Efectividades de la terapia convencional y campo electromagnético de 60 Hz en la sinovitis de rodilla postraumática en deportistas competitivos
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Introducción: la sinovitis de rodilla postraumática es frecuente en hombres y mujeres que practican deportes.
Objetivo: evaluar las efectividades de la terapia convencional y el campo electromagnético de frecuencia extremadamente baja de 60 Hz en pacientes con sinovitis de rodilla postraumática.
Métodos: se realizó un Estudio Piloto longitudinal y controlado. Se trataron 82 pacientes (52 masculinos y 30 féminas) con sinovitis de rodilla postraumática y edades entre 15 y 35 años de edad. Ellos se agruparon al azar en dos grupos experimentales, uno que incluyó 39 pacientes tratados con la terapia convencional (crioterapia + ibuprofeno + dipirona) y otro formado por 43 pacientes que recibieron el campo electromagnético de frecuencia extremadamente baja de inducción magnética 11 mT, frecuencia 60 Hz y tiempo de exposición 20 min. Se usaron la Escala Visual Analógica, el examen físico y el ecografía para evaluar las efectividades de estos dos tipos de terapia.
Resultados: se disminuyeron los grados de dolor, examen físico y ecografía en todos los pacientes al final de este estudio para cada tipo de terapia. Los promedios del índice de efectividad analgésica fueron 61,31 y 97,17% para la terapia convencional y el campo electromagnético de frecuencia extremadamente baja de 60 Hz, respectivamente.
Conclusiones: la sinovitis de rodilla postraumática es más magneto-sensible que crio-sensible lo que se corresponde con la mayor eficacia del campo electromagnético de frecuencia extremadamente baja respecto a la de la terapia convencional.Palabras clave
Referencias
Gómez Valdés A, Mendoza Cabrera Y, Escalante Cambeaux L. Sinovitis de rodilla, su tratamiento en el área terapéutica de la Facultad de Cultura Física" Nancy Uranga Romagoza". Podium. Revista de Ciencia y Tecnología en la Cultura Física. 2018;13(3):274-86. Disponible en: http://scielo.sld.cu/pdf/rpp/v13n3/1996-2452-rpp-13-03-274.pdf
Sun BY, Sun ZP, Pang ZC, Huang WT, Wu SP. Decreased synovial fluid pituitary adenylate cyclase-activating polypeptide (PACAP) levels may reflect disease severity in post-traumatic knee osteoarthritis after anterior cruciate ligament injury. Peptides. 2019;116:22-9. Disponible en: https://doi.org/10.1016/j.peptides.2019.04.009
Cambras RA, Nuñez MJ, Riveron LM, Soto del Valle AC. Lesiones de partes blandas en atletas de alto rendimiento. Revista Cubana de Ortopedia y Traumatología. 2004;18(2):1-4. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-215X2004000200011
Sudheer R, Rao SV. MRI in evaluation of knee joint-a series of 150 patients. International Journal of Scientific Research 2019;7(9):3352-6. Disponible en: https://dx.doi.org/10.18203/2320-6012.ijrms20193912
Li TY, Wu YT, Chen LC, Cheng SN, Pan RY, Chen YC. Efficacy, safety, and synovial effects of intra-articular hyaluronic acid in treating recalcitrant hemophilic arthropathy of knee joint. Journal of Medical Sciences. 2019;39(1):28-35. Disponible en: https://doi.org/10.4103/jmedsci.jmedsci_33_18
Kaye AD, Cornett EM, Hart B, Patil S, Pham A, Spalitta M, et al. Novel pharmacological nonopioid therapies in chronic pain. Current Pain and Headache Reports. 2018;22(4):31. Disponible en: https://doi.org/10.1007/s11916-018-0674-8
