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Physical Agent Modalities in Early Osteoarthritis: A Scoping Review

Early osteoarthritis (EOA) still represents a challenge for clinicians. Although there is no consensus on its definition and diagnosis, a prompt therapeutic intervention in the early stages can have a significant impact on function and quality of life. Exercise remains a core treatment for EOA; howe...

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Autores principales: Letizia Mauro, Giulia, Scaturro, Dalila, Gimigliano, Francesca, Paoletta, Marco, Liguori, Sara, Toro, Giuseppe, Iolascon, Giovanni, Moretti, Antimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8619194/
https://www.ncbi.nlm.nih.gov/pubmed/34833383
http://dx.doi.org/10.3390/medicina57111165
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author Letizia Mauro, Giulia
Scaturro, Dalila
Gimigliano, Francesca
Paoletta, Marco
Liguori, Sara
Toro, Giuseppe
Iolascon, Giovanni
Moretti, Antimo
author_facet Letizia Mauro, Giulia
Scaturro, Dalila
Gimigliano, Francesca
Paoletta, Marco
Liguori, Sara
Toro, Giuseppe
Iolascon, Giovanni
Moretti, Antimo
author_sort Letizia Mauro, Giulia
collection PubMed
description Early osteoarthritis (EOA) still represents a challenge for clinicians. Although there is no consensus on its definition and diagnosis, a prompt therapeutic intervention in the early stages can have a significant impact on function and quality of life. Exercise remains a core treatment for EOA; however, several physical modalities are commonly used in this population. The purpose of this paper is to investigate the role of physical agents in the treatment of EOA. A technical expert panel (TEP) of 8 medical specialists with expertise in physical agent modalities and musculoskeletal conditions performed the review following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) model. The TEP searched for evidence of the following physical modalities in the management of EOA: “Electric Stimulation Therapy”, “Pulsed Electromagnetic field”, “Low-Level Light Therapy”, “Laser Therapy”, “Magnetic Field Therapy”, “Extracorporeal Shockwave Therapy”, “Hyperthermia, Induced”, “Cryotherapy”, “Vibration therapy”, “Whole Body Vibration”, “Physical Therapy Modalities”. We found preclinical and clinical data on transcutaneous electrical nerve stimulation (TENS), extracorporeal shockwave therapy (ESWT), low-intensity pulsed ultrasound (LIPUS), pulsed electromagnetic fields stimulation (PEMF), and whole-body vibration (WBV) for the treatment of knee EOA. We found two clinical studies about TENS and PEMF and six preclinical studies—three about ESWT, one about WBV, one about PEMF, and one about LIPUS. The preclinical studies demonstrated several biological effects on EOA of physical modalities, suggesting potential disease-modifying effects. However, this role should be better investigated in further clinical studies, considering the limited data on the use of these interventions for EOA patients.
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spelling pubmed-86191942021-11-27 Physical Agent Modalities in Early Osteoarthritis: A Scoping Review Letizia Mauro, Giulia Scaturro, Dalila Gimigliano, Francesca Paoletta, Marco Liguori, Sara Toro, Giuseppe Iolascon, Giovanni Moretti, Antimo Medicina (Kaunas) Systematic Review Early osteoarthritis (EOA) still represents a challenge for clinicians. Although there is no consensus on its definition and diagnosis, a prompt therapeutic intervention in the early stages can have a significant impact on function and quality of life. Exercise remains a core treatment for EOA; however, several physical modalities are commonly used in this population. The purpose of this paper is to investigate the role of physical agents in the treatment of EOA. A technical expert panel (TEP) of 8 medical specialists with expertise in physical agent modalities and musculoskeletal conditions performed the review following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) model. The TEP searched for evidence of the following physical modalities in the management of EOA: “Electric Stimulation Therapy”, “Pulsed Electromagnetic field”, “Low-Level Light Therapy”, “Laser Therapy”, “Magnetic Field Therapy”, “Extracorporeal Shockwave Therapy”, “Hyperthermia, Induced”, “Cryotherapy”, “Vibration therapy”, “Whole Body Vibration”, “Physical Therapy Modalities”. We found preclinical and clinical data on transcutaneous electrical nerve stimulation (TENS), extracorporeal shockwave therapy (ESWT), low-intensity pulsed ultrasound (LIPUS), pulsed electromagnetic fields stimulation (PEMF), and whole-body vibration (WBV) for the treatment of knee EOA. We found two clinical studies about TENS and PEMF and six preclinical studies—three about ESWT, one about WBV, one about PEMF, and one about LIPUS. The preclinical studies demonstrated several biological effects on EOA of physical modalities, suggesting potential disease-modifying effects. However, this role should be better investigated in further clinical studies, considering the limited data on the use of these interventions for EOA patients. MDPI 2021-10-26 /pmc/articles/PMC8619194/ /pubmed/34833383 http://dx.doi.org/10.3390/medicina57111165 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Letizia Mauro, Giulia
Scaturro, Dalila
Gimigliano, Francesca
Paoletta, Marco
Liguori, Sara
Toro, Giuseppe
Iolascon, Giovanni
Moretti, Antimo
Physical Agent Modalities in Early Osteoarthritis: A Scoping Review
title Physical Agent Modalities in Early Osteoarthritis: A Scoping Review
title_full Physical Agent Modalities in Early Osteoarthritis: A Scoping Review
title_fullStr Physical Agent Modalities in Early Osteoarthritis: A Scoping Review
title_full_unstemmed Physical Agent Modalities in Early Osteoarthritis: A Scoping Review
title_short Physical Agent Modalities in Early Osteoarthritis: A Scoping Review
title_sort physical agent modalities in early osteoarthritis: a scoping review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8619194/
https://www.ncbi.nlm.nih.gov/pubmed/34833383
http://dx.doi.org/10.3390/medicina57111165
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