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ISSN 2007-2783 (Print)
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2010, Number 1

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Residente 2010; 5 (1)

Ultrasonido terapéutico versus fluidoterapia para la afección manual en artritis reumatoide. Un ensayo clínico controlado

Álvarez NJ, Rodríguez OZ, Ávila ZF, Dávila VJ

Language: Spanish
References: 18
Page: 33-39
PDF size: 157.46 Kb.


ABSTRACT

Background: Hand involvement is a salient feature of rheumatoid arthritis (RA). Despite thermo therapy is frequently used for treating RA hand involvement, the evidence about its efficacy for this condition is remarkably scarce. Objective: To compare the efficacy of two modalities of thermo therapy: fluid therapy (FT) versus therapeutic ultrasound (TUS) for treating hand involvement in RA. Material and methods: Thirty RA patients (48.5 ± 12.5 years old; 12.5 ± 10.8 years of disease duration) were randomized to FT (15) or US (15). In an open basis, pain intensity in addition to global and hand-specific functional status were assessed at baseline, and after 5, 10, and 30 days after completing physiotherapy. Results: No intergroup differences were noted on functional status. Subjects randomized to TUS had lesser pain intensity only at 10 days (p = 0.04). Compared to baseline, a progressive and significant improvement was noted for pain intensity, and functional status in the whole group. Conclusions: Thermo therapy, delivered either by FT or TUS, seems to be efficacious as an adjunct treatment for improving pain intensity and functional status in RA hand involvement.


REFERENCES

  1. Hernández-Cruz B, Ariza-Ariza R. Artritis reumatoide. Epidemiología. En: Alarcón Segovia D, Molina LJ Eds. Tratado Hispanoamericano de Reumatología. Bogotá: Editorial Nomos 2007; 1: 437-45.

  2. Jacobelli GS, Gutiérrez TM. Artritis Reumatoide. Manifestaciones articulares. En: Alarcón Segovia D, Molina LJ Eds. Tratado Hispanoamericano de Reumatología. Bogotá: Editorial Nomos 2007; 1: 465-78.

  3. Walker J, Heleva A. Physical Rehabilitation in Arthritis. 2nd ed. USA: Elsevier Inc. Saunders; 2004: 50-54.

  4. Christine M. Institute for Hand and Micro Surgery. Fluidoterapia. USA: (CMKI); 2005[en línea] disponible en URL: www.cmki.org/LMHS/Chapters/35-Fluidotherapy.htm-16k.

  5. Ottawa Panel Evidence-Based Clinical Practice Guidelines for Electrotherapy and Thermotherapy Interventions in the Management of Rheumatoid Arthritis in Adults. Phys Ther 2004; 84: 1016-1043.

  6. Cameron M. Physical Agents in Rehabilitation: From Research to Practice. 2nd Ed. California, USA: Saunders; 2003: 185-217.

  7. Health and Welfare Canada. Guidelines for safe use of ultrasound, Medical and Paramedical Applications. Ottawa: Canadian Government Publishing Center (CGPC); 1987: 1.

  8. Kavuncu V, Evcik D. Physiotherapy in Rheumatoid Arthritis. Med Gen Med 2004; 6: 3. Published online 2004 May 18.

  9. Hawkes J, Care G, Dixon JS, Bird HA, Wright V. Comparison of three physiotherapy regimens for hands with rheumatoid arthritis. Br Med J 1985; 291: 1016.

  10. Robinson VA, Brosseau L, Casimiro, L, Judd MG, Shea BJ, Tugwell PL. Thermotherapy for treating rheumatoid arthritis. Cochrane Database Syst Rev 2002; 2: CD002826.

  11. Bulstrode S, Clarke A, Harrison R. A controlled trial to study the effects of ice therapy on joint inflammation in chronic arthritis. Physiother Prac 1986; 2: 104-108.

  12. Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper N. The American Rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1988; 31: 315-324.

  13. Cardiel MH, Abello-Banfi M, Ruiz-Mercado R. How to measure health status in rheumatoid arthritis in non-english speaking patients: validation of a Spanish version of Health Assessment Questionnaire Dissability Index (Spanish HAQ-DI). Clin Exp Rheumatol 1993; 11: 117-121.

  14. Chattanooga Group. Terapia de la mano, líder en termoterapia, fluido DHT. Chattanooga, USA: (Chatt Group); 2003. [en línea].disponible en URL: www.chattgroup.com

  15. Oton S, Hernández E, Sabaté B. Ultrasonidos terapéuticos. En: Murillo M, Pastor V, Portero S. Manual de Medicina Física. Madrid, España: Harcourt Brace; 1998: 294-307.

  16. Morales RJ, Gonzáles L, Celis A, Rodríguez A, Cabrera P. Factores relacionados con la incapacidad laboral permanente en pacientes con artritis reumatoide: estudio de casos y controles. Rev Mex Reumatol 2005; 20: 17-35.

  17. Casimiro L, Brosseau L, Robinson V, Milne S, Judd M. Ultrasonido terapéutico para el tratamiento de la artritis reumatoide. Biblioteca Cochrane Plus [En línea] 2007 [citado el 26 de febrero del 2007]; (1): [1 pantalla]. Disponible en URL: http://www.update-software.com

  18. Michlovitz L, Rennie S. Heat Therapy Modalities: Beyond fake and bake. En: Michlovitz S, Norlan T. Modalities for therapeutic intervention. 4th ed. USA: FA Davis Company; 2005: 61-95.




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