Effects of neuromuscular electrical stimulation and low-level laser therapy on the muscle architecture and functional capacity in elderly patients with knee osteoarthritis: a randomized controlled trial

骨关节炎 医学 随机对照试验 刺激 低强度激光治疗 物理疗法 物理医学与康复 定时启动测试 电刺激肌肉 功能性电刺激 股四头肌 最佳步行速度 激光治疗 外科 内科学 激光器 平衡(能力) 等长运动 物理 替代医学 病理 光学
作者
Mônica de Oliveira Melo,Klauber Dalcero Pompeo,Guilherme Auler Brodt,Bruno Manfredini Baroni,Danton Pereira da Silva,Marco Aurélio Vaz
出处
期刊:Clinical Rehabilitation [SAGE Publishing]
卷期号:29 (6): 570-580 被引量:25
标识
DOI:10.1177/0269215514552082
摘要

Objectives: To determine the effects of low-level laser therapy in combination with neuromuscular electrical stimulation on the muscle architecture and functional capacity of elderly patients with knee osteoarthritis. Design: A randomized, evaluator-blinded clinical trial with sequential allocation of patients to three different treatment groups. Setting: Exercise Research Laboratory. Subjects: A total of 45 elderly females with knee osteoarthritis, 2-4 osteoarthritis degrees, aged 66–75 years. Intervention: Participants were randomized into one of the following three intervention groups: electrical stimulation group (18–32 minutes of pulsed current, stimulation frequency of 80 Hz, pulse duration of 200 μs and stimulation intensity fixed near the maximal tolerated), laser group (low-level laser therapy dose of 4–6 J per point, six points at the knee joint) or combined group (electrical stimulation and low-level laser therapy). All groups underwent a four-week control period (without intervention) followed by an eight-week intervention period. Main measures: The muscle thickness, pennation angle and fascicle length were assessed by ultrasonography, and the functional capacity was assessed using the 6-minute walk test and the Timed Up and Go Test. Results: After intervention, only the electrical stimulation and combined groups exhibited significant increases in the muscle thickness (27%–29%) and pennation angle (24%–34%) values. The three groups exhibited increased performance on the walk test (5%–9%). However, no significant differences in terms of functional improvements were observed between the groups. Conclusions: Neuromuscular electrical stimulation reduced the deleterious effects of osteoarthritis on the quadriceps structure. Low-level laser therapy did not potentiate the effects of electrical stimulation on the evaluated parameters.
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