Effectiveness and safety of therapeutic ultrasound in musculoskeletal disorders: overview of Cochrane systematic reviews
DOI:
https://doi.org/10.5935/0104-7795.20130026Keywords:
Ultrasonic Therapy, Physical Therapy Modalities, Musculoskeletal Diseases, Review Literature as TopicAbstract
Ultrasound therapy (UST) is a feature often used in clinical practice of the physiotherapist. However, there is no consensus in the literature regarding the effectiveness of this feature. Objective: The purpose of this article was to assess and synthesize the information contained in systematic reviews Cochrane related to the treatment of musculoskeletal disorders with UST. Method: We performed a search in the database “Cochrane Library” and selected the RS that addressed the UST as a treatment modality. Results: Were included six RS Cochrane who analyzed
the effectiveness of UST in different musculoskeletal demonstrating significant reduction of pain in osteoarthritis of the knee only, there are no reports of adverse events resulting from UST in all revisions included, is considered a safe treatment. Conclusion: The results presented in this study should be treated with caution because of the low methodological quality and heterogeneity of randomized controlled trials (RCTs) included in RS are limiting factors for the reliability of the data presented.
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References
Baker KG, Robertson VJ, Duck FA. A review of therapeutic ultrasound: biophysical effects. Phys Ther. 2001;81(7):1351-8.
Markert CD. Ultrasound and exercise in skeletal muscle regeneration [dissertation]. Columbus: Ohio State University; 2004.
Matheus JPC, Oliveira FB, Gomide LB, Milani JGPO, Volpon JB, Shimano AC. Efeitos do ultra-som terapêutico nas propriedades mecânicas do músculo esquelético após contusao. Rev Bras Fisioter. 2008;12(3):241-7. DOI: http://dx.doi.org/10.1590/S1413-35552008000300013
Ciena AP, Cunha NB, Moesch J, Mallmann JS, Carvalho AR, Moura PJ, et al. Efeitos do ultrassom terapêutico em modelo experimental de ciatalgia. Rev Bras Med Esporte. 2009;15(6):424-27. DOI: http://dx.doi.org/10.1590/S1517-86922009000700004
Watson T. Ultrasound in contemporary physiotherapy practice. Ultrasonics. 2008;48(4):321-9. DOI: http://dx.doi.org/10.1016/j.ultras.2008.02.004
Blume K, Matsuo E, Lopes MS, Lopes LG. Dosimetria proposta para o tratamento por ultra-som: uma revisao de literatura. Fisioter Mov. 2009;18(3):55-64.
Higgins JPT, Green S, Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.1 updated March 2011 [Internet]. Melbourne: The Cochrane Collaboration; 2011 [cited 2013 Sept 01]. Available from: www.cochrane-handbook.org
Page MJ, O'Connor D, Pitt V, Massy-Westropp N. Therapeutic ultrasound for carpal tunnel syndrome. Cochrane Database Syst Rev. 2013;3:CD009601.
Rutjes AW, Nüesch E, Sterchi R, Jüni P. Therapeutic ultrasound for osteoarthritis of the knee or hip. Cochrane Database Syst Rev. 2010;(1):CD003132.
Casimiro L, Brosseau L, Robinson V, Milne S, Judd M, Well G, et al. Therapeutic ultrasound for the treatment of rheumatoid arthritis. Cochrane Database Syst Rev. 2002;(3):CD003787.
Brosseau L, Casimiro L, Welch V, Milne S, Shea B, Judd M, et al. WITHDRAWN: Therapeutic ultrasound for treating patellofemoral pain sydrome. Cochrane Database Syst Rev. 2013;2:CD003375.
van den Bekerom MP, van der Windt DA, Ter Riet G, van der Heijden GJ, Bouter LM. Therapeutic ultrasound for acute ankle sprains. Cochrane Database Syst Rev. 2011;(6):CD001250.
Griffin XL, Smith N, Parsons N, Costa ML. Ultrasound and shockwave therapy for acute fractures in adults. Cochrane Database Syst Rev. 2012;2:CD008579.
Shanks P, Curran M, Fletcher P, Thompson R. The effectiveness of therapeutic ultrasound for musculoskeletal conditions of the lower limb: a literature review. Foot (Edinb). 2010;20(4):133-9. DOI: http://dx.doi.org/10.1016/j.foot.2010.09.006
Gam AN, Johannsen F. Ultrasound therapy in musculoskeletal disorders: a meta-analysis. Pain. 1995;63(1):85-91. DOI: http://dx.doi.org/10.1016/03043959(95)00018-N
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