Sensorimotor Training Versus Resistance Training in Patients With Knee Osteoarthritis
Study Details
Study Description
Brief Summary
People with knee osteoarthritis (OA) have functional instability and defective neuromuscular function, it was recently suggested that sensorimotor exercises may be important and needed to improve the effectiveness of training programs for these patients. This study objective was to compare the effectiveness of a supervised resistance muscular training (RT) versus sensorimotor training (SMT) for patients with Knee OA, on decrease of pain and functional improvement.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Phase 2/Phase 3 |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: sensorimotor training (SMT)
|
Other: Sensorimotor training (SMT)
The group realized 16 weeks of sensorimotor training, twice a week, with duration of 30 minutes each session. The intervention included agility and coordination exercises, perturbation training and stretching exercises. Also, the participants received orientation about the knee osteoarthritis.
Other Names:
|
| Active Comparator: Resistance training (RT)
|
Other: Resistance training (RT)
The group realized 16 weeks of resistance training for the quadriceps and hamstring muscles, twice a week, with duration of 30 minutes each session. The intervention included strength leg raises, simple quadriceps and hamstring strengthening with cuff weights realized in 3 sets of ten repetition maximum(10RM) for each muscle group. The group also realized stretching exercises for lower limbs and received orientation about the knee osteoarthritis.
|
| Sham Comparator: Control group (CG)
|
Other: Control group (CG)
Patients in this group also received information about knee osteoarthritis and realized the same warm-up and cool-down intervention realized in the interventional groups. During 16 weeks they went to the ambulatory twice a week to perform 5 minutes of stationary bicycle and 5 minutes of stretching exercises for lower limbs.
|
Outcome Measures
Primary Outcome Measures
- Visual analogue scale of pain (VAS) [16 weeks]
- Get Up and Go Test [16 weeks]
Secondary Outcome Measures
- Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [16 weeks]
- electromyographic analysis of quadriceps muscle (EMG) [16 weeks]
- isometric quadriceps strength [16 weeks]
- Medical Outcomes Study Short Form (SF-36) [16 weeks]
Generic, patient-report measure designed to assess health-related quality of life, comprises 36 items divided into 8 subscales. Physical Functioning Role Limitations due to Physical Problems General Health Perceptions Vitality Social Functioning Role Limitations due to Emotional Problems General Mental Health Health Transition
- Berg Balance Test [16 weeks]
- Tinetti Test [16 weeks]
- activities of daily living scale (ADLS) [16 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients diagnosed with tibiofemoral osteoarthritis;
-
Both genders;
-
Age> 50 years <75 years;
-
Completion of clinical and radiological criteria of the American College of Rheumatology (ACR) criteria for knee OA;
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No physical activity in the previous 3 months;
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Education level from the 4th grade of primary school.
Exclusion Criteria:
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uncontrolled hypertension;
-
decompensated diabetes mellitus;
-
uncontrolled thyroid diseases;
-
cardiorespiratory disease (ischemia, arrhythmia, chest pain, or exercise-induced bronchospasm), liver abnormalities;
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Patients with grade IV functional limitation that needed devices to walk(Kellgren-Lawrence radiographic classification);
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Patients in a period of sick leave by the INSS or any other related factor;
-
Other rheumatic diseases.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Department of Rheumatology and Physiotherapy of Interlagos Ambulatory - Santo Amaro University | São Paulo | Brazil | 04815-180 |
Sponsors and Collaborators
- Federal University of São Paulo
Investigators
- Study Director: Virginia FM Trevisani, MD, MS, PhD, Federal University of São Paulo and Santo Amaro University
- Study Chair: Maria S Peccin, PT, MS, PhD, Federal University of São Paulo
- Study Chair: Marcelo Abrahão, PT, Federal University of São Paulo
- Study Director: Alvaro N Atallah, MD, PhD, Federal University of São Paulo
- Principal Investigator: Aline B Gomiero, PT, Federal University of São Paulo
- Study Chair: Andrea H Kayo, PT, MS, Federal University of São Paulo
Study Documents (Full-Text)
None provided.More Information
Publications
- Diracoglu D, Aydin R, Baskent A, Celik A. Effects of kinesthesia and balance exercises in knee osteoarthritis. J Clin Rheumatol. 2005 Dec;11(6):303-10.
- Fitzgerald GK, Childs JD, Ridge TM, Irrgang JJ. Agility and perturbation training for a physically active individual with knee osteoarthritis. Phys Ther. 2002 Apr;82(4):372-82.
- Fitzgerald GK, Piva SR, Gil AB, Wisniewski SR, Oddis CV, Irrgang JJ. Agility and perturbation training techniques in exercise therapy for reducing pain and improving function in people with knee osteoarthritis: a randomized clinical trial. Phys Ther. 2011 Apr;91(4):452-69. doi: 10.2522/ptj.20100188. Epub 2011 Feb 17.
- Fransen M, McConnell S. Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev. 2008 Oct 8;(4):CD004376. doi: 10.1002/14651858.CD004376.pub2. Review. Update in: Cochrane Database Syst Rev. 2015;1:CD004376.
- ABG MASTER