Ultrasound conjugated with Laser Therapy in treatment of osteoarthritis: A case study
Article Sidebar
Main Article Content
Abstract
Osteoarthritis of the hand is a chronic condition that involves hand joints, but receives less attention. Few studies have investigated the use of ultrasound therapy and laser therapy for the treatment of hand osteoarthritis. The objective was to evaluate the effect of the conjugated treatment of therapeutic ultrasound and laser therapy on the pain and joint function of a patient with hand osteoarthritis. The is case of a woman, 57 years old, with a diagnosis of osteoarthritis on hand for 3 years, presenting constant pain and worsening after manual activities. The pain and function were evaluated, respectively, by Visual Analog Scale (VAS) and Australian Canadian Osteoarthritis Hand Index questionnaire (AUSCAN). After 12 sessions using ultrasound and laser therapy application, there was an expressive improvement in the pain and functional indexes of the patient. The combined application of therapeutic ultrasound and laser therapy, through the unified field action of the therapies used, proved to be efficient in reducing pain and improving the functionality.
Article Details
Copyright (c) 2018 Jorge AES, et al.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Baltzer AWA, Ostapeczuk MS. Positive Effects of Low Level Laser Therapy (LLLT) on Bouchard’s and Heberden’s Osteoarthritis. Lasers Surg Med. 2016; 48: 498-504. Ref.: https://goo.gl/ccCwVW
Ye L, Kalichman L, Spittle A, Dobson F, Bennell K. Effects of rehabilitative interventions on pain, function and physical impairments in people with hand osteoarthritis: a systematic review. Arthritis Research & Therapy. 2011; 13: 28. Ref.: https://goo.gl/Cq1ojU
Beasley J. Osteoarthritis and Rheumatoid Arthritis: Conservative Therapeutic Management. J Hand Ther. 2012; 25: 163-172. Ref.: https://goo.gl/b4MsNa
Brosseau L, Wells G, Marchand S, Gaboury I, Stokes B, et al. Randomized controlled trial on low level laser therapy (LLLT) in the treatment of osteoarthritis (OA) of the hand. Lasers Surg Med. 2005; 36: 210-219. Ref.: https://goo.gl/W486Uc
Page MJ, O’Connor D, Pitt V, Massy-Westropp N. Therapeutic ultrasound for carpal tunnel syndrome. Cochrane Database of Systematic Reviews. 2013; 3. Ref.: https://goo.gl/HPLtFY
Kortekass MC, Kwok WY, Reijnierse M, Stijnen T, Kloppenburg M. Brief Report: Association of inflammation with development of erosions in patientes with hand osteoarthritis: A Prospective ultrasonography study. Arthitis Rheumatol. 2016; 68: 392-397. Ref.: https://goo.gl/NrHZUw
Jorge AES, Simão MLS, Fernandes AC, Chiari A, de Aquino Jr AE, et al. Can combined ultrasound and laser therapy potentiate the treatment of a symptomatic osteoarthritis? A case report. Journal of Novel Physioterapies. 2017; 7: 1-3.
Paolillo AR, Paolillo FR, João JP, João HA, Bagnato VS. Synergic effects of ultrasound and laser on pain relief in women hand osteoarthritis. Lasers in Medical Science. 2015. 30: 279-286. Ref.: https://goo.gl/CXcaXj
Loyola-Sánchez A, Richardson J, MacIntyre NJ. Efficacy of ultrasound therapy for the management of knee osteoarthritis: a systematic review with meta-analysis. Osteoarthritis and Cartilage. 2010; 18: 1117-1126. Ref.: https://goo.gl/k9GZ7G
Rodriguez-Merchan EC. Conservative treatment of acute knee osteoarthritis: A review of the Cochrane Library. Journal of Acute Disease. 2016; 5: 190-193. Ref.: https://goo.gl/xT6Pp6
Jang H, Lee H. Meta-Analysis of pain relief effects by laser irradiation on joint áreas. Photomedicine and Laser Surgery. 2012; 30: 1-13. Ref.: https://goo.gl/gHjni6
Alfredo PP, Bjordal JM, Steagall Junior W, et al. Long-term results of a randomized,controlled, double-blind study of low-level laser therapy before exercises in knee osteoarthritis: laser and exercises in knee osteoarthritis. Clinical Rehabilitation. 2017; 1-6.