Osteoarthritis, Knee Clinical Trial
Official title:
Effect of Ultrasound Associated to Exercises in Patients With Knee Osteoarthritis
The aim of this investigation is to compare the effects of continuous (CUS) and pulsed (PUS) ultrasound associated with a program of exercises on pain, range of motion, muscle strength, functionality, mobility and activity in patients with knee osteoarthritis. Participants were randomized into five groups: Group I (in the first month, continuous ultrasound was applied), Group II (in the first month, pulsed ultrasound was applied), Group III (in the first and second month, the continuous ultrasound was applied), Group IV (in the first and second month, the pulsed ultrasound was applied) and Group V (patients received only exercise sessions for eight weeks).
Strong evidence suggests that joint exercises reduce pain and disability in patients with
osteoarthritis. There is evidence that exercise is responsible for muscular strengthening and
better flexibility, improved global function as well as better performance in activities of
daily living (ADL).
There are two modes of US, continuous and pulsed. Continuous US (CUS) generates thermal
effects by stimulating the process of tissue regeneration, changing cell membrane
permeability and increasing intracellular calcium, while pulsed US (PUS) mainly produces
non-thermal effects to increase tissue metabolism, enhance fibrous tissue extensibility and
elevate pain threshold
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