Combined Therapy (Ultrasound and Interferential Current) in Patients with Fibromyalgia: Once or Twice in a Week?

Moretti, Felipe Azevedo; Marcondes, Freddy Beretta; Provenza, José Roberto; Fukuda, Thiago Yukio; Vasconcelos, Rodrigo Antunes de; Roizenblatt, Suely

doi:10.1002/pri.525

Cited by 23 publications

(51 citation statements)

References 35 publications

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“…Two studies presented positive results in patients with fibromyalgia treated with the CT. Almeida et al 21 used this modality in patients with fibromyalgia, with interferential parameters of 4KHz, 100Hz of AMF, with intensity in the sensation threshold, and ultrasound of 1MHz, pulsed dose of 2.5W/cm 2 (without specifying the work cycle), and observed that after 12 sessions there was an improvement in sleep (subjectively and objectively), morning fatigue, in pain intensity, and number of tender points. A similar result was observed by Moretti et al 22 in which they observed that one or two weekly therapies (with parameters similar to the previous study, but with the ultrasound cycle specified at 20%), were effective in reducing pain, and improving the quality of life and sleep. It should be noted that in this study, the volunteers did not have pain, and the therapy parameters were slightly different from those already described, not for the interferential, but for the ultrasound, which was continuous with a dose of 0.4W/cm 2 .…”

Section: Discussionsupporting

confidence: 88%

“…It should be noted that in this study, the volunteers did not have pain, and the therapy parameters were slightly different from those already described, not for the interferential, but for the ultrasound, which was continuous with a dose of 0.4W/cm 2 . That is, even though in the study of Moretti et al 22 , the temporal average dose (not cited) has been of 0.5W/ cm 2 , the present study used a slightly smaller power density, but, based on the proposal to use non-thermal ultrasound doses 9 . Regarding the intensity of the combination and associated therapies, there was a significant difference between both.…”

Section: Discussionmentioning

confidence: 68%

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Comparison of combined therapy with ultrasound-associated interferential current in healthy subjects

Royer¹,

Albuquerque²,

Silva³

et al. 2018

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES:Although used in the therapeutic field, there is a shortage of studies that evaluate combined therapy or the association of electrical currents with therapeutic ultrasound, the present study aimed to compare the two forms in healthy individuals, analyzing the pain, number of accommodations and current intensity. METHODS: Thirty healthy volunteers took turns for three weeks in three groups. Nociception was evaluated by means of pressure and thermal stimuli in the lumbar spine and respective dermatomes. Then, the volunteer's dominant foot was submerged in cold water to evaluate the threshold of pain and its intensity. Shortly after, electroanalgesia (combined therapy, only current association with ultrasound, or placebo) was applied for 15 minutes. The application of the bipolar interferential current used a frequency of 4kHz, and amplitude modulation frequency of 100Hz, with one electrode on L3 and the other on S1. When combined therapy was used, the ultrasound head (1MHz) played the role of the electrode positioned over the L5-S1 region, in continuous form, at a dose of 0.4W/cm 2 . The intensity of the initial and final current was evaluated, as well as the number of accommodations. RESULTS: There was no significant difference between the pain thresholds of pressure and cold, but the combined therapy required more current intensity despite having a smaller number of accommodations. CONCLUSION: None of the therapies produced a difference in pain thresholds, but the combined therapy had fewer accommodations. Keywords: Analgesia, Pain measurement, Physical therapy modalities, Transcutaneous electric nerve stimulation, Ultrasonic therapy. RESUMO JUSTIFICATIVA E OBJETIVOS: Apesar de utilizada no campo terapêutico, há escassez de estudos que avaliem a terapia combinada ou a associação de correntes elétricas ao ultrassom terapêutico. O objetivo deste estudo foi comparar as duas formas em indivíduos saudáveis, analisando o limiar de dor ao frio e à pressão, número de acomodações e intensidade da corrente. MÉTODOS: Trinta voluntários saudáveis revezaram em três grupos de forma cruzada durante três semanas. A nocicepção foi avaliada por meio de estímulos pressóricos e térmicos na coluna lombar e dermátomos. Em seguida, o voluntário teve seu pé submerso em água fria, e avaliado o limiar e a intensidade da dor. Logo após foi aplicado a eletroanalgesia (terapia combinada, apenas associação da corrente com ultrassom, ou placebo), por 15 minutos. Para corrente interferencial bipolar, foram utilizados frequência de 4kHz e frequência modulada pela amplitude de 100Hz, com um eletrodo sobre L3 e o outro sobre S1. Quando se utilizou a terapia combinada, o cabeçote do ultrassom (1MHz) fez o papel do eletrodo posicionado sobre a região de L5-S1, na forma contínua, com dose de 0,4W/cm 2 Comparison of combined therapy with ultrasound-associated interferential current in healthy subjects