Sánchez MH, Muguercia MG, Cabrales LEB. Efectos inducidos por imanes multipolares colocados en puntos de acupuntura en pacientes con osteoartrosis generalizada. Ciencia e Innovación Tecnológica. Volumen II, Editorial Académica Universitaria-Opuntia Brava. 2018;2647-58. Disponible en: http://edacunob.ult.edu.cu
Shaw K, Symington S, Havas M. Pilot study: pulsed electromagnetic field therapy (PEMFT) alleviates symptoms of osteoarthritis. Novel Techniques in Arthritis Bone Research. 2017;1(5):1-8. Disponible en: http://rifemachinepemfreviews.com/wp-content/uploads/2020/01/Pemf-for-Osteoarthritis.pdf
Ozdemir E, Demirkazik A, Gursoy S, Taskıran AS, Kilinc O, Arslan G. Effects of extremely low frequency electromagnetic fields on morphine analgesia and tolerance in rats. General Physiology and Biophysics. 2017;36(4):415-22. Disponible en: https://doi.org/10.4149/gpb_2017008
Oladnabi M, Bagheri A, Kanavi MR, Azadmehr A, Kianmehr A. Extremely low frequency-pulsed electromagnetic fields affect proangiogenic-related gene expression in retinal pigment epithelial cells. Iranian Journal of Basic Medical Sciences. 2019;22(2):128. Disponible en: https://doi.org/10.22038/ijbms.2018.25023.6214
Shen LK, Huang HM, Yang PC, Huang YK, Wang PD, Leung TK, Chen CJ, Chang WJ. A static magnetic field attenuates lipopolysaccharide-induced neuro-inflammatory response via IL-6-mediated pathway. Electromagnetics Biology and Medicine. 2014;33(2):132-8. Disponible en: https://doi.org/10.3109/15368378.2013.794734
Vergallo C, Dini L, Szamosvölgyi Z, Tenuzzo BA, Carata E, Panzarini E, László JF. In vitro analysis of the anti-inflammatory effect of inhomogeneous static magnetic field-exposure on human macrophages and lymphocytes. PLoS One. 2013;8(8):e72374. Disponible en: https://doi.org/10.3109/15368378.2013.794734
Williams JR. The Declaration of Helsikin and public health. Bulletin of the World Health Organization. 2008;86:650-2. Disponible en: https://www.scielosp.org/pdf/bwho/2008.v86n8/650-652/en
Garrison SJ Manual de Medicina Física y Rehabilitación. 2da ed., La Habana: Ciencias Médicas. 2006,301-3. Disponible en: http://www.sld.cu/galerias/pdf/sitios/rehabilitacion/programa_residencia.pdf
Galloway RT, Xu Y, Hewett TE, Barber Foss K, Kiefer AW, DiCesare CA, et al. Age-dependent patellofemoral pain: hip and knee risk landing profiles in prepubescent and postpubescent female athletes. The American Journal of Sports Medicine. 2018;46(11):2761-71. Disponible en: https://doi.org/10.1177/0363546518788343
McPeak AE, Allaire C, Williams C, Albert A, Lisonkova S, Yong PJ. Pain catastrophizing and pain health-related quality-of-life in endometriosis. The Clinical Journal of Pain. 2018;34(4):349-56. Disponible en: https://doi.org/10.1097/AJP.0000000000000539
Martin RM. Influence of biological sex, trait gender, and state gender on pain threshold, pain tolerance, and ratings of pain severity. Personality and Individual Differences. 2019;138(1):183-7. Disponible en: https://doi.org/10.1016/j.paid.2018.09.038
Lue YJ, Wang HH, Cheng KI, Chen CH, Lu YM. Thermal pain tolerance and pain rating in normal subjects: Gender and age effects. European Journal of Pain. 2018;22(6):1035-42. Disponible en: https://doi.org/10.1002/ejp.1188
Dehghan F, Muniandy S, Yusof A, Salleh N. Testosterone reduces knee passive range of motion and expression of relaxin receptor isoforms via α‐dihydrotestosterone and androgen receptor binding. International Journal of Molecular Sciences. 2014;15(3):4619-34. Disponible en: https://doi.org/10.3390/ijms15034619
