Osteoarthritis
Conditions
Interventions
Sensorimotor training group - Vital signs will be measured and recorded before the exercises and after each session (blood pressure and heart rate), as well as pain in the more affected knee during as
G11.427.410.698.277
E07.101.036
Sponsors
UFRN- FACISA
UFRN- FACISA
Eligibility
Sex/Gender
Female
Age
55 Years to 80 Years
Inclusion criteria
Inclusion criteria: Female individuals, BMI above 18.5; diagnosis of knee OA according to the American College of Rheumatology criteria; Mild or moderate OAJ according to the Lequèsne Algofunctional Questionnaire; Age over 60 years; knee stiffness for at least 6 months prior to screening; rigidity during the start of activities; individuals with no history of associated joint disease or systemic rheumatic disease and / or history of surgery on the affected lower limb; sedentary individuals; individuals without neurological, vestibular, visual or auditory deficits that make evaluations impossible.
Exclusion criteria
Exclusion criteria: Individuals with a bandage allergy or skin lesion in the region where the bandage will be applied; who have not completed the treatment period or who are unable to carry out the evaluation procedures correctly; volunteers who are absent more than twice during interventions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functionality Functionality will be assessed by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) (25), the most appropriate questionnaire to assess physical limitations, including questions on pain, joint stiffness and functionality, where the highest score represents the worst condition. The version translated and validated for Portuguese is the gold standard for assessing elderly individuals with OA. It contains 24 questions divided into three categories: pain (5 questions), stiffness (2 questions) and self-reported physical function (17 questions). Items are evaluated on a Likert scale and each question is scored between 0 and 100, according to the patient’s response (none= 0; little = 25; moderate = 50; intense = 75; very intense = 100). The higher the score, the more serious the disease. ;balance The Berg Balance Scale (APPENDIX 2) was proposed by Berg et al in 1989 and evaluates the individual's balance in 14 situations, representative of day to day activities such as standing, standing, walking, lean forward, transfer, turn, among others. The maximum score to be achieved is 56 points and each item has an ordinal scale of five alternatives ranging from 0 to 4 points, according to the degree of difficulty. The BERG balance scale is widely used in scientific research, targeting the elderly, institutionalized or community dwelling, and patients with various types of disability regardless of age, such as stroke, multiple sclerosis, rheumatoid arthritis , Parkinson's Disease and Vestibular Disorders. | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional capacity The six-minute walk test (6MWT), in which the subject will walk 30 meters, delimited by two cones (one on the first mark and the other on the final mark), covering the course as many times as possible over 6 minutes, after which the total distance walked will be measured. Verbal encouragement will be given every minute, such as “you’re doing very well” and “keep it up” The Timed Up and Go (TUG) test, which measures the time required to walk 3 meters, will also be applied. Individuals will be instructed to rise from a chair at a signal, walk to a marker, go around it, return to the chair and sit down, as fast as possible. The test will begin with subjects sitting upright, hands on hips and feet on the floor. They will be reminded that the test is timed and the goal is to walk as fast as possible (without running).;Pain The pain of the volunteers will be measured indirectly by the Visual Analogue Scale - EVA (ANNEX 1). It is a continuous scale consisting of a horizontal or vertical line, usually 10 centimeters (100 mm) long, fixed by 2 verbal descriptors, one for each extreme symptom;Quadriceps muscle strength The evaluation of quadriceps muscle strength will be performed using the portable dynamometer (lafayette). The patient is seated in a chair, maintaining the angle of 90 ° of hip and 60 ° of knees, with the hands resting on the chair. The dynamometer positioned in the distal portion of the limb, after the verbal command the patient will perform the knee extension movement resisting the force imposed by the evaluator maintaining for 3 seconds. Three movements will be performed on the most affected limb, reported by the patient, with the rest time of 30 seconds between each one, the highest value being the peak of force (PF). The test will be performed by the same evaluator, using verbal commands throughout the time of muscle contraction.;Global Perception of Change The overall perception of change regarding the patient's improvement with t | — |
Countries
Brazil
Contacts
Public Contact;Caio ;Lins
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Outcome results
None listed