Navegando por Palavras-chave "Electrotherapy"
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- ItemAcesso aberto (Open Access)Effects of kinesiotherapy, ultrasound and electrotherapy in management of bilateral knee osteoarthritis: prospective clinical trial(Biomed Central Ltd, 2012-09-22) Mascarin, Naryana Cristina [UNIFESP]; Vancini, Rodrigo Luiz [UNIFESP]; Andrade, Marilia dos Santos [UNIFESP]; Magalhaes, Eduardo de Paiva; Lira, Claudio Andre Barbosa de; Coimbra, Ibsen Bellini; Universidade Federal de Goiás (UFG); Universidade Federal de São Paulo (UNIFESP); Universidade Estadual de Campinas (UNICAMP)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.
- ItemSomente MetadadadosTranscutaneous Electrical Nerve Stimulation for Pain Relief After Liposuction: A Randomized Controlled Trial(Springer, 2015-04-01) Silva, Milla Pompilio da [UNIFESP]; Liebano, Richard Eloin; Rodrigues, Victor Ales [UNIFESP]; Felipe Abla, Luiz Eduardo [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Univ City São Paulo UNICIDLiposuction is a common cosmetic surgical procedure, which requires analgesia for postoperative pain. Transcutaneous electrical nerve stimulation (TENS) has been used for postoperative pain relief; however, there is no evidence of its effectiveness in liposuction patients and this is the focus of this paper.A prospective, randomized, double-blind, controlled trial was conducted with 42 adult patients who underwent liposuction. Patients were randomly allocated to either the TENS group (active TENS) or control group (sham TENS). All patients received morphine (0.1 mg/kg) and dipyrone 1 g immediately after surgery; TENS was delivered 2 h later. the primary outcome was pain intensity. Secondary outcomes were analgesic requirement, number and types of adverse effects of TENS, quality of pain, treatment success, and patient satisfaction. Postoperative pain was measured using a visual analog scale (VAS) and the Brazilian version of the McGill Pain Questionnaire (Br-MPQ).Patients in the TENS group reported significantly lower pain intensity (P < 0.001, effect size = 0.92) compared with those in the control group. TENS significantly decreased the consumption of analgesics in the postoperative period (P < 0.001). No withdrawals or adverse effects were observed in the TENS group, but 33.3 % of patients in the control group reported drowsiness and nausea. About 95 and 38 % of patients in the TENS and control groups, respectively, were satisfied with the analgesic treatment.The results indicate that TENS is effective as an adjunct to analgesics for pain relief after liposuction.This journal requires that authors assign a level of evidence to each article. for a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.