Graf C, Schierz O, Steinke H, Körner A, Kiess W, Kratzsch J, et al. Sex hormones in association with general joint laxity and hypermobility in the temporomandibular joint in adolescents-results of the epidemiologic LIFE child study. Journal of Oral Rehabilitation. 2019. Disponible en: https://onlinelibrary.wiley.com/doi/pdf/10.1111/joor.12834
Bright P, Hambly K. Patients using an online forum for reporting progress when engaging with a six-week exercise program for knee conditioning: feasibility study. JMIR Rehabilitation and Assistive Technologies. 2018;5(1):e9. Disponible en: https://doi.org/10.2196/rehab.8567
Theodoridou A, Gika H, Diza E, Garyfallos A, Settas L. In vivo study of pro-inflammatory cytokine changes in serum and synovial fluid during treatment with celecoxib and etoricoxib and correlation with VAS pain change and synovial membrane penetration index in patients with inflammatory arthritis. Mediterranean Journal of Rheumatology. 2017;28(1):33-50. Disponible en: https://doi.org/10.31138/mjr.28.1.33
Bastos R, Mathias M, Andrade R, Bastos R, Balduino A, Schott V, et al. Intra-articular injections of expanded mesenchymal stem cells with and without addition of platelet-rich plasma are safe and effective for knee osteoarthritis. Knee Surgery, Sports Traumatology, Arthroscopy. 2018;26(11):3342-50. Disponible en: https://doi.org/10.1007/s00167-018-4883-9
Dantas LO, Moreira RFC, Norde FM, Serrao PRMS, Alburquerque-Sendín F, Salvini TF. The effects of cryotherapy on pain and function in individuals with knee osteoarthritis: a systematic review of randomized controlled trials. Clinical Rehabilitation. 2019;33(8):1310-1319. Disponible en: https://doi.org/10.1177/0269215519840406
Wood MJ. Cellular and molecular heterogeneity in the synovial tissue of osteoarthritis patients. Doctoral dissertation. Newcastle University, Newcastle upon Tyne, United Kingdom. 2018. Disponible en: theses.ncl.ac.uk/jspui/bitstream/10443/4244/1/Wood%2C%20M%202018.pdf
Tomasz Chruściak. Subjective evaluation of the effectiveness of whole-body cryotherapy in patients with osteoarthritis. Reumatologia. 2016;54(6):291-5. Disponible en: https://doi.org/10.5114/reum.2016.64904
Oria ER, Cabrales LEB, Reyes JB. Analytical solution of the bioheat equation for thermal response induced by any electrode array in anisotropic tissues with arbitrary shapes containing multiple-tumor nodules. Revista Mexicana de Física. 2019;65(3):284-90. Disponible en: http://dx.doi.org/10.31349/revmexfis.65.284
Gobbi RG, Pastore e Silva AL, Demange MK, Pécora JR, Espregueira-Mendes J, Camanho GL. Clinical results of pulsed signal therapy on patellofemoral syndrome with patellar chondropathy. Bioelectromagnetics. 2019;40(2):83-90. Disponible en: https://doi.org/10.1002/bem.22172
Cichoń N, Olejnik AK, Miller E, Saluk J. The multipotent action of electromagnetic field. Biologia. 2016;71(10):1103-10. Disponible en: https://doi.org/10.1515/biolog-2016-0142
Ross CL, Teli T, Harrison BS. Electromagnetic field devices and their effects on nociception and peripheral inflammatory pain mechanisms. Alternative Therapies in Health Medicine. 2016;22(3):34-47. Disponible en: https://www.researchgate.net/profile/Christina_Ross/publication/303552715_Electromagnetic_Field_Devices_and_Their_Effects_on_Nociception_and_Peripheral_Inflammatory_Pain_Mechanisms/links/574b9f4608ae5f7899ba1dc1.pdf
Ozdemir E, Demirkazik A, Taskıran AS, Arslan G. Effects of 5‐HT1 and 5‐HT 2 receptor agonists on electromagnetic field‐induced analgesia in rats. Bioelectromagnetics. 2019;40(5):31-30. Disponible en: https://doi.org/10.1002/bem.22196
