Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Santa Catarina Federal University | OTHER |
Not provided
Not provided
Not provided
Not provided
Attempting an effective treatment is essential to the physiotherapist to understand how his conducts affect body tissues and the whole system, besides understand properly how and when therapeutic modalities could be use in the rehabilitation process. There are several research articles pointing the use of heat as an efficient agent to accelerate tissue healing. Clarifying the remaining doubts related to therapeutic modalities use can be beneficial for functional rehabilitation.
In physiotherapy, shortwave diathermy is one of the standards treatments for heat inducement. The capacitance shortwave technique consists in the use of two pad electrodes that can be positioned in three different arrangements: coplanar (placed side by side on the same aspect of the part to be treated), contraplanar (placed over opposite aspects of the body part to be treated) and longitudinal (one electrode is placed at each end of the limb in opposite aspects of the body par to be treated). There is no evidence of which arrangement is the most efficient.
Besides shortwave diathermy being a very established therapeutic modality, the use of this recourse in the most effective way rely on the properly answer of the remaining questions related to its application. Therefore, the purpose of this study is to analyze which one of the capacitance shortwave technique is the most efficient in inducing and maintaining heat.
Given the high-frequency waves field orientation could be suggested that the coplanar arrangement will lead to bigger heat inducement, and will maintain it for longer time.
The data for the sample size calculation was taken from a pilot study of 8 subjects. The software used to calculate the sample was GPower 3.1.9.2. A 18 subjects sample were obtained to reach a power of 90%, needed to detect a difference on the average of the groups in repeated measures with an alpha of 5%. The sample size was raised to 20 subjects for eventually lost. The subjects will be chosen through social media and informal invitations.
The subjects will attend to the laboratory four times, the first day for orientation and measurements (body mass and skinfold), the data collection will start on the second day.
The room temperature will be set between 23 °C and 25 °C, and the humidity around 70%. The subject will be placed in supine position on the stretcher, instructed to relax and not touch the right thigh region for 20 minutes before the intervention (for body temperature stabilization).
The thigh size will be measured form the base of the patella to the anterior superior iliac spine and the center marked to determine the place where the temperature will be collected. The minimum space between electrodes position will be at least of the size of one electrode. The temperature of the right thigh will be measured by infrared thermography before the intervention, right after the removal and every minute until the total time of the intervention.
To summarize the data, it will be used descriptive statistics, the values of average, standard deviation and the collected measurements will be identified. Through Shapiro-Wilk test the distribution of data regarding normality will be verified. To compare the initial and the final test values the ANOVA and the post-hoc of Bonferroni will be used. In the case of data being out of the normal standards, a transformation will be used to reach the normality. If the data still don't reach the normality after the transformation, the non-parametric tests will be used (Mann-Whitney e Kruskal Walis). The confidence level adopted for all tests will be 95% (p <0.05).
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Coplanar | Active Comparator | Electrode placed side by side on the same aspect of the right tight. |
|
| Contraplanar | Active Comparator | Electrode placed over opposite aspects of the right tight. |
|
| Longitudinal | Active Comparator | One electrode is placed at each end of the limb in opposite aspects of the tight. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coplanar | Other | The coplanar arrangement will be applicated in each one of the subjects. The intervention will last 20 minutes. A towel will be placed between the pad electrode and the skin to improve contact, besides, the tight and the electrode will be wrapped with an elastic band for the same purpose. The subject will receive orientation related to the heat intensity, it must be a comfortable perception of heat (the intensity will be regulated on the equipment to guarantee that). |
| Measure | Description | Time Frame |
|---|---|---|
| The Most Effective Capacitance Shortwave Technique in Relation to Temperature Increase and Heat Conservation Measured by Infrared Thermography | Evaluation of the most effective electrode arrangement (coplanar, contraplanar or longitudinal) in relation to temperature increase and heat conservation. Measured using a infrared camera in three sessions, with a washout period of at least 24 hours. | 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Temperature Increase | Determine which capacitance shortwave technique will increase the temperature the most after 20 minutes of application. The skin temperature will be verified by infrared thermography. This evaluation will occur in three 24 hours apart visits, each for one of the three capacitance shortwave technique. | 3 days |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Alessandro Haupenthal, Doctorate | Santa Catarina Federal University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Santa Catarina Federal University | Araranguá | Santa Catarina | 88.906-072 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | ABIB, R. T. et al. Avaliação da diatermia por ondas curtas contínuo na temperatura superficial do músculo quadríceps. Ciência em Movimento, v. 1, n. 23, p. 69-77, 2010. | ||
| Background | BRASILEIRO, J. S.; FARIA, A. F.; QUEIROZ, L. L. Influància do resfriamento e do aquecimento local na flexibilidade dos músculos isquiotibiais. Revista Brasileira de Fisioterapia, v. 11, n. 1, p. 57-61, 2007. | ||
| 25025704 | Background | Delpizzo V, Joyner KH. On the safe use of microwave and shortwave diathermy units. Aust J Physiother. 1987;33(3):152-62. doi: 10.1016/S0004-9514(14)60592-4. | |
| 10100117 |
Not provided
Not provided
Means and standard deviations of temperature change.
