Influence of Using Physical Therapy Resources for Knee Osteoarthritis
- Conditions
- OsteoarthritisPhysical Therapy Modalities
- Interventions
- Other: exerciseDevice: Ultrasound therapyDevice: short-wave diathermyDevice: Low level laser therapyDevice: interferential current
- Registration Number
- NCT02636764
- Lead Sponsor
- University of Nove de Julho
- Brief Summary
Osteoarthritis is a chronic, multifactorial characterization, which changes in bone alignment, cartilage and structures that provide joint stability appear to be strongly correlated with the origin of this disease.This project will aim to verify the effectiveness of interferential current, short wave and low level laser therapy on an exercise program for mobility and pain in knee osteoarthritis. Blind randomized, placebo controlled. Five groups: exercise group, exercise group + Ultrasound therapy, exercise group + interferential current, exercise group + short-wave diathermy, exercise group + Low level laser therapy. Before and after the trial protocol by the following instruments: Western Ontario and McMaster Universities osteoarthritis index (WOMAC), numerical scale of pain assessment (END), Visual Analogue Scale Fatigue (VAS-F), issue F2.2 Instrument assessment of quality of life of the World Health Organization (WHOQOL-100) test sitting and standing + numerical rating pain scale, algometry. This project hypothesizes that the inclusion of photothermal and electrical agents in an exercise program will provide an improvement in pain, mobility and knee function in individuals diagnosed with knee osteoarthritis.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 100
- knee pain to at least six months and minimum of 4 points in pain scale
- Diagnosed with osteoarthritis in unilateral knee according to the criteria established by the American College of Rheumatology and confirmed by radiographic examination for identification Kellgren-Lawrence grade 2 or 3 (Kellgren & Lawrence, 1957).
- Any type of physical therapy
- therapy with intra-articular corticosteroids or therapeutic chondroprotective drugs last year, before the start of the study.
- history of trauma on his knees, cognitive disorder or psychological disorder,
- neurological (sensory or motor)
- cancer
- diabetes,
- or any state of adverse acute health osteoarthritis signs of hip
- cardiopulmonary disease that prevents the conducting exercises
- require auxiliary device for performing gait.
- Yet who undertake physical activity in the last two months. Physical activity is defined as strength training and / or more than 20 minutes of aerobic activity twice a week.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description exercise group + interferential current exercise Besides the intervention of the exercise group after the exercises will be applied to interferential current through the device. Will be positioned 4 electrodes (8x5 cm), two upper and two lower (forming a square) around the center of the knee. exercise group exercise An exercise protocol drawn up with the objective will be held to strengthen the musculature: flexor and extensor of the knee; extension, abduction, hip side rotator, using the weight and the elastic band. exercise group + Ultrasound therapy Ultrasound therapy Apart from intervening in the exercise group, an ultrasound device is used . exercise group + short-wave diathermy short-wave diathermy Besides the intervention of the exercise group after the exercises will be applied diathermies short wave in continuous mode. For that will be used apparatus, 27.12 megahertz, by means of vulcanized rubber electrodes (12x17 cm) with gentle warming for 30 minutes. exercise group + Low level laser therapy Low level laser therapy Apart from intervening in the exercise group, will be applied to Low level laser therapy, through the laser unit, Class 3b, gallium-aluminum-arsenide, continuous mode, wavelength: 830 nanometer, power: 30 watts. exercise group + Ultrasound therapy exercise Apart from intervening in the exercise group, an ultrasound device is used . exercise group + interferential current interferential current Besides the intervention of the exercise group after the exercises will be applied to interferential current through the device. Will be positioned 4 electrodes (8x5 cm), two upper and two lower (forming a square) around the center of the knee. exercise group + Low level laser therapy exercise Apart from intervening in the exercise group, will be applied to Low level laser therapy, through the laser unit, Class 3b, gallium-aluminum-arsenide, continuous mode, wavelength: 830 nanometer, power: 30 watts. exercise group + short-wave diathermy exercise Besides the intervention of the exercise group after the exercises will be applied diathermies short wave in continuous mode. For that will be used apparatus, 27.12 megahertz, by means of vulcanized rubber electrodes (12x17 cm) with gentle warming for 30 minutes.
- Primary Outcome Measures
Name Time Method pain Change from Baseline in The Western Ontario and McMaster Universities Arthritis Index at 8 weeks The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation Knee Osteoarthritis.
stiffness Change from Baseline in The Western Ontario and McMaster Universities Arthritis Index at 8 weeks The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation Knee Osteoarthritis.
physical functional Change from Baseline in The Western Ontario and McMaster Universities Arthritis Index at 8 weeks The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation Knee Osteoarthritis.
- Secondary Outcome Measures
Name Time Method intensity of pain Change from Baseline in The Numerical rating pain scale at 8 weeks The Numerical rating pain scale, a simple, easily administered scale evaluates the perceived intensity of pain, using an 11-point scale from 0, representing 'no pain', to 10, which is the 'worst possible pain'.
Self-perceived fatigue Change from Baseline in The question of F2.2 instrument for assessing quality of life World Health Organization (WHOQOL-100) at 8 weeks The question of F2.2 instrument for assessing quality of life World Health Organization (WHOQOL-100).
Functional capacity for sitting and standing Change from Baseline in The Functional capacity for sitting and standing at 8 weeks sitting-rising test
level of pressure pain Change from Baseline in ThePressure Pain Threshold at 8 weeks Pressure Pain Threshold in the knee with algometer dynamometer.
Trial Locations
- Locations (1)
University of Nove de Julho
🇧🇷São Paulo, São Paulo, São Paulo, Brazil