Manzo A, Bugatti S, Caporali R, Montecucco C. Histopathology of the synovial tissue: perspectives for biomarker development in chronic inflammatory arthritides. Reumatismo. 2018;121-32. Disponible en: https://www.reumatismo.org/index.php/reuma/article/download/1057/799
Radojčič MR, Thudium CS, Henriksen K, Tan K, Karlsten R, Dudley A, et al. Biomarker of extracellular matrix remodelling C1M and proinflammatory cytokine interleukin 6 are related to synovitis and pain in end-stage knee osteoarthritis patients. Pain. 2017;158(7):1254-63. Disponible en: https://doi.org/10.1097/j.pain.0000000000000908
Cichoń N, Bijak M, Czarny P, Miller E, Synowiec E, Sliwinski T, Saluk-Bijak, J. Increase in blood levels of growth factors involved in the neuroplasticity process by using an extremely low frequency electromagnetic field in post-stroke patients. Frontiers in Aging Neuroscience. 2018;10:294. Disponible en: https://doi.org/10.3389/fnagi.2018.00294
Behrouzkia Z, Joveini Z, Keshavarzi B, Eyvazzadeh N, Aghdam RZ. Hyperthermia: how can it be used? Oman Medical Journal. 2016;31(2):89-97. Disponible en: https://doi.org/10.5001/omj.2016.19
Varani K, Vincenzi F, Ravani A, Pasquini S, Merighi S, Gessi S, et al. Adenosine receptors as a biological pathway for the anti-inflammatory and beneficial effects of low frequency low energy pulsed electromagnetic fields. Mediators of inflammation. 2017;2017. Disponible en: https://doi.org/10.1155/2017/2740963
Demirkazik A, Ozdemir E, Arslan G, Taskiran AS, Pelit A. The effects of extremely low-frequency pulsed electromagnetic fields on analgesia in the nitric oxide pathway. Nitric Oxide. 2019;92(1):49-54. Disponible en: https://doi.org/10.1016/j.niox.2019.08.003
Cabrera AC, Acosta TB, Pérez YML. Agentes físicos: terapia física y rehabilitación. La Habana: Editorial de Ciencias Médicas. 2006
Manoukian MAC, Migdal CW, Tembhekar AR, Harris JA, DeMesa C. Topical administration of ibuprofen for injured athletes: considerations, formulations, and comparison to oral delivery. Sports Medicine-Open. 2017;3(1):36. Disponible en: https://doi.org/10.1186/s40798-017-0103-2
Greten FR, Grivennikov SI. Inflammation and cancer: triggers, mechanisms, and consequences. Immunity. 2019;51(1):27-41. Disponible en: https://doi.org/10.1016/j.immuni.2019.06.025
Aoki T, Narumiya S. Prostaglandin E 2-EP2 signaling as a node of chronic inflammation in the colon tumor microenvironment. Inflammation and Regeneration. 2017;37(1):4. Disponible en: https://doi.org/10.1186/s41232-017-0036-7
González MM, Morales DF, Cabrales LEB, Pérez DJ, Montijano JI, Castañeda ARS, et al. Dose-response study for the highly aggressive and metastatic primary F3II mammary carcinoma under direct current. Bioelectromagnetics. 2018;39(6):460-75. Disponible en: https://doi.org/10.1002/bem.22132
Wang N, Huang Y, Liu H, Fei X, Wei L, Zhao X, et al. Measurement and application of patient similarity in personalized predictive modeling based on electronic medical records. BioMededical Engineering OnLine. 2019;18(1):1-15. Disponible en: https://doi.org/10.1186/s12938-019-0718-2
Bright P, Hambly K. Patients using an online forum for reporting progress when engaging with a six-week exercise program for knee conditioning: feasibility study. JMIR Rehabilitation and Assistive Technologies. 2018;5(1):e9. Disponible en: https://doi.org/10.2196/rehab.8567
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