Synergic Effects of Ultrasound and Laser on the Pain Relief and Functionality

NCT ID: NCT02154893

Last Updated: 2015-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-31

Study Completion Date

2014-05-31

Brief Summary

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There are several therapeutic effects of the ultrasound (US) or low level laser therapy (LLLT), including pain relief, increase of microcirculation, modulation of inflammatory response and accelerated tissue repair. The investigators hypothesis was that a combination of US, LLLT and therapeutic exercise may maximize clinical outcome.

Detailed Description

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Patients with pain, especially chronic pain, avoid movements. This is turn results in a gradual impairment of their physical condition, reducing, for example, strength, flexibility, physical functionality and occupational activity. To performed physical treatments, a prototype device was development. The device includes four diode laser beams (808 nm) around of the one ultrasound transducer.

Conditions

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Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Device and exercise

Device with ultrasound and laser associated with therapeutic exercise

Group Type EXPERIMENTAL

Ultrasound plus Laser and therapeutic exercise

Intervention Type DEVICE

Ultrasound with frequency 1 Mhz and infrared laser with output power at 100 mW. The resistance training was performed.The treatments are done once a week, for 3 months.

Device

Device with ultrasound and laser

Group Type EXPERIMENTAL

Ultrasound plus Laser

Intervention Type DEVICE

Ultrasound with frequency 1 Mhz and infrared laser with output power at 100 mW. The treatments are done once a week, for 3 months.

Placebo

Without any treatment

Group Type PLACEBO_COMPARATOR

Utrasound plus Laser Placebo

Intervention Type DEVICE

The device with Ultrasound and infrared laser without emitting electromagnetic or mechanical waves was applied (null dose).

Interventions

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Ultrasound plus Laser and therapeutic exercise

Ultrasound with frequency 1 Mhz and infrared laser with output power at 100 mW. The resistance training was performed.The treatments are done once a week, for 3 months.

Intervention Type DEVICE

Ultrasound plus Laser

Ultrasound with frequency 1 Mhz and infrared laser with output power at 100 mW. The treatments are done once a week, for 3 months.

Intervention Type DEVICE

Utrasound plus Laser Placebo

The device with Ultrasound and infrared laser without emitting electromagnetic or mechanical waves was applied (null dose).

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Caucasian women
* Aged between 60 and 80 years
* Hand osteoarthritis
* Knee osteoarthritis

Exclusion Criteria

* Psychiatric disorder,
* Neurological disease
* Metabolic disease
* Pulmonary disease
* Cardiac disease,
* Thrombosis
* Cancer.
Minimum Eligible Age

60 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fundação de Amparo à Pesquisa do Estado de São Paulo

OTHER_GOV

Sponsor Role collaborator

Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

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Fernanda Rossi Paolillo

Ph.D

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Vanderlei S Bagnato, Ph.D

Role: STUDY_DIRECTOR

Physics Institute of São Carlos (IFSC), University of São Paulo (USP)

Alessandra R Paolillo, Ph.D

Role: STUDY_DIRECTOR

Physics Institute of São Carlos (IFSC), University of São Paulo (USP)

Fernanda R Paolillo, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Physics Institute of São Carlos (IFSC), University of São Paulo (USP)

Jéssica João, PT

Role: PRINCIPAL_INVESTIGATOR

Physics Institute of São Carlos (IFSC), University of São Paulo (USP)

Herbert João, Msc

Role: PRINCIPAL_INVESTIGATOR

Physics Institute of São Carlos (IFSC), University of São Paulo (USP)

Locations

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Alessandra Rossi Paolillo

São Carlos, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Brosseau L, Wells G, Marchand S, Gaboury I, Stokes B, Morin M, Casimiro L, Yonge K, Tugwell P. Randomized controlled trial on low level laser therapy (LLLT) in the treatment of osteoarthritis (OA) of the hand. Lasers Surg Med. 2005 Mar;36(3):210-9. doi: 10.1002/lsm.20137.

Reference Type RESULT
PMID: 15704096 (View on PubMed)

Ekim A, Armagan O, Tascioglu F, Oner C, Colak M. Effect of low level laser therapy in rheumatoid arthritis patients with carpal tunnel syndrome. Swiss Med Wkly. 2007 Jun 16;137(23-24):347-52. doi: 10.4414/smw.2007.11581.

Reference Type RESULT
PMID: 17629805 (View on PubMed)

Allen RJ. Physical agents used in the management of chronic pain by physical therapists. Phys Med Rehabil Clin N Am. 2006 May;17(2):315-45. doi: 10.1016/j.pmr.2005.12.007.

Reference Type RESULT
PMID: 16616270 (View on PubMed)

Korstjens CM, van der Rijt RH, Albers GH, Semeins CM, Klein-Nulend J. Low-intensity pulsed ultrasound affects human articular chondrocytes in vitro. Med Biol Eng Comput. 2008 Dec;46(12):1263-70. doi: 10.1007/s11517-008-0409-9. Epub 2008 Oct 14.

Reference Type RESULT
PMID: 18853213 (View on PubMed)

Tascioglu F, Kuzgun S, Armagan O, Ogutler G. Short-term effectiveness of ultrasound therapy in knee osteoarthritis. J Int Med Res. 2010 Jul-Aug;38(4):1233-42. doi: 10.1177/147323001003800404.

Reference Type RESULT
PMID: 20925995 (View on PubMed)

Related Links

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http://cepof.ifsc.usp.br/

Optics and Photonics Research Center

Other Identifiers

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FAPESP2013

Identifier Type: -

Identifier Source: org_study_id