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O uso do LASER terapêutico classe IV no tratamento da osteoartrite do cotovelo em Canis familiaris
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A osteoartrite (OA) é uma das principais causas de dor crónica em medicina veterinária. Caracterizada pela degeneração e perda progressiva da cartilagem articular, alterações hipertróficas do tecido ósseo, inflamação e fibrose da membrana sinovial, das estruturas periarticulares e alterações qualitativas e quantitativas no fluido sinovial. A terapia de fotobiomodulação veiculada por LASER Classe IV, surge atualmente com resultados promissores no tratamento da OA. A goniometria, é uma ferramenta importante no estudo da evolução clínica da OA. O presente estudo teve como objetivo avaliar as vantagens do LASER terapêutico Classe IV no tratamento de doentes com OA do cotovelo, e a sua relação com parâmetros: Idade, Género, Raça, Tempo de Claudicação e Membro Afetado. Para tal utilizou-se uma amostra de 30 animais (N=30), diagnosticados com osteoartrite do cotovelo, divididos em 3 grupos: o GC (grupo controlo de indivíduos saudáveis com N=6), o GM (grupo medicamentoso de doentes com OA, N=12) e GL (grupo de LASER de doentes com OA, N=12). Todos os doentes foram sujeitos ao mesmo protocolo medicamentoso, variando apenas no uso de LASER Classe IV no GL realizado ao longo de 21 dias. A goniometria de extensão e de flexão do cotovelo foi avaliada em quatro tempos foram considerados: T0 (início do tratamento), T1 (7 dias após o início), T2 (14 dias após o início) e T3 (21 dias após o início). De acordo com os resultados obtidos, existem diferenças estatisticamente significativas entre GM e GL na goniometria de extensão (p<0,001) de flexão (p<0,001). A análise intra-grupo permitiu verificar que o parâmetro Membro Afetado influencia a goniometria de extensão (GM com p=0,04 e GL com p=0,04) e de flexão apenas em GL (p<0,01). O presente estudo permitiu concluir que o uso do LASER Classe IV é benéfico no tratamento da OA, melhorando muito os valores da goniometria de extensão e de flexão em doentes com OA.
ABSTRACT - The use of therapeutic Class IV LASER in the treatment of elbow osteoarthritis in Canis familiaris - Osteoarthritis (OA) is one of the main causes of chronic pain in veterinary medicine. Characterized by progressive degeneration and loss of articular cartilage, hypertrophic changes in bone tissue, inflammation and fibrosis of the synovial membrane, periarticular structures and qualitative and quantitative changes in synovial fluid. The photobiomodulation therapy conveyed by Class IV LASER, currently appears with promising results in the treatment of OA. Goniometry is an important tool in the study of the clinical evolution of OA. This study aimed to evaluate the advantages of therapeutic Class IV LASER in the treatment of patients with OA of the elbow, and its relationship with parameters: Age, Gender, Race, Time of Claudication and Affected Limb. For this purpose, a sample of 30 animals (N=30) was used, diagnosed with OA of the elbow, divided into 3 groups: the CG (control group of healthy individuals, N=6), the GM (medicated group of OA patients, N=12) and the GL (LASER group of OA patients, N=12). All patients were subjected to the same drug protocol, varying only in the use of class IV LASER in the GL performed over 21 days. Elbow extension and flexion goniometry was assessed at four different times: T0 (start of treatment), T1 (7 days after the start), T2 (14 days after the start) and T3 (21 days after the start). According to the results obtained, there are statistically significant differences between GM and GL in the goniometry of extension (p<0,001) and flexion (p<0,001). The intra-group analysis allowed verifying that the Affected Member parameter influences the extension goniometry (GM with p=0,04 and GL with p=0,04) and of flexion only in GL (p<0,01). The present study allowed for the conclusion that the use of Class IV LASER is beneficial in the treatment of OA, greatly improving the values of extension and flexion goniometry in OA patients.
ABSTRACT - The use of therapeutic Class IV LASER in the treatment of elbow osteoarthritis in Canis familiaris - Osteoarthritis (OA) is one of the main causes of chronic pain in veterinary medicine. Characterized by progressive degeneration and loss of articular cartilage, hypertrophic changes in bone tissue, inflammation and fibrosis of the synovial membrane, periarticular structures and qualitative and quantitative changes in synovial fluid. The photobiomodulation therapy conveyed by Class IV LASER, currently appears with promising results in the treatment of OA. Goniometry is an important tool in the study of the clinical evolution of OA. This study aimed to evaluate the advantages of therapeutic Class IV LASER in the treatment of patients with OA of the elbow, and its relationship with parameters: Age, Gender, Race, Time of Claudication and Affected Limb. For this purpose, a sample of 30 animals (N=30) was used, diagnosed with OA of the elbow, divided into 3 groups: the CG (control group of healthy individuals, N=6), the GM (medicated group of OA patients, N=12) and the GL (LASER group of OA patients, N=12). All patients were subjected to the same drug protocol, varying only in the use of class IV LASER in the GL performed over 21 days. Elbow extension and flexion goniometry was assessed at four different times: T0 (start of treatment), T1 (7 days after the start), T2 (14 days after the start) and T3 (21 days after the start). According to the results obtained, there are statistically significant differences between GM and GL in the goniometry of extension (p<0,001) and flexion (p<0,001). The intra-group analysis allowed verifying that the Affected Member parameter influences the extension goniometry (GM with p=0,04 and GL with p=0,04) and of flexion only in GL (p<0,01). The present study allowed for the conclusion that the use of Class IV LASER is beneficial in the treatment of OA, greatly improving the values of extension and flexion goniometry in OA patients.
Descrição
Dissertação de Mestrado Integrado em Medicina Veterinária
Palavras-chave
Cão Osteoartrite LASER terapêutico Classe IV Goniometria Flexão Extensão Dog Osteoarthritis Class IV therapeutic LASER Goniometry Flexion Extension
Contexto Educativo
Citação
Fernandes JTM. 2022. O uso do LASER terapêutico classe IV no tratamento da osteoartrite do cotovelo em Canis familiaris [dissertação de mestrado]. Lisboa: FMV-Universidade de Lisboa.
Editora
Universidade de Lisboa, Faculdade de Medicina Veterinária