[논문]Effects of underwater ultrasound therapy on pain, inflammation, hand function and quality of life in patients with rheumatoid arthritis – a randomized controlled trial

Kirá; ly, Má; rta; Varga, Zsuzsanna; Szanyó; , Ferenc; Kiss, Rita; Hodosi, Katalin; Bender, Tamá; s

doi:10.1016/j.bjpt.2017.04.002

Effects of underwater ultrasound therapy on pain, inflammation, hand function and quality of life in patients with rheumatoid arthritis – a randomized controlled trial 원문보기

Brazilian journal of physical therapy : BJPT, v.21 no.3, 2017년, pp.199 - 205

Király, Márta (Petz Aladá) , Varga, Zsuzsanna (r County Teaching Hospital, Győ) , Szanyó, Ferenc (r, Hungary) , Kiss, Rita (Petz Aladá) , Hodosi, Katalin (r County Teaching Hospital, Győ) , Bender, Tamás (r, Hungary)

Abstract ▼ AI-Helper

Highlights•Underwater ultrasound therapy is a useful procedure to treat inflammation in patients with RA.•Underwater ultrasound therapy is suitable to treat irregular body parts, because the transmission coefficient is high and the reflection is low in water.•The improvements were only observed in the short term (at the end of 2 weeks of treatment).ObjectivesTo investigate the effects of underwater ultrasound (US) therapy in 48 patients with moderately active rheumatoid arthritis (disease activity score in 28 joints [DAS28] > 3.2 and < 5.1).MethodsPatients randomly assigned to the ultrasound group (n = 25) received underwater continuous ultrasound therapy to both wrists and hands for 7 min per session with an intensity of 0.7 W/cm2 for 10 sessions. The control group (n = 23) received sham treatment under the same conditions. At baseline, at the end of treatment (end of Week 2) and at the follow-up visit (Week 14), the following outcomes were evaluated: disease activity (erythrocyte sedimentation rate [ESR], C-reactive protein [CRP], tender and swollen joint counts, pain on a visual analog scale, DAS28, hand function (fist making, wrist extension and flexion, hand grip strength) and quality of life (Health Assessment Questionnaire [HAQ]).ResultsA significant decrease in C-reactive protein at the end of Week 2 and Week 14 compared to control group (mean between-group difference at 2 weeks = −5.77, 95% CI = −10.86 to −0.68, mean between-group difference at 14 weeks = −5.07, 95% CI = −10.13 to −0.01), and non-significant decrease in DAS28 was observed. By the end of treatments at the end of week 2, ultrasound alleviated pain significantly (mean between-group difference at two weeks = −8.35 95% CI = −16.12 to −0.58), as well as improved left wrist extension compared to the control group (mean between-group difference at 14 weeks = 4.35, 95% CI = 1.09–7.60).ConclusionUnderwater ultrasound therapy was better than sham treatment at the end of 2 weeks of treatment, but not at long term (14 weeks) in patients with rheumatoid arthritis.Clinical trial registration number: NCT02706028 (https://clinicaltrials.gov/ct2/show/NCT02706028)

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참고문헌 (20)

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Effects of underwater ultrasound therapy on pain, inflammation, hand function and quality of life in patients with rheumatoid arthritis – a randomized controlled trial 원문보기

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