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 68%

Comparison of combined therapy with ultrasound-associated interferential current in healthy subjects

Royer¹,

Albuquerque²,

Silva³

et al. 2018

Brazilian Journal of Pain

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show abstract

“…One of the methods using a physical stimulus to relieve pain in the degenerative disease is the combined therapy joining the effect of pulse currents of small or medium frequency and ultrasonic wave (UD) [9]. In the combined therapy, the hyperaemic and relaxing influence of ultrasound combined with an analgesic and hyperemic influence of electric current causes analgesia, decreased muscle tone and a local improvement in tissue trophism.…”

Section: Introductionmentioning

confidence: 99%

Use of combined therapy (TENS+UD) and postisometric relaxation (PIR) of muscles in seniors with degenerative disease of the hip jointnt

Podczarska-Głowacka¹,

Lysak²

2016

J Pre Clin Clin Res.

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Podczarska-Głowacka M, Łysak A. Use of combined therapy (TENS+UD) and postisometric relaxation (PIR) of muscles in seniors with degenerative disease of the hip joint. J Pre-Clin Clin Res. 2016; 10(2): 95-99. AbstractObjective. The aim of the study was to assess the effectiveness of a combined therapy (TENS+UD) and postisometric relaxation of muscles in a 3-week therapeutic programme directed to seniors with diagnosed degenerative disease of the hip joint (OA). Materials and method. The study involved patients with diagnosed degenerative disease of the hip joint. A total of 60 people -11 men and 49 women (mean age -68 years) were examined. The therapy was applied for a period of 3 weeks. Seniors were randomly divided into 2 equal groups. In Group I, the treatment programme included a combined therapy (TENS+UD) and individual exercises, i.e. postisometric relaxation of muscles (PIR) at the hip joint; in Group II, seniors were treated with individual exercises, i.e. postisometric relaxation of muscles (PIR). Results. The study showed that the applied therapeutic programme had a significant effect. In both groups an improvement in mobility after the therapy was shown in all planes of movement. It was also found that the therapy proved effective in fighting pain syndromes. However, it should be noted that after assessing pain twice (VAS, Laitinen Scale) in Group I, the therapy proved to be more effective in fighting pain in comparison to Group II. Conclusions. In non-invasive treatment, in order to increase the analgesic activity in patients with degenerative changes of the hip joint, it is also recommended to include a physical stimulus in the form of combined therapy in the physiotherapeutic procedure, comprising techniques of energising muscles.

