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People with knee osteoarthritis (OA) have functional instability and defective neuromuscular function, it was recently suggested that sensorimotor exercises may be important and needed to improve the effectiveness of training programs for these patients. This study objective was to compare the effectiveness of a supervised resistance muscular training (RT) versus sensorimotor training (SMT) for patients with Knee OA, on decrease of pain and functional improvement.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| sensorimotor training (SMT) | Active Comparator |
| |
| Resistance training (RT) | Active Comparator |
| |
| Control group (CG) | Sham Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sensorimotor training (SMT) | Other | The group realized 16 weeks of sensorimotor training, twice a week, with duration of 30 minutes each session. The intervention included agility and coordination exercises, perturbation training and stretching exercises. Also, the participants received orientation about the knee osteoarthritis. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogue scale of pain (VAS) | 16 weeks | |
| Get Up and Go Test | 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) | 16 weeks | |
| electromyographic analysis of quadriceps muscle (EMG) | 16 weeks | |
| isometric quadriceps strength |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Virginia FM Trevisani, MD, MS, PhD | Federal University of São Paulo and Santo Amaro University | Study Director |
| Maria S Peccin, PT, MS, PhD | Federal University of São Paulo | Study Chair |
| Marcelo Abrahão, PT | Federal University of São Paulo | Study Chair |
| Alvaro N Atallah, MD, PhD | Federal University of São Paulo | Study Director |
| Aline B Gomiero, PT | Federal University of São Paulo | Principal Investigator |
| Andrea H Kayo, PT, MS | Federal University of São Paulo | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Rheumatology and Physiotherapy of Interlagos Ambulatory - Santo Amaro University | São Paulo | São Paulo | 04815-180 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21330451 | Background | Fitzgerald GK, Piva SR, Gil AB, Wisniewski SR, Oddis CV, Irrgang JJ. Agility and perturbation training techniques in exercise therapy for reducing pain and improving function in people with knee osteoarthritis: a randomized clinical trial. Phys Ther. 2011 Apr;91(4):452-69. doi: 10.2522/ptj.20100188. Epub 2011 Feb 17. | |
| 11922853 |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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Not provided
| ID | Term |
|---|---|
| D055070 | Resistance Training |
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
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|
|
| Resistance training (RT) | Other | The group realized 16 weeks of resistance training for the quadriceps and hamstring muscles, twice a week, with duration of 30 minutes each session. The intervention included strength leg raises, simple quadriceps and hamstring strengthening with cuff weights realized in 3 sets of ten repetition maximum(10RM) for each muscle group. The group also realized stretching exercises for lower limbs and received orientation about the knee osteoarthritis. |
|
| Control group (CG) | Other | Patients in this group also received information about knee osteoarthritis and realized the same warm-up and cool-down intervention realized in the interventional groups. During 16 weeks they went to the ambulatory twice a week to perform 5 minutes of stationary bicycle and 5 minutes of stretching exercises for lower limbs. |
|
| 16 weeks |
| Medical Outcomes Study Short Form (SF-36) | Generic, patient-report measure designed to assess health-related quality of life, comprises 36 items divided into 8 subscales.
| 16 weeks |
| Berg Balance Test | 16 weeks |
| Tinetti Test | 16 weeks |
| activities of daily living scale (ADLS) | 16 weeks |
| Fitzgerald GK, Childs JD, Ridge TM, Irrgang JJ. Agility and perturbation training for a physically active individual with knee osteoarthritis. Phys Ther. 2002 Apr;82(4):372-82. |
| 16371799 | Background | Diracoglu D, Aydin R, Baskent A, Celik A. Effects of kinesthesia and balance exercises in knee osteoarthritis. J Clin Rheumatol. 2005 Dec;11(6):303-10. doi: 10.1097/01.rhu.0000191213.37853.3d. |
| 18843657 | Background | Fransen M, McConnell S. Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev. 2008 Oct 8;(4):CD004376. doi: 10.1002/14651858.CD004376.pub2. |
| 29236934 | Derived | Gomiero AB, Kayo A, Abraao M, Peccin MS, Grande AJ, Trevisani VF. Sensory-motor training versus resistance training among patients with knee osteoarthritis: randomized single-blind controlled trial. Sao Paulo Med J. 2018 Jan-Feb;136(1):44-50. doi: 10.1590/1516-3180.2017.0174100917. Epub 2017 Dec 7. |
| D012216 |
| Rheumatic Diseases |
| D005791 |
| Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D064797 | Physical Conditioning, Human |
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |