Incorporation of photobiomodulation therapy into a therapeutic exercise program for knee osteoarthritis: A placebo-controlled, randomized, clinical trial

2018 ◽  
Vol 50 (8) ◽  
pp. 819-828 ◽  
Author(s):  
Cid A. F. de Paula Gomes ◽  
Ernesto C. P. Leal-Junior ◽  
Almir V. Dibai-Filho ◽  
Adriano R. de Oliveira ◽  
André S. Bley ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Knee Osteoarthritis ◽  
Randomized Clinical Trial ◽  
Exercise Program ◽  
Photobiomodulation Therapy ◽  
Therapeutic Exercise

scholarly journals Effects of therapeutic alliance on clinical outcomes in patients with symptomatic knee osteoarthritis undergoing an exercise program: A randomized clinical trial protocol

Medwave ◽  
2021 ◽  
Vol 21 (03) ◽  
pp. e8159-e8159
Author(s):  
Iván Cuyul-Vásquez ◽  
Jorge Fuentes C
Keyword(s):  
Clinical Trial ◽  
Knee Osteoarthritis ◽  
Therapeutic Alliance ◽  
Pain Intensity ◽  
Physical Therapists ◽  
Exercise Program ◽  
Therapeutic Exercise ◽  
Pressure Pain ◽  
Symptomatic Knee Osteoarthritis ◽  
Symptomatic Knee

Background Previous evidence has shown that seniors physical therapists applying electrotherapy and an enhanced therapeutic alliance in their sessions can positively influence the levels of analgesia of patients with chronic low back pain. It is currently unknown if these effects can be achieved in people with symptomatic knee osteoarthritis when receiving treatment focused on therapeutic exercise. Aim To determine the effects of different therapeutic alliance levels during the application of a therapeutic exercise program on pain intensity and pressure pain threshold in patients with symptomatic knee osteoarthritis. Method This will be a randomized, parallel, two-arm, clinical trial. An intervention of three sessions of therapeutic exercise will be applied for one week. Patients aged 45 to 65 years old with a clinical and radiographic diagnosis of knee osteoarthritis will participate. Also, patients with a pain intensity of at least three months duration and 3 to 8 points in a numerical rating scale will be included. Patients will be randomly assigned to a therapeutic exercise experimental group with an enhanced therapeutic alliance (e.g., active listening, personalized conversation, empathy) or limited therapeutic alliance (e.g., one-way verbalization, brief interaction). Physical therapists will be trained in delivering these two levels of the therapeutic alliance. The pressure pain thresholds at the symptomatic knee and the pain intensity will be measured before and after the intervention. Discussion The results of this research will determine the impact of the therapeutic alliance as a nonspecific relevant factor during the application of a therapeutic exercise program in the treatment of patients with symptomatic knee osteoarthritis. Clinical trials registration number NCT04390932

scholarly journals Isometric exercise, acupuncture, and magnet therapy for knee osteoarthritis: randomized clinical trial

2019 ◽  
Vol 23 (3) ◽  
pp. 12-20
Author(s):  
Faezeh Hakimi ◽  
Mahsa Asheghan ◽  
Seyed Ebrahim Hashemi
Keyword(s):  
Clinical Trial ◽  
Knee Osteoarthritis ◽  
Randomized Clinical Trial ◽  
Isometric Exercise ◽  
Exercise Program ◽  
The Elderly ◽  
Study Groups ◽  
University Hospital ◽  
Common Disease ◽  
P Values

Introduction: Knee osteoarthritis is a common disease, particularly in the elderly population. Degenerative disorders of the cartilage cause pain and stiffness in the knee joint. As a result, patients frequently experience limitation in their daily activities. Purpose: To compare the effects of exercise, acupuncture, and magnet therapy on symptoms and physical function among middle-aged and elderly people with knee osteoarthritis. Materials and methods: We carried out a parallel three-arm randomized clinical trial in an outpatient clinic of the Department of Physical Medicine and Rehabilitation at a University Hospital. In total, 60 female patients of age ≥ 40 years with chronic knee osteoarthritis were randomly allocated to one of three groups of isometric exercise, acupuncture, and magnet therapy. The primary outcome measure was subjective pain rated according to the Visual Analog Scale. We also used the Western Ontario McMaster Universities Osteoarthritis Index for assessing and monitoring the symptoms of knee osteoarthritis in order to evaluate the efficacy of the interventions. An isometric exercise program was prescribed, consisting of three sessions per week for six weeks. Participants in the acupuncture group received three treatment sessions per week for six weeks, each lasting for 30 minutes. For pulsed electro-magnetic field therapy, a total of three 30-minute sessions per week for a period of 6 weeks were administered to each patient. Results: There were no statistically significant differences between the study groups in terms of the outcome measures (all p values > 0.05). However, within-group analyses showed that there were significant differences regarding the clinical outcomes in each group (all p values < 0.05). Conclusion: All three therapeutic modalities are effective and could be used as the first line of treatment for knee osteoarthritis. Moreover, it should be noted that the favorable outcomes remained at least two months after treatment concluded.

scholarly journals Change in Knee Cartilage Volume in Individuals Completing a Therapeutic Exercise Program for Knee Osteoarthritis

2011 ◽  
Vol 41 (10) ◽  
pp. 708-722 ◽  
Author(s):  
Jason D. Woollard ◽  
Alexandra B. Gil ◽  
Patrick Sparto ◽  
C. Kent Kwoh ◽  
Sara R. Piva ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Exercise Program ◽  
Cartilage Volume ◽  
Therapeutic Exercise ◽  
Knee Cartilage

Effect of Vaginal Stretching and Photobiomodulation Therapy on Sexual Function in Women With Pelvic Floor Myofascial Pain - A Randomized Clinical Trial

2022 ◽  
Vol 19 (1) ◽  
pp. 98-105
Author(s):  
Claudia Pignatti Frederice ◽  
Ticiana Aparecida Alves de Mira ◽  
Helymar Costa Machado ◽  
Luiz Gustavo Oliveira Brito ◽  
Cássia R.T. Juliato
Keyword(s):  
Clinical Trial ◽  
Sexual Function ◽  
Pelvic Floor ◽  
Randomized Clinical Trial ◽  
Myofascial Pain ◽  
Photobiomodulation Therapy

scholarly journals Clinic-Based Patellar Mobilization Therapy for Knee Osteoarthritis: A Randomized Clinical Trial

2018 ◽  
Vol 16 (6) ◽  
pp. 521-529 ◽  
Author(s):  
Regina Wing Shan Sit ◽  
Keith Kwok Wai Chan ◽  
Dan Zou ◽  
Dicken Cheong Chun Chan ◽  
Benjamin Hon Kei Yip ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Knee Osteoarthritis ◽  
Randomized Clinical Trial

Influence of a Pilates exercise program on the quality of life of sedentary elderly people: A randomized clinical trial

2019 ◽  
Vol 23 (2) ◽  
pp. 390-393 ◽  
Author(s):  
Daniela Branco Liposcki ◽  
Irany Ferreira da Silva Nagata ◽  
Géssica Aline Silvano ◽  
Karla Zanella ◽  
Rodolfo Herberto Schneider
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Elderly People ◽  
Exercise Program
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