Effectiveness of phototherapy incorporated into an exercise program for osteoarthritis of the knee: Study protocol for a randomized controlled trial

被引:12
作者
Coelho C.D.F. [3 ]
Leal-Junior E.C.P. [1 ,2 ,3 ]
Biasotto-Gonzalez D.A. [2 ,3 ]
Bley A.S. [3 ]
de Carvalho P.D.T.D.C. [1 ,2 ,3 ]
Politti F. [2 ,3 ]
Gonzalez T.D.O. [3 ]
de Oliveira A.R. [1 ,3 ]
Frigero M. [1 ,3 ]
Garcia M.B.S. [2 ]
Dibai-Filho A.V. [4 ]
Gomes C.A.F.D.P. [1 ,3 ]
机构
[1] Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), Av. Dr. Adolfo Pinto, 109, Água Branca, São Paulo, SP
[2] Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), Av. Dr. Adolfo Pinto, 109, Água Branca, São Paulo, SP
[3] Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Av. Dr. Adolfo Pinto, 109, Água Branca, São Paulo, SP
[4] Postgraduate Program in Rehabilitation and Functional Performance, University of São Paulo, Av. Bandeirantes, 3900, Curso de Fisioterapia, Monte Alegre, Ribeirão Preto, SP
关键词
Lower limb strength; Osteoarthritis of the knee; Phototherapy; Physical therapy modalities; Postural balance;
D O I
10.1186/1745-6215-15-221
中图分类号
学科分类号
摘要
Background: Osteoarthritis is a chronic disease with a multifactor etiology involving changes in bone alignment, cartilage, and other structures necessary to joint stability. There is a need to investigate therapeutic resources that combine different wavelengths as well as different light sources (low-level laser therapy and light-emitting diode therapy) in the same apparatus for the treatment of osteoarthritis. The aim of the proposed study is to analyze the effect of the incorporation of phototherapy into a therapeutic exercise program for individuals with osteoarthritis of the knee.Methods/Design: A double-blind, controlled, randomized clinical trial will be conducted involving patients with osteoarthritis of the knee. Evaluations will be performed using functional questionnaires before and after the treatment protocols, in a reserved room with only the evaluator and participant present, and no time constraints placed on the answers or evaluations. The following functional tests will also be performed: stabilometry (balance assessment), dynamometry (muscle strength of gluteus medius and quadriceps), algometry (pain threshold), fleximeter (range of motion), timed up-and-go test (functional mobility), and the functional reach test. The participants will then be allocated to three groups through a randomization process using opaque envelopes: exercise program, exercise program + phototherapy, or exercise program + placebo phototherapy, all of which will last for eight weeks.Discussion: The purpose of this randomized clinical trial is to analyze the effect of the incorporation of phototherapy into a therapeutic exercise program for osteoarthritis of the knee. The study will support the practice based on evidence to the use of phototherapy in individuals with a diagnosis of osteoarthritis of the knee. Data will be published after the study is completed.Trial registration: The protocol for this study has been submitted to Clinical Trials, registration number NCT02102347, on 29 March 2014. © 2014 Coelho et al.
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