Acupuncture combined with cinesiotherapy cupping for knee osteoarthritis with stagnation and blood stasis syndrome: a randomized controlled trial / 中国针灸

OBJECTIVE@#To compare the clinical efficacy between acupuncture combined with cinesiotherapy cupping and acupuncture combined with conventional cupping for knee osteoarthritis (KOA) with stagnation and blood stasis syndrome, and to seek a better solution for KOA.@*METHODS@#A total of 78 patients of KOA with stagnation and blood stasis syndrome were randomly divided into an observation group and a control group, 39 cases in each group (3 cases in the observation group and 2 cases in the control group lost contact). Both groups were treated with acupuncture at Neixiyan (EX-LE 4), Dubi (ST 35), Xuehai (SP 10), Liangqiu (ST 34), Heding (EX-LE 2), Zusanli (ST 36), Yinlingquan (SP 9), Yanglingquan (GB 34) and Xuanzhong (GB 39). Based on the acupuncture treatment, the control group was treated with conventional cupping. The No. 4 cupping glass was used for Xuehai (SP 10), Liangqiu (ST 34) and Fengshi (GB 31), while the No. 3 cupping glass was used for Yinlingquan (SP 9), while the cupping with appropriate size was used for points; the cupping glass was retained for 5 min. Based on the acupuncture treatment, the observation group was treated with cinesiotherapy cupping. The selection of acupoint and cupping glass was identical as the control group. The patients were instructed to perform knee flexion-extension, hip abduction-adduction, weight-bearing and other active exercise while cupping; the treatment was given once a day, 10 times as a course of treatment; totally three courses were given with an interval of 2 days between the courses. The patient's symptom scores, pain scores and knee function scores were recorded before and after treatment. The amount of joint effusion was measured by ultrasound; the level of interleukin-1 (IL-1), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) in joint effusion were measured by ELISA.@*RESULTS@#After treatment, the total effective rate in the observation group was 94.4% (34/36), which was significantly higher than 86.5% (32/37) in the control group (0.05).@*CONCLUSION@#The acupuncture combined with cinesiotherapy cupping could alleviate pain, improve joint function and reduce joint effusion, which is superior to acupuncture combined with conventional cupping.

Efeito do treino de força e de equilíbrio no teste sentar e levantar em idosos: um estudo preliminar / Effect of strenght's and balance's training in the sit to stand test of elders: a preliminar study / Efecto del entrenamiento de fuerza y de equilibrio en la prueba sentarse y levantarse en ancianos: un estudio preliminar

Trata-se de um estudo preliminar de um ensaio clínico randomizado, com o objetivo de determinar o efeito do treino de força e de equilíbrio no teste sentar e levantar, em idosos. Os idosos foram randomizados em três grupos, o grupo-controle (GC), o grupo-força (GF) e o grupo-equilíbrio (GE), totalizando 18 idosos que realizaram intervenção por 60 minutos, duas vezes por semana, durante oito semanas. Todos os grupos obtiveram um melhor resultado no teste funcional pós-intervenção.

It's a preliminar study of a random clinical test that has the purpose to determine the effect of strenght's and balance's training in the sit to stand test of elders. The elders were randomized trought a draw to three groups, the control group (CG), the force group (FG) and the balance group (BG) amounting to18 elders that did the intervention for 60 minutes, twice a week, during 8 weeks. All the groups obtained a better result on the functional test post intervention.

Se trata de un estudio preliminar de un ensayo clínico aleatorizado, con el objetivo de determinar el efecto del entrenamiento de fuerza y de equilibrio en la prueba sentarse y levantarse, en ancianos. Las personas de edad avanzada fueron aleatorizadas en tres grupos, el grupo control (GC), el grupo de fuerza (GF) y el grupo balance (GE), totalizando 18 ancianos que realizaron intervención durante 60 minutos dos veces a la semana durante ocho semanas. Todos los grupos obtuvieron un mejor resultado en la prueba funcional post-intervención.

Efeitos da fisioterapia motora em pacientes críticos: revisão de literatura / Effects of motor physical therapy in critically ill patients: literature review

O desenvolvimento de fraqueza generalizada relacionada ao paciente crítico é uma complicação recorrente em pacientes admitidos em uma unidade de terapia intensiva. A redução da força muscular aumenta o tempo de desmame, internação, o risco de infecções e conseqüentemente morbimortalidade. A fisioterapia é usada nesses pacientes como recurso para prevenção da fraqueza muscular, hipotrofia e recuperação da capacidade funcional. O objetivo deste estudo foi rever a literatura relacionada ao uso da cinesioterapia em pacientes internados em unidades de terapia intensiva. A pesquisa da literatura foi realizada por meio das bases eletrônicas de dados MedLine, LILACS, CINAHL, Cochrane, High Wire Press e SciELO, de janeiro de 1998 a julho de 2009 e capítulos de livros utilizando palavras-chave incluindo: "critical illness", "cinesiotherapy", "physical therapy", "physiotherapy", "exercises", "training", "force", "active mobilization", "mobilization", "ICU", "rehabilitation", "mobility", "muscle strength" e "weakness". Apesar da escassez de estudos e da diversidade metodológica dos estudos encontrados demonstrando o uso da cinesioterapia como recurso terapêutico, o seu uso, inclusive precocemente parece uma alternativa à prevenção e reversão da fraqueza muscular adquirida na unidade de terapia intensiva.

The development of critical patient-related generalized weakness is a common complication in patients admitted to an intensive care unit. The reduced muscle strength increases the time for weaning, hospitalization, the risk of infections and consequent mortality. Physiotherapy is used in these patients as a resource for the prevention of muscle weakness, atrophy and functional capacity recovery. The aim of this study was to review the literature regarding the use of exercise alone in intensive care units staying patients. Literature searches were performed using the electronic databases Medline, LILACS, CINAHL, Cochrane, High Wire Press and SciELO, from January 1998 to July 2009 and book chapters, using keywords including "critical illness", "cinesiotherapy", "physical therapy", "physiotherapy", "exercises", "training", "force", "active mobilization", "mobilization", "ICU", "rehabilitation", "mobility", "muscle strength" and "weakness". Despite the lack of studies and methodological diversity of studies found, confirming the use of exercise alone as a therapeutic resource, its use, including early seems an alternative to prevent and reverse muscle weakness intensive care unit ICU-acquired.