Clinical results of pulsed signal therapy on patellofemoral syndrome with patellar chondropathy

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4
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article
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2019
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WILEY
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BIOELECTROMAGNETICS, v.40, n.2, p.83-90, 2019
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This study was designed to evaluate the effect of pulsed signal therapy (PST) on patellofemoral pain syndrome associated with patellar chondropathy. A prospective randomized double-blind placebo controlled trial included 25 patients (41 knees) between 20 and 50 years with pain due to isolated patellofemoral syndrome with chondropathy. PST group received nine 60-min daily sessions of PST treatment. Control group received the same protocol of blinded placebo treatment. The main outcome was change from baseline Kujala score at 3 months. After 3 months, patients in the control group received effective treatment (placebo post-treatment). All patients were then followed, for up to 12 months. Seventeen knees (5 males and 12 females, mean age 36.7 +/- 7.9) received placebo and 24 knees (8 males and 16 females, mean age 35.5 +/- 8.9) received PST. By the third month, PST group exhibited a mean change from baseline of 9.63 +/- 7.5 Kujala points, compared to 0.53 +/- 1.8 in the placebo group (P < 0.001). A significant progressive improvement was seen in the PST group between the 3rd and 6th and between the 6th and 12th month (P < 0.016). Patients initially allocated in the control group also improved at 3 months (P < 0.001) and 6 months (P = 0.005) post-effective treatment. In conclusion, PST in patellofemoral pain syndrome with chondropathy was effective compared to placebo at 3 months, showing an important improvement of Kujala score. The improvement was progressive and maintained up to 12 months. PST is safe and should be considered as a non-invasive option for management of this condition. Bioelectromagnetics. 40:83-90, 2019. (c) 2019 Bioelectromagnetics Society
Palavras-chave
patellofemoral syndrome, pulsed electromagnetic field, pulsed signal therapy, patellar chondropathy
Referências
  1. Anbarasan S, 2016, INDIAN J ORTHOP, V50, P87, DOI 10.4103/0019-5413.173522
  2. Ay S, 2009, RHEUMATOL INT, V29, P663, DOI 10.1007/s00296-008-0754-x
  3. Bagnato GL, 2016, RHEUMATOLOGY, V55, P755, DOI 10.1093/rheumatology/kev426
  4. BASSETT CAL, 1972, SCIENCE, V178, P982, DOI 10.1126/science.178.4064.982
  5. Cadossi M, 2014, FOOT ANKLE INT, V35, P981, DOI 10.1177/1071100714539660
  6. Collarile M, 2018, KNEE SURG SPORT TR A, V26, P1223, DOI 10.1007/s00167-017-4605-8
  7. Iammarrone CS, 2016, BIOELECTROMAGNETICS, V37, P81, DOI 10.1002/bem.21953
  8. Iannitti T, 2013, CLIN INTERV AGING, V8, P1289, DOI 10.2147/CIA.S35926
  9. Jahns ME, 2007, MED BIOL ENG COMPUT, V45, P917, DOI 10.1007/s11517-007-0216-8
  10. KUJALA UM, 1993, ARTHROSCOPY, V9, P159, DOI 10.1016/S0749-8063(05)80366-4
  11. Liu HX, 1996, OSTEOARTHR CARTILAGE, V4, P63, DOI 10.1016/S1063-4584(96)80008-2
  12. Markoll R, 2001, PAIN MANAGEMENT PRAC, P715
  13. Massari L, 2015, J BIOL REG HOMEOS AG, V29, P1013
  14. McCarthy CJ, 2006, BMC MUSCULOSKEL DIS, V7, DOI 10.1186/1471-2474-7-51
  15. Moretti B, 2012, BMC MUSCULOSKEL DIS, V13, DOI 10.1186/1471-2474-13-88
  16. Nelson FR, 2013, RHEUMATOL INT, V33, P2169, DOI 10.1007/s00296-012-2366-8
  17. Nunes GS, 2013, PHYS THER SPORT, V14, P54, DOI 10.1016/j.ptsp.2012.11.003
  18. Ongaro A, 2011, BIOELECTROMAGNETICS, V32, P543, DOI 10.1002/bem.20663
  19. Ozguclu E, 2010, CLIN RHEUMATOL, V29, P927, DOI 10.1007/s10067-010-1453-z
  20. Petersen W, 2016, ARCH ORTHOP TRAUM SU, V136, P975, DOI 10.1007/s00402-016-2464-2
  21. Sadoghi P, 2013, ORTHOPEDICS, V36, pE360, DOI 10.3928/01477447-20130222-27
  22. Tan LJ, 2015, INT ORTHOP, V39, P549, DOI 10.1007/s00264-014-2542-4
  23. Thamsborg G, 2005, OSTEOARTHR CARTILAGE, V13, P575, DOI 10.1016/j.joca.2005.02.012
  24. TROCK DH, 1994, J RHEUMATOL, V21, P1903
  25. TROCK DH, 1993, J RHEUMATOL, V20, P456
  26. Van der Heijden RA, 2016, EUR J PHYS REHAB MED, V52, P110
  27. Varani K, 2008, OSTEOARTHR CARTILAGE, V16, P292, DOI 10.1016/j.joca.2007.07.004
  28. Veronesi F, 2014, J ORTHOP RES, V32, P677, DOI 10.1002/jor.22584
  29. Veronesi F, 2015, BMC MUSCULOSKEL DIS, V16, DOI 10.1186/s12891-015-0760-6
  30. We SR, 2013, RHEUMATOLOGY, V52, P815, DOI 10.1093/rheumatology/kes063
  31. Wuschech H, 2015, BIOELECTROMAGNETICS, V36, P576, DOI 10.1002/bem.21942