Efeitos da ventosa seca na dor, função física e qualidade de vida em mulheres com osteoartrite de joelho: um ensaio aleatorizado e cego
Notice bibliographique
Résumé
INTRODUCTION: Knee osteoarthritis, the most prevalent health condition in women, induces pain, functional disability, and substantial impact on the quality of life, imposing significant challenges in both public health and socioeconomic resources. Treatment for knee osteoarthritis encompasses various approaches, including non-pharmacological, pharmacological, and surgical interventions. Within the spectrum of non-pharmacological therapies, cupping therapy emerges as an alternative therapy that hypothetically aims to control symptoms associated with this population. However, recent systematic reviews highlight not only the lack of consensus on its effectiveness but also demonstrate a notable risk of methodological bias in studies involving patients with knee osteoarthritis. This gap in understanding and the presence of methodological limitations signal the need for more in-depth and robust investigations in individuals receiving this intervention with this health condition. OBJECTIVE: To assess the effects of dry cupping therapy on resting and moving pain in individuals with knee osteoarthritis. METHOD: A randomized, blind, allocation-concealed clinical trial with intention-to-treat analysis. Sixty-two clinically diagnosed women with knee osteoarthritis were randomized into two groups: experimental and control. The experimental group (n = 31) received the application of five (n=5) dry cups on the knee, and the control group (n = 31) underwent the same procedure but with a sham dry cupping therapy without vacuum. Both interventions were administered twice (2x) a week for a period of 6 weeks, with sessions lasting 15 minutes. The primary outcome was resting and moving pain (Numeric Pain Rating Scale), and secondary outcomes included knee health status (Western Ontario and McMaster Universities Osteoarthritis Index), quality of life (Short-form 36), functional capacity (30second Chair Stand Test, 40-meter Walk Test, 8-Step Stair Climb Test), and global perceived effect. Participants were assessed before the start of the intervention, after three and six weeks of treatment, and again one month after the interventions ended. A significance level of 5% and a 95% confidence interval were adopted for all statistical analyses. RESULTS: Both groups showed similar baseline characteristics. No statistically significant differences were identified between the groups regarding the primary outcome of resting pain intensity after 3 weeks (1.39, CI [-3.41; 0.64]), six weeks (-1.20, CI [(-3.17; 0.76)]), and ten weeks (-0.51, CI [(-3.01; 2.00)]). These results were corroborated in the secondary outcomes, where mean estimates and their confidence intervals excluded significant effects in all cases. These results suggest equivalence in responses between the experimental group and the control group over the evaluation period. CONCLUSION: Dry cupping therapy was similar to sham therapy in terms of reducing pain, disability, functional capacity, quality of life, or overall perceived effect in women with knee osteoarthritis.
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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 | 0,004 | 0,012 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,002 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 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 ».