Knee Osteoarthritis
Conditions
Keywords
Resistance Training, Knee Osteoarthritis, Pain
Brief summary
This study aim to evaluate pain after different resistance training protocols (placebo, 4 sets of 10RM, 8 sets of 10 RM and 12 sets of 10RM) in patients with severe knee osteoarthritis.
Interventions
10 Repetition Maximum (RM)
No exercise
Sponsors
Study design
Eligibility
Inclusion criteria
* men and women at least 55 years old * diagnosed with severe knee OA * scheduled for unilateral Total Knee Arthroplasty (TKA) surgery
Exclusion criteria
* pain in the contralateral (non-studied) limb (maximum ≥80 of 100 mm on a visual analog scale (VAS) during daily activities) * another hip or knee joint replacement in the previous year * any medical condition in which exercise was contraindicated * participated in exercise programs (\>2 days/week, training at intensities of 10-15RM) in the 6 months prior to the study * history of stroke, brain surgery, major depression, or any self-perceived cognitive alterations that could affect the performance of study tasks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in self-reported pain intensity | Pre-exercise (pre), immediate post exercise (post), and 10 min after exercise (post 10min) | Measure of knee pain intensity with the Visual Analogue Scale (0-100mm), with higher scores reflecting higher perceived pain intensity |
| Change in pressure pain thresholds | Pre-exercise (pre), immediate post exercise (post), and 10 min after exercise (post 10min) | Measured with a mechanical algometer (Wagner Instruments, Greenwich, CT, USA) in three sites (vastus medialis of the affected limb, vastus medialis of the unaffected limb, and distal to the non-dominant arm lateral epicondyle) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| WOMAC questionaire | pre-exercise | A self-administered questionnaire for patients with hip or knee osteoarthritis. contain 24 items grouped into three dimensions: pain (5 items), stiffness (2 items) and physical function (17 items). Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations. |
| Tampa Scale of Kinesiophobia (TSK 11) | pre-exercise | Measure fear of movement and its score ranges from 11-44 with higher scores indicate an increasing degree of kinesiophobia |
| Chronic Pain Self-Efficacy Scale | pre-exercise | Measures three domains of pain self-efficacy: pain management, physical functioning, and coping with symptoms management, physical functioning, and coping with symptomsmanagement, physical functioning, and coping with symptoms. A higher score suggests higher self-efficacy |
| Pain Catastrophizing Scale | pre-exercise | People are asked to indicate the degree to which they have certain thoughts and feelings when they are experiencing pain using the 0 (not at all) to 4 (all the time) scale. A total score is yielded (ranging from 0-52), along with three subscale scores assessing rumination, magnification and helplessness, with higher scores reflecting worse condition. |
Countries
Spain