Effectiveness of therapeutic ultrasound in the treatment of pain and return to function in knee osteoarthritis - an integrative review / Efetividade do ultrassom terapêutico no tratamento da dor e retorno da função na osteoartrite de joelho - uma revisão integrativa

Jean Douglas Moura dos Santos, Adriane de Albuquerque Sousa, Maria Augusta Amorim Franco de Sá, Francisco Valmor Macedo Cunha, Airton Mendes Conde Júnior

Abstract


Introdução: A osteoartrite (OA) é um distúrbio articular bastante comum em nossa sociedade e sua incidência aumenta com o avançar da idade.  Embora possa afetar várias articulações do nosso corpo, as alterações mais evidentes são observadas em grandes articulações de carga. A abordagem terapêutica da OA visa reduzir a sintomatologia dolorosa, diminuir os níveis de rigidez, melhorar a mobilidade e a qualidade de vida. Dentre as opções terapêuticas não farmacológicas temos a terapia com ultrassom (US) que promove um aquecimento profundo nos tecidos e cujo tópico carece de mais evidências científicas que comprovem sua eficácia no alívio da dor em pacientes com OA de joelho.  Objetivo: Este trabalho visa descrever os efeitos e a eficácia do ultrassom terapeêutico (UST) no tratamento da dor e função na osteoartrose primária de joelhos.  Métodos: Foi realizado uma busca sistemática nas bases de dados PubMed, LILACS, CENTRAL, SCIELO e PEDro por ensaios clínicos randomizados e quasi-randomizados, publicados nos últimos 10 anos. As palavras-chave utilizadas foram Ultrassom, Terapia por Ultrassom, Dor, Joelho, Articulação do Joelho, Osteoartrite do Joelho.  Resultados: Seis estudos, que avaliaram ao todo 561 paciente foram selecionados. Alguns estudos demonstraram que não houve diferença significativa entre os grupos US contínuo e US pulsado no alívio da dor e melhora da função. O US quando usado como coadjuvante terapêutico resultou em melhora da dor. Conclusão: Os trabalhos selecionados sugerem que aplicações de US combinado principalmente com exercícios são eficazes no alivio de dor e melhora da funcionalidade de pacientes com osteoartrite de joelho.


Keywords


ultrassom, joelho, reabilitação, osteartrite do joelho .

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DOI: https://doi.org/10.34119/bjhrv5n3-106

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