Blood Flow Restriction Therapy, exercise, rehabilitation
Conditions
Interventions
The study is a randomized controlled clinical trial with two parallel groups: a group receiving the tissue flossing technique and a placebo group. The randomization process of the participants was per
E03.091
Sponsors
Universidade Federal do Ceará
Universidade Federal do Ceará
Eligibility
Age
40 Years to 80 Years
Inclusion criteria
Inclusion criteria: Patients aged between 40 and 80 years, of both sexes, diagnosed with symptomatic knee osteoarthritis; chronic degenerative joint condition with persistent symptoms for more than 12 weeks; not practicing physical activity regularly for more than 150 minutes per week; clinical diagnosis of knee osteoarthritis confirmed according to the criteria of the American College of Rheumatology, including knee pain associated with at least three of the following aspects: age equal to or greater than 50 years; crepitus during knee movements; increased sensitivity to compression; decreased local heat; bone enlargement; morning stiffness lasting less than 30 minutes; radiological changes from grade 2 onwards according to the Kellgren and Lawrence criteria, classified as follows: grade 0 – no changes; grade 1 – doubtful reduction of the joint space with possible presence of osteophytes; grade 2 – possibility of reduction of the joint space associated with the definitive presence of osteophytes; grade 3 – permanent reduction of the joint space, formation of osteophytes, subchondral sclerosis and deformity of the bone structures; grade 4 – large formation of osteophytes, severe reduction of the joint space, marked subchondral sclerosis and permanent deformity of the bone structures; presence of pain measured by the Numerical Pain Scale with a score equal to or greater than 3 points; painful passive range of motion in one or more osteokinematic movements of the knee complex
Exclusion criteria
Exclusion criteria: Patients with asymptomatic knee osteoarthritis; history of previous surgery in the lower limbs; presence of neurological or infectious disorders; severe visual impairments that compromise functionality or safety during the intervention; use of prostheses in the lower limbs; inability to understand the Portuguese language; having undergone physiotherapy treatment or Pilates in the last three months; administration of corticosteroids or hyaluronic acid in the last twelve months; presence of uncontrolled hypertension or diabetes; presence of peripheral vascular disease with a history of deep vein thrombosis, stroke, or any condition that contraindicates peripheral compression; presence of allergies or dermatitis that prevent the application of the proposed technique?
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess pain during movement, seeking to understand the influence of the proposed intervention on the modulation of pain symptoms. For this, the Numerical Pain Assessment Scale (NPS) will be used, three phases of the study: pre-intervention, during the intervention and post-intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| To verify the effects of the proposed intervention on the muscular activation of the rectus femoris, vastus medialis and vastus lateralis, assessed by means of surface electromyography and to analyze the quality of movement execution, measured by means of kinemetry, in order to understand how these variables are influenced by the treatment protocol adopted based on the observation of a variation of at least 5% in the pre- and post-intervention measurements | — |
Countries
Brazil
Contacts
Public ContactAna Sousa
Universidade Federal do Ceará
Outcome results
None listed