Application of shortwave diathermy to lower limb increases arterial blood flow velocity and skin temperature in women: a randomized controlled trial.
Natanael Teixeira Alves De Sousa, Elaine Caldeira De Oliveira Guirro, João Guilherme Calió and 2 others
PMID 28460711WHAT IT FOUND
In healthy women, 20 min of shortwave diathermy raised popliteal artery blood flow and skin temperature, and the flow rise persisted 20 min after stopping.
Microwave diathermy raised skin temperature but did not increase popliteal artery flow.
Key findings
01Shortwave diathermy significantly increased blood flow velocity compared with sham immediately after and 20 minutes after the end of application.
02The increase in blood flow after shortwave diathermy was a large effect in both knee positions; after microwave diathermy the effect was small.
03Skin temperature remained elevated 20 minutes after application for both shortwave and microwave diathermy.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The participants were healthy, physically active young women with no circulatory or nervous disease, and people taking antipyretics, with lower-limb pain, injury or surgery, or menstruating were excluded. The trial measured only skin temperature and popliteal artery blood flow velocity, not patient-important outcomes such as pain, function, tissue healing, or adverse events. The supplied text does not report dropouts or whether all 40 participants completed every crossover step. Participants were told that one application would not generate heat, and full participant blinding is not clearly described. Microwave diathermy was applied to the hamstring but blood flow was measured more distally at the popliteal fossa, which may limit interpretation of the microwave blood-flow result. Temperature change and arterial blood flow velocity did not correlate, so the measured heating did not explain the measured flow changes.
Declared interests
The authors declared no conflicts of interest. The supplied text does not report funding or sponsor involvement.
The easy way to misread this
Do not read the increased popliteal artery flow as evidence that diathermy improves patient outcomes. The study measured only short-term physiological changes in healthy young women, and microwave diathermy did not increase measured popliteal artery flow.