Effects of kinesiotherapy, ultrasound and electrotherapy in management of bilateral knee osteoarthritis: prospective clinical trial

BMC Musculoskeletal Disorders

Ibsen Bellini Coimbra¹  Claudio Andre Barbosa de Lira³  Eduardo de Paiva Magalhães¹  Marília dos Santos Andrade²  Rodrigo Luiz Vancini²  Naryana Cristina Mascarin² 

[1] Departamento de Clínica Médica, Faculdade de Ciências Médicas Universidade Estadual de Campinas (UNICAMP), SP, Brazil, Avenida Alexander Fleming,181, 2°. piso, sala 07, Barão Geraldo, CEP: 13083-881, Campinas, Caixa-Postal: 6111, (SP), Brazil;Departamento de Fisiologia, Universidade Federal de São Paulo (UNIFESP), Rua Botucatu, 862, 5° andar – Ed. Ciências Biomédicas, Vila Clementino, CEP: 04023-900, São Paulo, (SP), Brazil;Setor de Fisiologia Humana e do Exercício, Universidade Federal de Goiás (UFG), Unidade Jatobá, Câmpus Jataí, Rod. BR 364, km 192, Parque Industrial, no. 3800, CEP: 75801-615, Jataí, GO, Brazil

关键词: Knee osteoarthritis;    Electrotherapy;    Ultrasound;    Kinesiotherapy;   

Others  :  1145803
DOI  :  10.1186/1471-2474-13-182

 received in 2012-03-28, accepted in 2012-09-13,  发布年份 2012

【 摘 要 】

Background

Although recent advances in knee osteoarthritis (OA) treatment and evaluation were achieved, to the best of our knowledge, few studies have evaluated the longitudinal effect of therapeutic modalities on the functional exercise capacity of patients with knee OA. The purpose was to investigate the effects of kinesiotherapy and electrotherapy on functional exercise capacity, evaluated using the six-minute walk test (6-MWT) in patients with bilateral knee OA. Secondary measurements included range of motion (ROM), severity of knee pain (VAS), and a measure of perceived health and physical function, evaluated using the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index.

Methods

A total of 40 women with bilateral knee OA were assigned to three groups: kinesiotherapy (KIN, n = 16), transcutaneous electrical nerve stimulation (TENS, n = 12), or ultrasound (US, n = 10). The groups underwent 12 weeks of intervention twice per week. The participants were subjected to the 6-MWT, ROM, VAS and WOMAC index. These tests were performed before and after the intervention. The study was focused on outpatients and was carried out at Universidade Estadual de Campinas, Brazil.

Results

At follow-up, the KIN and US groups had significantly higher 6-MWT distances (19.8 ± 21.7 and 14.1 ± 22.5%, respectively) compared with their respective pre-intervention values. All treatments were effective for reducing pain and improving the WOMAC index.

Conclusions

We demonstrated that the 6-MWT is a tool that can be used to evaluate improvements in the functional exercise capacity of patients submitted to a clinical intervention.

【 授权许可】

   
2012 Mascarin et al.; licensee BioMed Central Ltd.

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