Influence of Using Physical Therapy Resources for Knee Osteoarthritis

University of Nove de Julho100 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

100

Conditions

Osteoarthritis Physical Therapy Modalities

Interventions

exerciseOTHER

exercises designed with the objective of strengthening the musculature: flexor and extensor of the knee; extensor, abductor, lateral rotator of the hip.

interferential currentDEVICE

The basic principle of Interferential Therapy (IFT) is to utilise the significant physiological effects of low frequency (\<250pps) electrical stimulation of nerves without the associated painful and somewhat unpleasant side effects sometimes associated with low frequency stimulation

short-wave diathermyDEVICE

Is a modality that produces deep heating via conversion of electromagnetic energy to thermal energy

Low level laser therapyDEVICE

Laser treatment in which the energy output is low enough so that the temperature of the treated tissue does not rise above 98.6°F (36.5° C) or normal body temperature.

Ultrasound therapyDEVICE

Ultrasound (US) is a form of mechanical energy, not electrical energy and therefore strictly speaking, not really electrotherapy at all but does fall into the Electro Physical Agents grouping.

Eligibility

Sex: ALLMin age: 40 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 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). Exclusion Criteria: * 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.

Outcomes

Primary Outcomes

pain

The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation Knee Osteoarthritis.

Time frame: Change from Baseline in The Western Ontario and McMaster Universities Arthritis Index at 8 weeks

stiffness

The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation Knee Osteoarthritis.

Time frame: Change from Baseline in The Western Ontario and McMaster Universities Arthritis Index at 8 weeks

physical functional

The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation Knee Osteoarthritis.

Time frame: Change from Baseline in The Western Ontario and McMaster Universities Arthritis Index at 8 weeks

Secondary Outcomes

intensity of pain

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'.

Time frame: Change from Baseline in The Numerical rating pain scale at 8 weeks

Self-perceived fatigue

a visual analog scale (VAS-F).

Time frame: Change from Baseline in the self-perceived fatigue at 8 weeks

Functional capacity for sitting and standing

sitting-rising test

Time frame: Change from Baseline in The Functional capacity for sitting and standing at 8 weeks

level of pressure pain

Pressure Pain Threshold in the knee with algometer dynamometer.

Time frame: Change from Baseline in ThePressure Pain Threshold at 8 weeks

Self-perceived fatigue

The question of F2.2 instrument for assessing quality of life World Health Organization (WHOQOL-100).

Time frame: Change from Baseline in The question of F2.2 instrument for assessing quality of life World Health Organization (WHOQOL-100) at 8 weeks

Influence of Using Physical Therapy Resources for Knee Osteoarthritis

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes