Análise comparativa de técnicas de aplicação da terapia conjugada de laser e ultrassom, como recurso antiálgico, nas pequenas articulações das mãos na artrite reumatóide
Notice bibliographique
Résumé
Rheumatoid arthritis is an autoimmune, chronic, systemic inflammatory disease that mainly affects the synovial tissue of the proximal interphalangeal joints and may affect the distal interphalangeal joints in both hands. Joint pain is the most common clinical symptom that causes impairments in the practice of daily and work activities, leading to psychological distress, negatively impacting quality of life. Drugs are administered to control joint synovitis, but the partial effectiveness and side effects lead to the suspension of their use. Therefore, non-pharmacological therapies can contribute to the control or remission of joint inflammation, reducing pain without side effects. The objective of the research was to analyze different and comparative methods, using the combined therapy of ultrasound and laser, aiming to minimize the pain caused by rheumatoid arthritis in the hands. Forty female volunteers who were diagnosed with rheumatoid arthritis and had pain in the proximal and distal interphalangeal joints were selected for the study. Pre- and post-intervention pain was assessed by using the McGill Pain Questionnaire and digital algometer. For the treatment, an equipment commercially called RECOVER® and RECUPERO® which combines Ultrasound and Laser was used and a metallic vat. The volunteers were divided into four treatment groups: Laser Group, Ultrasound Group, Combined Ultrasound and Laser Group without and with the use of the vat. In the four groups, the following ultrasound parameters were used: Frequency 1 MHz, Intensity 0.5 W/cm², pulsed mode 100Hz (50%,) Power 1.30 W and Time of 3 minutes per point and the following Laser parameters: continuous laser with Energy density of 33.3 J/cm², power 100 mW, Wavelength 808 nm and 660nm and Time 3 minutes per point. There were 8 applications, twice a week. At the end of 4 weeks, the combined treatment with a vat showed, through the pain index, a percentage higher (49.7%) than the Laser treatments (36.8%), Ultrasound (5.09%) and the combined treatment without a vat. (36.2%) for the reduction of joint pain in rheumatoid arthritis. The mean evolution of the pain threshold before and after treatment with the ultrasound, laser, conjugated and conjugated vat resources were significant, varying within the normal range p<0.05 for all resources in the proximal and distal interphalangeal joints of both hands. However, in percentage terms, the combined resource with a bowl showed superior results (53.35%) compared to ultrasound (11.86%), laser (26.19%) and combined (44.43%) in the proximal interphalangeal joints of the right hand. , the same occurred in the distal interphalangeal joints of the same hand, whose combined resource with a bowl showed a higher percentage improvement (54.70%) than ultrasound (7.36%), laser (26.75%) and conjugated (47.10%). In relation to the left hand, in percentage terms, the resource combined with a bowl showed superior results (44.39%) in relation to ultrasound (6.82%), laser (24.64%) and combined (45.52%) in the joints interphalangeal joints, the same was verified in the distal interphalangeal joints of the same hand, whose combined resource with a bowl showed a higher percentage improvement (49.67%) than ultrasound (0.50%), laser (25.20%) and conjugated (53.33%). The conjugated therapy applied with the vat for the treatment of small joints of the hands, provides a new non-pharmacological and non-invasive treatment approach that contributes to a better quality of life for patients with this chronic inflammatory joint disease .
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».