul Catarinense (UNESC)
| | - Merisandra Côrtes de Mattos
- PhD Student in Biomedical Engineering - Federal University of Santa Catarina (UFSC), Master's Degree in Computer Science - Federal University of Santa Catarina (UFSC), Professor of Artificial Intelligence at the Universidade do Extremo Sul Catarinense (UNESC), SC, Brazil
| | - Cristian Cechinel
- PhD Student in Information, Documentation and Knowledge - Universidade de Alcalá (UAH) - Spain; Master's Degree in Computer Sciences - Universidade Federal de Santa Catarina (UFSC), SC, Brazil
| |
Collapse
|
8
|
Functional Fitness and Self-Reported Quality of Life of Older Women Diagnosed with Knee Osteoarthrosis: A Cross-Sectional Case Control Study. J Aging Res 2015; 2015:841985. [PMID: 26346896 PMCID: PMC4541016 DOI: 10.1155/2015/841985] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2014] [Revised: 01/21/2015] [Accepted: 02/16/2015] [Indexed: 01/13/2023] Open
Abstract
Aim. Utilizing a cross-sectional case control design, the aim of this study was to evaluate the functional fitness and self-reported quality of life differences in older people diagnosed with knee osteoarthrosis (O) who participated in health promotion groups. Methods. Ninety older women were distributed into two groups: control without O of the knee (C, n = 40) and a group diagnosed with primary and secondary knee O with grade II or higher, with definite osteophytes (OA, n = 50). Functional fitness was evaluated by specific tests, and the time spent in physical activity and quality of life was evaluated by the IPAQ and WHOQOL (distributed in four domains: physical: P, psychological: PS, social: S, and environmental: E) domain questionnaires. Results. No differences were found between ages of groups (C: 66 ± 7; OA: 67 ± 9; years). The values of the chair stand test (rep) in the OA (13 ± 5) group were different when compared to C group (22 ± 5). For the 6-minute walk test (meters), the values obtained for the C (635 ± 142) were higher (P < 0.01) than the OA (297 ± 143) group. The time spent in physical activity (min) was greater (P < 0.001) in the control (220 ± 12) group compared to OA (100 ± 10) group. Higher values (P < 0.001) in all domains were found in the C (P: 69 ± 16, PS: 72 ± 17, S: 67 ± 15, E: 70 ± 15) group compared to OA (P: 48 ± 7, PS: 43 ± 8, S: 53 ± 13, E: 47 ± 14) group. Conclusion. Our data suggests that knee O, in older women, can promote a decline in time spent performing physical activity and functional fitness with decline in quality of life with an increase in sitting time.
Collapse
|
9
|
Coelho CDF, Leal-Junior ECP, Biasotto-Gonzalez DA, Bley AS, de Carvalho PDTDC, Politti F, Gonzalez TDO, de Oliveira AR, Frigero M, Garcia MBS, Dibai-Filho AV, Gomes CAFDP. Effectiveness of phototherapy incorporated into an exercise program for osteoarthritis of the knee: study protocol for a randomized controlled trial. Trials 2014; 15:221. [PMID: 24919587 PMCID: PMC4229877 DOI: 10.1186/1745-6215-15-221] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2014] [Accepted: 05/29/2014] [Indexed: 01/09/2023] Open
Abstract
Background Osteoarthritis is a chronic disease with a multifactor etiology involving changes in bone alignment, cartilage, and other structures necessary to joint stability. There is a need to investigate therapeutic resources that combine different wavelengths as well as different light sources (low-level laser therapy and light-emitting diode therapy) in the same apparatus for the treatment of osteoarthritis. The aim of the proposed study is to analyze the effect of the incorporation of phototherapy into a therapeutic exercise program for individuals with osteoarthritis of the knee. Methods/Design A double-blind, controlled, randomized clinical trial will be conducted involving patients with osteoarthritis of the knee. Evaluations will be performed using functional questionnaires before and after the treatment protocols, in a reserved room with only the evaluator and participant present, and no time constraints placed on the answers or evaluations. The following functional tests will also be performed: stabilometry (balance assessment), dynamometry (muscle strength of gluteus medius and quadriceps), algometry (pain threshold), fleximeter (range of motion), timed up-and-go test (functional mobility), and the functional reach test. The participants will then be allocated to three groups through a randomization process using opaque envelopes: exercise program, exercise program + phototherapy, or exercise program + placebo phototherapy, all of which will last for eight weeks. Discussion The purpose of this randomized clinical trial is to analyze the effect of the incorporation of phototherapy into a therapeutic exercise program for osteoarthritis of the knee. The study will support the practice based on evidence to the use of phototherapy in individuals with a diagnosis of osteoarthritis of the knee. Data will be published after the study is completed. Trial registration The protocol for this study has been submitted to Clinical Trials, registration number NCT02102347, on 29 March 2014.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | - Cid André Fidelis de Paula Gomes
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), Av, Dr, Adolfo Pinto,109, Água Branca, 05001-100 São Paulo, SP, Brazil.
