KNEE OSTEOARTHRITS
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: To be included in the study, the patient / volunteer must accept to participate in the research (signing the informed consent form); be diagnosed with OAJ with levels of 2 - 4 according to the degree of Kellgren and Lawrence in the x-ray exam, evaluated by the orthopedists of the unit (21); be aged between 45 and 80 years; knee pain and functional disability for at least three months; and medical indication to perform physiotherapeutic treatment. Without a history of local medications or surgeries for at least 12 months and without the use of medication with continuous systemic effects, such as analgesics, anti-inflammatories, chondroprotectors, corticosteroids, NSAIDs, for treatment for at least 90 days, being guided by the doctors of the unit not to use these medications.
Exclusion criteria
Exclusion criteria: Not participate in the study, patients / volunteers that have full or partial prosthesis in one or both knees or hips; symptomatic hip osteoarthrosis, knee ankylosis; cancer; neurological diseases that affect locomotion; they will also be exclusion criteria, and that after the invitation, they do not feel safe, embarrassed and / or pressured to participate in the research. Patients who underwent local infiltrations for less than 12 months, patients who underwent surgical interventions on the knee for less than 12 months, patients using analgesic medications, NSAIDs, corticosteroids, chondroprotectors for less than 90 days. Patients with some type of comorbidity who need any of the above types of medication, as well as patients with severe and / or decompensated cardiovascular diseases, patients with decompensated Diabetes Mellitus, rheumatological diseases.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Response rate - 12 sessions : the percentage of patients with improvement in average pain (evaluated by VAS scale) at least 2 units and in Western Ontario and Mcmaster Universities Osteoarthritis Index (WOMAC) function subscale score at least 6 units at 8 weeks. Pain was a self-administered instrument, a number selected from 0-10 by each participant. Intensity of pain range (over past week): 0 =no pain to 10 =worst possible pain. Higher score indicating severe pain. The WOMAC function questionary referred to the participant's ability to move around and perform usual activities of daily living. The WOMAC function questionary was comprised of 17 questions regarding the degree of difficulty experienced due to OA in the study knee. The WOMAC function subscale score for each question ranged from 0 (minimum) to 4 (maximum), higher scores signified worse physical function. An overall score range of 0 (minimum) to 68 (maximum), with higher scores indicating worse physical function. | — |
Secondary
| Measure | Time frame |
|---|---|
| Knee-joint pain [ Time Frame: baseline, session 6, and session 12 ] - using visual analogic scale (VAS) to evaluate pain, a number selected from 0-10 by participant. Intensity of pain range (over past week): 0 =no pain to 10 =worst possible pain. Higher score indicating severe pain. Knee-joint pain [ Time Frame: baseline, 8 weeks, 16 weeks and 26 weeks ] using WOMAC pain subscale. The WOMAC pain subscale referred to the patient's pain. It was comprised of 5 items, with each item scored from 0 (minimum) to 4 (maximum), where 4 indicated worst pain condition. An overall score range of 0 (minimum) to 20 (maximum), with higher scores indicating worse physical function. Knee-joint function [ Time Frame: baseline, session 6, and session 12 ] using WOMAC function subscale. The WOMAC function subscale referred to the participant's ability to move around and perform usual activities of daily living. The WOMAC function subscale was comprised of 17 questions regarding the degree of difficulty experienced due to OA in the study knee. The WOMAC function subscale score for each question ranged from 0 (minimum) to 4 (maximum), higher scores signified worse physical function. An overall score range of 0 (minimum) to 68 (maximum), with higher scores indicating worse physical function. Knee-joint stiffness [ Time Frame: baseline, session 6, and session 12 ] using WOMAC stiffness subscale. The WOMAC stiffness subscale was comprised of 2 questions regarding the degree of stiffness experienced in the study knee. The WOMAC stiffness subscale score for each question ranged from 0 (minimum) to 4 (maximum), higher scores signified worse stiffness. An overall score range of 0 (minimum) to 8 (maximum), with higher scores indicating more stiffness. ;Change of the angle of knee range of motion - goniometry [ Time Frame: [ Time Frame: baseline and session 12 ] The range between flexion and extension of the knee; change from baseline to last session. Change of the Time up | — |
Countries
Brazil