Efficacy of low level laser therapy associated with exercises in knee osteoarthritis : a randomized double-blind study

OBJECTIVES: To estimate the effects of low level laser therapy in combination with a programme of exercises on pain, functionality, range of motion, muscular strength and quality of life in patients with osteoarthritis of the knee.

DESIGN: A randomized double-blind placebo-controlled trial with sequential allocation of patients to different treatment groups.

SETTING: Special Rehabilitation Services.

SUBJECTS: Forty participants with knee osteoarthritis, 2-4 osteoarthritis degree, aged between 50 and 75 years and both genders.

INTERVENTION: Participants were randomized into one of two groups: the laser group (low level laser therapy dose of 3 J and exercises) or placebo group (placebo laser and exercises).

MAIN MEASURES: Pain was assessed using a visual analogue scale (VAS), functionality using the Lequesne questionnaire, range of motion with a universal goniometer, muscular strength using a dynamometer, and activity using the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) questionnaire at three time points: (T1) baseline, (T2) after the end of laser therapy (three weeks) and (T3) the end of the exercises (11 weeks).

RESULTS: When comparing groups, significant differences in the activity were also found (P = 0.03). No other significant differences (P > 0.05) were observed in other variables. In intragroup analysis, participants in the laser group had significant improvement, relative to baseline, on pain (P = 0.001), range of motion (P = 0.01), functionality (P = 0.001) and activity (P < 0.001). No significant improvement was seen in the placebo group.

CONCLUSION: Our findings suggest that low level laser therapy when associated with exercises is effective in yielding pain relief, function and activity on patients with osteoarthritis of the knees.

Medienart:

E-Artikel

Erscheinungsjahr:

2012

Erschienen:

2012

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

Clinical rehabilitation - 26(2012), 6 vom: 12. Juni, Seite 523-33

Sprache:

Englisch

Beteiligte Personen:

Alfredo, Patrícia Pereira [VerfasserIn]
Bjordal, Jan Magnus [VerfasserIn]
Dreyer, Sílvia Helena [VerfasserIn]
Meneses, Sarah Rúbia Ferreira [VerfasserIn]
Zaguetti, Giovana [VerfasserIn]
Ovanessian, Vanessa [VerfasserIn]
Fukuda, Thiago Yukio [VerfasserIn]
Junior, Washington Steagall [VerfasserIn]
Lopes Martins, Rodrigo Álvaro Brandão [VerfasserIn]
Casarotto, Raquel Aparecida [VerfasserIn]
Marques, Amélia Pasqual [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 27.09.2012

Date Revised 21.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/0269215511425962

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM213859017