[Functionality/isokinetic work of quadriceps in patients with gonarthrosis managed with prolotherapy].
| Autor: | Martínez-Barro D; Instituto Mexicano del Seguro Social, Unidad de Medicina Física y Rehabilitación Norte de la UMAE Traumatología, Ortopedia y Rehabilitación, 'Dr. Victorio de la Fuente Narváez', Servicio de Rehabilitación. Ciudad de México, México., Rivera-Bello JD; Hospital Ángeles Pedregal, Servicio de Neurofisiología Clínica. Ciudad de México, México., Cruz-López JM; Instituto Mexicano del Seguro Social, Hospital General Regional No. 1 'Vicente Guerrero', Servicio de Rehabilitación. Acapulco, Guerrero, México., Hernández-Amaro H; Instituto Mexicano del Seguro Social, UMAE Traumatología, Ortopedia y Rehabilitación, 'Dr. Victorio de la Fuente Narváez', División de Educación en Salud. Ciudad de México, México., Rojano-Mejía D; Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Coordinación de Investigación en Salud. Ciudad de México, México. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2023 Nov 06; Vol. 61 (6), pp. 788-795. Date of Electronic Publication: 2023 Nov 06. |
| DOI: | 10.5281/zenodo.10064325 |
| Abstrakt: | Background: Prolotherapy may be a good option in the complementary treatment of knee osteoarthritis (OA) patients, specifically for the increase of functionality. Objective: To determine the effectiveness of prolotherapy in OA grade II - III in the functionality and muscular work of knee flexors and extensors. Material and Methods: a double-blind randomized controlled clinical trial was conducted. It included patients diagnosed with OA grades II-III. The experimental group was infiltrated in both knees with 6 ml of 25% glucose solution and 0.05% lidocaine; control group with 0.45% saline solution and 0.05% lidocaine. All patients received a comprehensive rehabilitation program. The isokinetic work of the knee flexor and extensor muscles, pain and functionality were measured, prior to infiltration and at 3-month follow-up. To compare the difference in means, the Student's T test was applied, considering P<0.05 as significant. The project was approved by the local ethics and research committee. Results: 37 patients were recruited, 17 in the prolotherapy group. There were no intergroup differences in functionality, isokinetic knee flexor/extensor work, and pain at baseline, or during follow-up up to 12 weeks. Conclusions: In the present study we identify that both prolotherapy and saline infiltration increased functionality, strength, and decreased pain; however, no statistically significant difference was found between the two group. (Licencia CC 4.0 (BY-NC-ND) © 2023 Revista Médica del Instituto Mexicano del Seguro Social.) |
| Databáze: | MEDLINE |
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