Immediately following publication. No end date.
Anyone who wishes to access the data.
Not provided
All the twenty health enrolled male subjects met the inclusion criteria and were randomly allocated an order in which treatments were received.
Paticipants, reached through social media, volunteered to participate in the study.Participant enrollment began on 9/3/18 and the last participant was enrolled on 11/9/18.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Coplanar First, Then Contraplanar and at Last Longitudinal | After 20 minutes of acclimatization, participants received the capacitive arrangement as determined for 20 minutes. First, received Coplanar arrangement application, then, after a washout period of at least one day received Contraplanar application and after a washout period of at least one day received Longitudinal application. |
| FG001 | Contraplanar First, Then Coplanar and at Last Longitudinal | After 20 minutes of acclimatization, participants received the capacitive arrangement as determined for 20 minutes. First, received Contraplanar arrangement application, then, after a washout period of at least one day received Coplanar application and after a washout period of at least one day received Longitudinal application. |
| FG002 | Longitudinal First, Then Coplanar and at Last Contraplanar | After 20 minutes of acclimatization, participants received the capacitive arrangement as determined for 20 minutes. First, received Longitudinal arrangement application, then, after a washout period of at least one day received Coplanar application and after a washout period of at least one day received Contraplanar application. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Intervention |
| |||||||||||||
| Washout 1 (at Least 24 Hours) |
| |||||||||||||
| Second Intervention |
| |||||||||||||
| Wash Out 2 (at Least 24 Hours) |
| |||||||||||||
| Third Intervention |
|
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Coplanar First, Then Contraplanar and at Last Longitudinal | After 20 minutes of acclimatization, participants received the capacitive arrangement as determined for 20 minutes. First, received Coplanar arrangement application, then, after a washout period of at least one day received Contraplanar application and after a washout period of at least one day received Longitudinal application. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | The Most Effective Capacitance Shortwave Technique in Relation to Temperature Increase and Heat Conservation Measured by Infrared Thermography | Evaluation of the most effective electrode arrangement (coplanar, contraplanar or longitudinal) in relation to temperature increase and heat conservation. Measured using a infrared camera in three sessions, with a washout period of at least 24 hours. | Occurred 2 losses to follow up. | Posted | Mean | Standard Deviation | Celsius | 3 days |
|
The participants were monitored for adverse events over the duration of treatment (at least 5 days, considering the washout period minimum of 1 day).
Other adverse events refers to burns.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Coplanar | Electrode placed as far apart as the cross-sectional diameter of the pad electrode on the same aspect of the right tight. After 20 minutes of acclimatization, participants received application for 20 minutes. The electrode pads were surrounded by felt and positioned over 1 cm of toweling, besides, we wrapped the tight and the electrodes using an elastic band. We controlled the intensity based on a referred warm heat perception by the subject. |
Not provided
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Inaihá Benincá | Federal University of Santa Catarina | (+55 48) 3721-6255 | inaiha.b@gmail.com |
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Dec 15, 2019 | Dec 16, 2019 | Prot_SAP_000.pdf |
Not provided
| ID | Term |
|---|---|
| D005334 | Fever |
| ID | Term |
|---|---|
| D001832 | Body Temperature Changes |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
A randomized single blind, crossover experimental study.
Not provided
Not provided
Not provided
|
| Contraplanar | Other | The contraplanar arrangement will be applicated in each one of the subjects. The intervention will last 20 minutes. A towel will be placed between the pad electrode and the skin to improve contact, besides, the tight and the electrode will be wrapped with an elastic band for the same purpose. The subject will receive orientation related to the heat intensity, it must be a comfortable perception of heat (the intensity will be regulated on the equipment to guarantee that). |
|
| Longitudinal | Other | The longitudinal arrangement will be applicated in each one of the subjects. The intervention will last 20 minutes. A towel will be placed between the pad electrode and the skin to improve contact, besides, the tight and the electrode will be wrapped with an elastic band for the same purpose. The subject will receive orientation related to the heat intensity, it must be a comfortable perception of heat (the intensity will be regulated on the equipment to guarantee that). |
|
| Heat Conservation |
Determinate which capacitance shortwave technique retain the induced heat for longer time. The skin temperature will be verified by infrared thermography before the application and after during 25 minutes, 1 minutes apart each measure. This evaluation will occur in three 24 hours apart visits, each for one of the three capacitance shortwave technique. |
| 3 days |
| Background |
| Draper DO, Knight K, Fujiwara T, Castel JC. Temperature change in human muscle during and after pulsed short-wave diathermy. J Orthop Sports Phys Ther. 1999 Jan;29(1):13-8; discussion 19-22. doi: 10.2519/jospt.1999.29.1.13. |
