Osteoarthritis
Conditions
Keywords
Ultrasound, Laser, Therapeutic exercise, Rehabilitation, Osteoarthritis
Brief summary
There are several therapeutic effects of the ultrasound (US) or low level laser therapy (LLLT), including pain relief, increase of microcirculation, modulation of inflammatory response and accelerated tissue repair. The investigators hypothesis was that a combination of US, LLLT and therapeutic exercise may maximize clinical outcome.
Detailed description
Patients with pain, especially chronic pain, avoid movements. This is turn results in a gradual impairment of their physical condition, reducing, for example, strength, flexibility, physical functionality and occupational activity. To performed physical treatments, a prototype device was development. The device includes four diode laser beams (808 nm) around of the one ultrasound transducer.
Interventions
DEVICEUltrasound plus Laser and therapeutic exercise
Ultrasound with frequency 1 Mhz and infrared laser with output power at 100 mW. The resistance training was performed.The treatments are done once a week, for 3 months.
DEVICEUltrasound plus Laser
Ultrasound with frequency 1 Mhz and infrared laser with output power at 100 mW. The treatments are done once a week, for 3 months.
DEVICEUtrasound plus Laser Placebo
The device with Ultrasound and infrared laser without emitting electromagnetic or mechanical waves was applied (null dose).
Sponsors
Fundação de Amparo à Pesquisa do Estado de São Paulo
Conselho Nacional de Desenvolvimento Científico e Tecnológico
University of Sao Paulo
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
60 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Caucasian women * Aged between 60 and 80 years * Hand osteoarthritis * Knee osteoarthritis
Exclusion criteria
* Psychiatric disorder, * Neurological disease * Metabolic disease * Pulmonary disease * Cardiac disease, * Thrombosis * Cancer.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analysis of pain for hands and knees | 3 months | Pressure pain thresholds by algometry (N) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Jebsen-Taylor Hand Function Test | 3 months | The time (s) to perform different activities is registered |
| Box and block Hand Function Test | 3 months | The number of wooden blocks that can be transported from one compartement of a box to another within 1 min is counted |
| Toe-Touching Function Test | 3 months | The distance (cm) from the finger of hand to finger of foot is registered |
| Sit-to-Stand Function Test | 3 months | The number of sit-to-stand within 1 min is counted |
| Gait Function Test | 3 months | The time (s) to perform 10 meters walked is registered |
| Subjective pain scale for hands and knees | 3 months | Pain intensity by visual analog scale (VAS) |
| Dynamometry | 3 months | Strength (N) |
| Accelerometer | 3 months | Acceleration (km.h-1) |
| Electrogoniometry | 3 months | Range of motion (angle) |
| Quality of life Questionnaire | 3 months | SF36 |
| Questionnaire for Osteoarthritis | 3 months | AUSCAN, WOMAC, KOOS, LEQUESNE index |
| Balance Function Test | 3 months | The time (s) to perform static and dynamic balance is registered |
Countries
Brazil
Outcome results
None listed