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“…Apesar de controvérsias (Johnson & Tabasam 2003;Abdulwahab & Beatti 2006), a corrente interferencial tem se mostrado útil no tratamento da dor, tanto em experimentos com animais (Jorge et al 2006), quanto em humanos saudáveis (Fuentes et al 2010;Fuentes et al 2011;Venancio et al 2013) e com distúrbios osteomusculares (GUNDOG et al, 2012;LARA-PALOMO et al, 2012;MORETTI et al, 2012). Firmino e Esteves (FIRMINO;ESTEVES, 2007) em um estudo sobre os efeitos do interferencial na dor induzida por alongamento dos isquiotibiais, também observaram, com base no EVAD, que a interferencial foi eficaz na redução da dor.…”

Section: Discussionunclassified

“…Diferente da forma tetrapolar, a modulação não depende da orientação d1as nos resultados da possível ação analgésica quanto ao limiar de dor ao frio (JOHNSON; TABASAM, 2003) e à pressão (Fuentes et al, 2010;Fuentes et al, 2011). E em indivíduos com disfunções dolorosas também apresenta controvérsias tanto em usos isolados quanto associada a outras modalidades (MORETTI et al, 2012). Assim, o objetivo do presente estudo foi avaliar os efeitos, sobre a dor e função, da corrente interferencial bipolar em indiví-duos com dor lombar crônica.…”

Section: Introductionunclassified

Corrente Interferencial Como Forma De Tratamento Em Pacientes Com Dor Lombar

KARVAT¹,

ANTUNES²,

BERTOLINI,³

2016

Publ. Biologicas

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RESUMOO tratamento de indivíduos com dor lombar crônica tem sido um desafio, e embora as modalidades eletroterapêuticas sejam frequentemente usadas, a literatura não apresenta consenso. Objetivo: avaliar os efeitos da corrente interferencial bipolar em indivíduos com dor lombar crônica. Participaram 10 voluntários, com dor lombar crônica, durante 3 semanas (1ª-controle (eram controles deles mesmos); 2ª-tratamento; 3ª-seguimento). O tratamento foi realizado com a corrente interferencial, bipolar, 4kHz, 100Hz AMF, 20 minutos, por cinco dias consecutivos. Os parâmetros avaliativos foram: escala visual analógica de dor (EVAD), algômetro de pressão, Índice de Incapacidade de Oswestry Modificado e questionário de McGill. Houve diferença apenas para a EVAD diária (p<0,0001). Conclui-se que a corrente interferencial não se mostrou eficaz na redução da dor lombar crônica, em relação à melhora funcional e quadro álgico, contudo, apresentou redução do quadro álgico do pré para o pós-tratamento, mostrando-se como uma opção viável para associação com outras técnicas terapêuticas. Palavras-chave: dor lombar, estimulação elétrica nervosa transcutânea, medição da dor. ABSTRACT Introduction:The treatment of patients with chronic low back pain has been a challenge, and although electrotherapeutic modalities are often used, the literature shows no consensus. Objective: To evaluate the effects of bipolar interferential current in individuals with chronic low back pain. Methods: 10 volunteers with chronic low back pain participated for 3 weeks (1 st -control; 2 nd -treatment; 3 rd -follow-up). The treatment was performed with interferential current, bipolar, 4kHz, 100Hz AMF, 20 minutes, for five consecutive days. The parameters were: visual analog scale pain (VAS), pressure algometer, Oswestry Disability Modified Index and McGill questionnaire. Results: There were differences only for the daily VAS. Conclusion: interferential current was not effective in reducing chronic low back pain in relation to functional improvement and pain symptoms, however, showed pain reduction from pre to post-treatment, turning out as a viable option for association with other therapeutic techniques.

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Combined Therapy (Ultrasound and Interferential Current) in Patients with Fibromyalgia: Once or Twice in a Week?

Abstract: There is no advantage in increasing the number of sessions of combined therapy in terms of reducing generalized pain, quality of life and sleep quality for patients with FM.

Cited by 23 publications

References 35 publications

Comparison of combined therapy with ultrasound-associated interferential current in healthy subjects

Comparison of combined therapy with ultrasound-associated interferential current in healthy subjects

Use of combined therapy (TENS+UD) and postisometric relaxation (PIR) of muscles in seniors with degenerative disease of the hip jointnt

Corrente Interferencial Como Forma De Tratamento Em Pacientes Com Dor Lombar

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