Knee gonarthrosis / Knee Osteoarthritis
Conditions
Interventions
Physical exercise program: The exercises will be developed in a supervised form with a duration of about 40 minutes each session based on the following protocol: Heating - 5 minutes of treadmill tread
Muscular Strengthening - of the abductor muscles in a hip abductor chair, hip adductors in a hip induction chair, hip flexors with the patient in the supine position with the knee of the contralateral
Extra resistance provided by weights 1 kg in the tronozelo, hip extensors with the patient in the supine position, with the knees flexed so that the feet are resting in a flat position and with the ha
Resistance provided by 1 kg ankle weights, knee flexors in knee flexor chair and knee extensors in knee extensor chair. Stretching - major muscle groups of the lower limbs.
The program will last for
Device
Other
E02.774
G11.427.590.530.698.277
Sponsors
Universidade Federal de São Paulo - Campus Baixada Santista
Universidade Federal de São Paulo - Campus Baixada Santista
Eligibility
Age
55 Years to 70 Years
Inclusion criteria
Inclusion criteria: Grade II or III of knee osteoarthritis; female subjects; classified as low active and irregularly active according to criteria established by the International Physical Activity Questionnaire - short version; age between 55 and 70 years; willingness to participate in the treatment plan.
Exclusion criteria
Exclusion criteria: They have cardiovascular, neurological or musculoskeletal disease that makes them unable to perform the exercise protocol; evidence of secondary, inflammatory or metabolic disease; use of conventional, non-conventional or alternative treatments that may potentially have effects on the results of the study (physiotherapy and / or injections of intra-articular corticosteroid or hyaluronic acid during the last 3 months); symptomatic hip OA; absolute contraindication for laser therapy as the presence of neoplasia in the region of lower limbs; individuals who have malnutrition or morbid obesity.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decreased pain, verified by the improvement of 3 points in the Numerical Scale of Pain colllected inicial and end of study. | — |
Secondary
| Measure | Time frame |
|---|---|
| Increase in muscle strength, verified by the 30% gain evaluated by the load cell and 1-RM test before and after intervention.;Improvement of postural changes by means of specific software such as normalization of at least 1 degree of the angle Q.;Decreased inflammatory markers and degradation of articular cartilage.;Improvement in quality of life and functionality assessed by the 15-point difference in the WOMAC questionnaire, 4-point difference in the Lequesne questionnaire, 10-second difference in the Timed Up and Go test, 50-meter increase in the 6-minute walk test after 8 weeks of treatment. | — |
Countries
Brazil
Contacts
Public ContactPatrícia Gabrielli Alves
Universidade Federal de São Paulo - UNIFESP/EPM
Outcome results
None listed