| |
Collapse
|
10
|
Rezende MUD, Campos GCD, Pailo AF. Current concepts in osteoarthritis. ACTA ORTOPEDICA BRASILEIRA 2014; 21:120-2. [PMID: 24453655 PMCID: PMC3861968 DOI: 10.1590/s1413-78522013000200010] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/07/2012] [Accepted: 01/05/2013] [Indexed: 02/07/2023]
Abstract
Osteoarthritis (OA), the most common form of joint disease, affects mainly the hips, knees, hands and feet, leading to severe disability and loss of quality of life, particularly in the elderly population. Its importance grows every year with the aging of the population, with a large increase in the elderly population compared to younger patients. The progressive understanding of the pathophysiology of OA, the perception that the process is not purely mechanical and / or aging, and clarification of the inflammatory pathways involved led recently to the clinical application of various drugs and other measures. This update aims to expose the current concepts on the pathophysiology and treatment of OA.
Collapse
|
11
|
Baliza GA, Lopes RA, Dias RC. O papel da catastrofização da dor no prognóstico e tratamento de idosos com osteoartrite de joelho: uma revisão crítica da literatura. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2014. [DOI: 10.1590/s1809-98232014000200020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
A artroplastia total de joelho, procedimento realizado em pacientes com osteoartrite severa, pode levar à melhora na dor, na função física e na qualidade de vida, porém alguns indivíduos apresentam resultados negativos após esse procedimento. A catastrofização da dor tem sido apontada como o preditor psicológico mais importante para os piores resultados após a cirurgia. Assim, o objetivo deste estudo foi realizar uma revisão da literatura acerca da influência da catastrofização da dor no prognóstico e tratamento de indivíduos idosos com osteoartrite de joelho. Foi realizada uma busca da literatura nas bases de dados Medline via PubMed, Embase, Cochrane, Scopus, Science Direct, MedCarib, SciELO, LILACS e Google Acadêmico, a partir do primeiro registro até junho de 2012. A busca resultou num total de 2.227 artigos e, após exclusão por título, resumo e leitura integral, foram selecionados seis estudos. Todos os artigos mostraram como característica comum de tratamento a realização da artroplastia total de joelho. Apesar da análise de outras variáveis como depressão, ansiedade, gravidade da dor, incapacidade, somente a catastrofização revelou ser a variável que contribui significativamente para os resultados da recuperação após a artroplastia, contribuindo para maior tempo de permanência no hospital, maior intensidade de dor e piora na funcionalidade. É necessário que medidas básicas para a identificação dos indivíduos que catastrofizam mais sejam aplicadas e, assim, intervenções psicossociais podem ser necessárias para promover uma recuperação mais positiva em indivíduos que apresentam perfil de risco psicossocial, diminuindo o tempo de hospitalização.
Collapse
|