| 12937442 | Background | Draper DO, Miner L, Knight KL, Ricard MD. The Carry-Over Effects of Diathermy and Stretching in Developing Hamstring Flexibility. J Athl Train. 2002 Mar;37(1):37-42. |
| 17695343 | Background | Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146. |
| 16558608 | Background | Garrett CL, Draper DO, Knight KL. Heat distribution in the lower leg from pulsed short-wave diathermy and ultrasound treatments. J Athl Train. 2000 Jan;35(1):50-5. |
| 23855362 | Background | Hawkes AR, Draper DO, Johnson AW, Diede MT, Rigby JH. Heating capacity of rebound shortwave diathermy and moist hot packs at superficial depths. J Athl Train. 2013 Jul-Aug;48(4):471-6. doi: 10.4085/1062-6050-48.3.04. Epub 2013 Mar 19. |
| 17261552 | Background | Ichinoseki-Sekine N, Naito H, Saga N, Ogura Y, Shiraishi M, Giombini A, Giovannini V, Katamoto S. Changes in muscle temperature induced by 434 MHz microwave hyperthermia. Br J Sports Med. 2007 Jul;41(7):425-9. doi: 10.1136/bjsm.2006.032540. Epub 2007 Jan 29. |
| 12937443 | Background | Peres SE, Draper DO, Knight KL, Ricard MD. Pulsed Shortwave Diathermy and Prolonged Long-Duration Stretching Increase Dorsiflexion Range of Motion More Than Identical Stretching Without Diathermy. J Athl Train. 2002 Mar;37(1):43-50. |
| NOT COMPLETED |
|
| NOT COMPLETED |
|
|
| NOT COMPLETED |
|
| NOT COMPLETED |
|
| BG001 | Contraplanar First, Then Coplanar and at Last Longitudinal | After 20 minutes of acclimatization, participants received the capacitive arrangement as determined for 20 minutes. First, received Contraplanar arrangement application, then, after a washout period of at least one day received Coplanar application and after a washout period of at least one day received Longitudinal application. |
| BG002 | Longitudinal First, Then Coplanar and at Last Contraplanar | After 20 minutes of acclimatization, participants received the capacitive arrangement as determined for 20 minutes. First, received Longitudinal arrangement application, then, after a washout period of at least one day received Coplanar application and after a washout period of at least one day received Contraplanar application. |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Height | Mean | Standard Deviation | meters |
|
| Mass | Mean | Standard Deviation | Kilograms |
|
| Body mass index | Mean | Standard Deviation | Kilograms/meters² |
|
| OG001 | Contraplanar | Electrode placed over opposite aspects in the right tight centre. After 20 minutes of acclimatization, participants received application for 20 minutes. The electrode pads were surrounded by felt and positioned over 1 cm of toweling, besides, we wrapped the tight and the electrodes using an elastic band. We controlled the intensity based on a referred warm heat perception by the subject. |
| OG002 | Longitudinal | Each electrode is placed at the final portion of the limb in opposite aspects of the right tight. After 20 minutes of acclimatization, participants received application for 20 minutes. The electrode pads were surrounded by felt and positioned over 1 cm of toweling, besides, we wrapped the tight and the electrodes using an elastic band. We controlled the intensity based on a referred warm heat perception by the subject. |
|
|
|
| Secondary | Temperature Increase | Determine which capacitance shortwave technique will increase the temperature the most after 20 minutes of application. The skin temperature will be verified by infrared thermography. This evaluation will occur in three 24 hours apart visits, each for one of the three capacitance shortwave technique. | Occurred 2 losses to follow up. | Posted | Mean | Standard Deviation | Celsius | 3 days |
|
|
|
|
| Secondary | Heat Conservation | Determinate which capacitance shortwave technique retain the induced heat for longer time. The skin temperature will be verified by infrared thermography before the application and after during 25 minutes, 1 minutes apart each measure. This evaluation will occur in three 24 hours apart visits, each for one of the three capacitance shortwave technique. | Occurred 2 losses to follow up. | Posted | Mean | Standard Deviation | Celsius | 3 days |
|
|
|
|
| 0 |
| 20 |
| 0 |
| 20 |
| 0 |
| 20 |
| EG001 | Contraplanar | Electrode placed over opposite aspects in the right tight centre. After 20 minutes of acclimatization, participants received application for 20 minutes. The electrode pads were surrounded by felt and positioned over 1 cm of toweling, besides, we wrapped the tight and the electrodes using an elastic band. We controlled the intensity based on a referred warm heat perception by the subject. | 0 | 20 | 0 | 20 | 0 | 20 |
| EG002 | Longitudinal | Each electrode is placed at the final portion of the limb in opposite aspects of the right tight. After 20 minutes of acclimatization, participants received application for 20 minutes. The electrode pads were surrounded by felt and positioned over 1 cm of toweling, besides, we wrapped the tight and the electrodes using an elastic band. We controlled the intensity based on a referred warm heat perception by the subject. | 0 | 18 | 0 | 18 | 0 | 18 |
Not provided
Not provided
Not provided
| Male |
|
|
|
| Thigh centre (10 min after removal) |
|
| Under the electrode (10 min after removal) |
|
| Thigh centre (15 min after removal) |
|
| Under the electrode (15 min after removal) |
|
| Thigh centre (20 min after removal) |
|
| Under the electrode (20 min after removal) |
|
| Thigh centre (25 min after removal) |
|
| Under the electrode (25 min after removal) |
|