Knee Osteoarthritis
Conditions
Brief summary
Knee osteoarthritis is a common condition characterized by pain and functional disability in older people. Prevalence increases with age and is more frequent in older women. The aim of this study was to assess the effects of an 8-weeks individualized comprehensive rehabilitation program with elastic bands on pain and functional disability in chronic knee osteoarthritis.
Detailed description
The main symptoms of knee osteoarthritis are pain and functional disability. These symptoms are caused by a progressive loss and deterioration of articular cartilage with reactive new bone formation at the joint's surface and margins involving articular cartilage, soft tissues, and bone damage. Many treatment programs have been developed, including medication with nonsteroidal anti-inflammatory drugs, physical modalities, and therapeutic exercises. It is hypothesized that an individualized comprehensive rehabilitation program uring 8 weeks would benefit women with knee osteoarthritis.
Interventions
OTHERIndividualized comprehensive rehabilitation program
The program general contents were pain education, joint protection techniques, general care lifestyle habits, which were complemented by a problem-based session. The program plan was designed to fit patients' goals, priorities, and lifestyles after an initial interview.
OTHERAquatic training
Patients received a 45 min-water exercise program which included balance and proprioception activities, isometric exercise, flexibility exercises, core stabilization exercises and aerobic/endurance exercises. All sessions were developed in groups and addressed by a qualified professional.
Sponsors
Universidad de Granada
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosis of primary symptomatic KOA according to the criteria of the American College of Rheumatology * Women aged older than 65 years * Pain predominantly over the last 3 months * Kellgren and Lawrence score ≥2.
Exclusion criteria
* Ankle, hip or foot severe disorders * Chronic back pain * Alzheimer's disease, Parkinson's disease, motor neuron disorders. * Diabetes mellitus * Cardiac or respiratory insufficiency * Inability to understand the procedure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Functionality | Baseline, 8 weeks, 3 months | Changes in Functionality is going to be assessed by the Western Ontario and McMaster Universities (WOMAC). Scores range from 0 to 96, with higher scores indicating greater disease severity. |
| Changes in Physical Performance | Baseline, 8 weeks, 3 months | Changes in Physical Performance is going to be assessed using the Stairs Climbing Test. This test assesses the ability to ascend and descend a flight of stairs, as well as lower extremity strength, power, and balance. |
| Changes in Perceived Health Status | Baseline, 8 weeks, 3 months | Changes in Perceived Health Status is going to be assessed by the EuroQol-5D.It contains two sections, a descriptive section and a valuation section. The descriptive section is a health status classification instrument with the following five dimensions: mobility; self-care; usual activities; pain/discomfort; and anxiety/depression. In the second section, respondents are asked to value their overall health status on a visual analogue scale ranging from 0 (defined as the worst imaginable health state) to 100 (defined as the best imaginable health state) |
Contacts
Primary ContactMarie Carmen Valenza, PhD
Outcome results
None listed