Efeitos da fototerapia na dor, rigidez e capacidade funcional de mulheres com osteoartite de joelho
Data
2017
Autores
Junqueira, Rheguel Grillo 
Orientadores
Vassão, Patricia Gabrielli
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
A osteoartrite de joelho (OA) é uma doença de caráter inflamatório, crônico e
degenerativo que afeta a cartilagem articular. Sua prevalência tem crescido pelo
consequente aumento da expectativa de vida da população, com destaque para
indivíduos do sexo feminino. A OA é uma das causas mais frequentes de limitação
funcional devido a uma atrofia do músculo quadríceps femoral, interferindo assim, não
somente no sistema articular, mas no sistema muscular e tecidos adjacentes. Portanto,
torna-se necessário buscar medidas que tenham impactos positivos nessas alterações.
Assim, o objetivo desta pesquisa foi avaliar a atuação da fototerapia na dor, capacidade
funcional e rigidez articular em pacientes do sexo feminino com idade entre 55 a 75 anos
com osteoartrite de joelho. No estudo, as voluntárias foram randomizados em dois grupos:
grupo controle (GC, n=6), que não receberam nenhum tipo de intervenção e o grupo
fototerapia (GF, n=8), que receberam um tratamento com o laser tipo Cluster, com
parâmetros futuramente apresentados. A intervenção do GF foi realizada 2x por semana,
por um período de 8 semanas. O laser do tipo Cluster (850nm, 100mW, 4J por ponto,
totalizando 28J) foi aplicado a cada sessão na face lateral e medial do joelho com maior
acometimento. Previamente e após a intervenção da fototerapia foram feitos os seguintes
questionários: Western Ontario and MacMaster Universities Osteoarthritis Index
(WOMAC), Lequesne, Escala Visual Analógica de Dor (EVA) e teste de caminhada de 6
minutos (TC6). Ao final do estudo foi observado uma melhora significativa da dor, em
pacientes com OA de joelho,com a aplicação isolada da fototerapia, do laser tipo Cluster
(850nm). Outros quesitos avaliados não apresentaram melhora significativa. Assim
concluímos que a fototerapia foi efetiva em diminuição da dor em mulheres com OA de
joelho graus II e III. Porém há necessidade de mais estudos para o desenvolvimento de
melhores parâmetros para aplicação da fototerapia, como também associa-la com outras
intervenções, como um protocolo de exercício físico
The knee osteoarthritis is a illness that have a chronic, inflammatory and degenerative character. Your prevalence has been growing due higher life expectancy,with emphasis on women. The OA is one of the most frequent causes of functional limitation due an atrophy of muscle quadriceps femoris, interfering, not only in joint system, but also in the muscle system and adjacent tissues. Therefore, it turns necessary to search methods that will have a positive effects to this bad consequences that OA will bring. So, the objective of this research was to evaluate what were the effects of phototherapy in pain degree, functional capacity and joint stiffness on females, between 55 and 75 years old with knee OA. The research had two randomizeds groups: control group (CG, n=6) that hasn´t received any kind of treatment, and phototherapy group (PG, n=8), that received the phototherapy intervention. The intervention of PG were realized two times per week in a time of 8 weeks. The type of laser Cluster (850nm, 100mW, 4J per point, in a total of 28J) was applied every session in the medial and lateral side of both knee joint. Previously and after the treatment were applied the following questionnaries: Western Ontario and MacMaster Universities Osteoarthritis Index (WOMAC), Lequesne and Visual Analog Scale of Pain (VAS). To analyze the data were applied a specific statistcs tests to conclued the results. In the end of the study, we observed a significant improvement of pain degree, in woman with OA in the knee, with isolated phototherapy intervention, of laser Cluster type (850nm). Other evaluated questions didn´t show us an expressive improvement. Therefore, we could conclued that phototherapy was effective to reduce pain degree in woman , with OA in the knee, degree II and III. But there are necessities of further studies in the area envolving better parameters for the application of the phototherapy, as new studies envolving an association with other intervention, like as exercise protocol
The knee osteoarthritis is a illness that have a chronic, inflammatory and degenerative character. Your prevalence has been growing due higher life expectancy,with emphasis on women. The OA is one of the most frequent causes of functional limitation due an atrophy of muscle quadriceps femoris, interfering, not only in joint system, but also in the muscle system and adjacent tissues. Therefore, it turns necessary to search methods that will have a positive effects to this bad consequences that OA will bring. So, the objective of this research was to evaluate what were the effects of phototherapy in pain degree, functional capacity and joint stiffness on females, between 55 and 75 years old with knee OA. The research had two randomizeds groups: control group (CG, n=6) that hasn´t received any kind of treatment, and phototherapy group (PG, n=8), that received the phototherapy intervention. The intervention of PG were realized two times per week in a time of 8 weeks. The type of laser Cluster (850nm, 100mW, 4J per point, in a total of 28J) was applied every session in the medial and lateral side of both knee joint. Previously and after the treatment were applied the following questionnaries: Western Ontario and MacMaster Universities Osteoarthritis Index (WOMAC), Lequesne and Visual Analog Scale of Pain (VAS). To analyze the data were applied a specific statistcs tests to conclued the results. In the end of the study, we observed a significant improvement of pain degree, in woman with OA in the knee, with isolated phototherapy intervention, of laser Cluster type (850nm). Other evaluated questions didn´t show us an expressive improvement. Therefore, we could conclued that phototherapy was effective to reduce pain degree in woman , with OA in the knee, degree II and III. But there are necessities of further studies in the area envolving better parameters for the application of the phototherapy, as new studies envolving an association with other intervention, like as exercise protocol
Descrição
Citação
JUNQUEIRA, Rheguel Grillo. Efeitos da fototerapia na dor, rigidez e capacidade funcional de mulheres com osteoartite de joelho. 2017. 41 f. Trabalho de conclusão de curso de graduação (Fisioterapia) - Instituto de Saúde e Sociedade (ISS), Universidade Federal de São Paulo (UNIFESP), Santos, 2017.