Osteoarthritis, knee
Conditions
Interventions
30 older women with knee Osteoarthritis will be recruited. Participants will be allocated by means of a raffle, using numbered, opaque, and sealed sequential envelopes in a health education group and
Sponsors
Universidade Federal dos Vales do Jequitinhonha e Mucuri
Universidade Federal dos Vales do Jequitinhonha e Mucuri
Eligibility
Sex/Gender
Female
Age
50 Years to No maximum
Inclusion criteria
Inclusion criteria: Women aged 50 years or older; Dwelling in Diamantina; Clinical diagnosis of knee osteoarthritis (uni or bilateral); Stable clinical condition in the last three months; Mild to moderate pain in the knee(s) (score > 1 and = 7 on the numerical pain scale
Exclusion criteria
Exclusion criteria: Other health conditions that prevent the evaluation or the performance of the physical exercise program (internet-delivered), such as visual and/or hearing deficit, neurological or psychiatric diseases, pulmonary or cardiac diseases, musculoskeletal limitations; Cognitive deficit assessed through the Mini-Mental State Examination; Being in physiotherapeutic treatment for knee OA; Be performing some physical exercise program; History of recent hospitalization due to cardiovascular or cerebrovascular events; Presence of knee prosthesis; Not having access to the WhatsApp Web application
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assess pain. Pain will be assessed by the numerical scale of pain. This scale consists of a line divided into eleven equal parts from zero to ten, so that the patient can make equivalence with his pain through the numerical classification, with zero being equivalent to less pain and ten to maximum pain (CHERAGATI; AMORIM, 2010). It is expected to find a reduction in pain, verified by a reduction of one point in the numerical pain scale in the pre- and post-intervention measurements (SALAFFI et al., 2004).;Assess the functional performance. Functional performance will be evaluated through the Short Physical Performance Battery – SPPB. It is a simple test, easy to perform and inexpensive. It is an instrument composed of three tests, which evaluate in the sequence: static balance while standing, gait speed in habitual step, and indirectly, the muscular strength of the lower limbs, with the test of sitting and rising from a chair, five consecutive times without the help of the upper limbs (MMSS). For each test domain, the score ranges from 0 (worst performance) to 4 (best performance), adding at the end of the test a score from 0 to 12 points. The higher the value, better performance. For the balance test, the patient will be instructed to assume and maintain the bipedal posture in the following positions: 1) with feet together (side-by-side), 2) one foot partially forward (semi-tandem stand), and 3) with one foot forward (tandem stand), holding each position for 10 seconds. For the gait speed test, the oriented distance to be adopted is 4 meters. The score is according to the time of execution of the walk. In this test, the patient must cover the distance in usual steps. Finally, for the stand-up test, the patient will be instructed to get up and sit in the chair five consecutive times as quickly as possible. The stand-up test score ranges from 0 to 4 points (GURALNIK et al., 1994). It is expected to find an improvement in the functional performance of the participants | — |
Secondary
| Measure | Time frame |
|---|---|
| Assess stiffness. Stiffness will be evaluated through the WOMAC stiffness domain. It is a valid and reliable instrument, specific for knee and hip OA, and translated into Portuguese (FERNANDES, 2002; MCCONNELL; KOLOPACK; DAVIS, 2001). The questions must be answered by the individual considering his/her perception in the last 72 hours concerning stiffness. WOMAC scores are calculated using the Likert scale (0-none, 1- little, 2-moderate, 3- intense, 4-very intense), and the sum of the values ??for each domain is obtained. In this study, WOMAC will be applied in the form of an interview. It is expected to find a reduction in the stiffness of the participants, verified by a reduction of 8 points in the domain stiffness of the WOMAC, in the pre and post-intervention measurements (CLEMENT, 2018).;Assess handgrip strength. Handgrip strength will be measured using the JAMAR dynamometer. The individual will be seated with the shoulder adducted in a neutral position, elbow flexed at 90°, and forearm in semipronation. During handgrip, performed with the dominant limb, the arm must remain immobile, with only the flexion of the interphalangeal and metacarpophalangeal joints (SHECHTMAN et al., 2004). Is expected an increase in the handgrip strength of the participants, verified by an increase of at least 5.0kg in the pre and post-intervention measurements (BOHANNON, 2019). ;Assess the adherence to the Physical Exercise Program and intercurrences. Adherence and presence of intercurrences will be evaluated only in the intervention group through weekly telephone contact. Is is expected an adherence of 70% and few intercurrences (AILY et al., 2020), verifyied by telephone contact during the intervention period. | — |
Countries
Brazil
Contacts
Public ContactAlessandra Bastone
Universidade Federal dos Vales do Jequitinhonha e Mucuri
Outcome results
None listed