Efficacy of an exercise program combined with lifestyle education in patients with knee osteoarthritis.

IF 1 4区医学 Q4 RHEUMATOLOGY

Acta reumatologica portuguesa Pub Date : 2020-07-01

Fábio Marcon Alfieri, Alessandra Rodrigues Souto Lima, Marcia Maria Hernandes de Abreu de Oliveira Salgueiro, Elisabete Agrela de Andrade, Linamara Rizzo Battistella, Natália Cristina de Oliveira Vargas E Silva

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Abstract

Therapeutic exercise and lifestyle changes (LS) are usually recommended for the treatment of knee osteoarthritis (OA).

Objectives: to compare the impact of an exercise program vs. exercise program plus LS education in individuals with knee OA.

Materials and methods: Single-blind randomized clinical trial with individuals of both sexes with clinical and radiological diagnosis of knee OA. Participants received the treatment 2 times/week for 8 weeks. Therapeutic exercise involved warm-up, flexibility, muscle strengthening, balance and proprioception. The exercise plus lifestyle education group (ELG) also participated in 8 sessions of lectures and discussion on disease self-management and healthy LS. Participants were assessed for pain intensity (visual analog scale), lifestyle, symptoms and physical disability (WOMAC) and pressure pain tolerance threshold (PPT).

Results: Sample consisted of 39 participants, divided into exercise group (EG, n=17) and ELG (n=22). Groups were homogeneous regarding regarding age, weight, height, initial pain perception (VAS) and gender predominance age and body mass index. After the interventions, reduction in pain perception and increase in PPT was observed in both groups. Despite the improvement in LS of both groups, only ELG exhibited a significant reduction in pain assessed by WOMAC. Therapeutic exercise programs may produce pain relief, but no improvements were observed in joint stiffness and funcionality.

本刊更多论文

运动计划结合生活方式教育对膝骨关节炎患者的疗效。

治疗性运动和生活方式改变(LS)通常被推荐用于治疗膝骨关节炎(OA)。目的:比较运动计划与运动计划加LS教育对膝关节OA患者的影响。材料与方法:单盲随机临床试验，纳入临床和影像学诊断为膝关节OA的男女患者。受试者接受治疗2次/周，连续8周。治疗性运动包括热身、柔韧性、肌肉强化、平衡和本体感觉。运动加生活方式教育组(ELG)也参加了8场关于疾病自我管理和健康LS的讲座和讨论。评估参与者的疼痛强度(视觉模拟量表)、生活方式、症状和身体残疾(WOMAC)以及压力疼痛耐受阈值(PPT)。结果:样本共39例，分为运动组(EG, n=17)和运动组(ELG, n=22)。各组在年龄、体重、身高、初始疼痛感知(VAS)和性别优势、年龄和体重指数方面均具有同质性。干预后，两组患者疼痛感均有所下降，PPT均有所增加。尽管两组的LS均有改善，但根据WOMAC评估，只有ELG表现出明显的疼痛减轻。治疗性运动方案可能产生疼痛缓解，但没有观察到关节僵硬和功能的改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta reumatologica portuguesa 医学-风湿病学

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Acta Reumatólogica Portuguesa is a scientific peer reviewed journal covering all aspects of rheumatic diseases and related to Rheumatology. The journal publishes original articles, reviews, clinical cases, images in rheumatology, letters to the editor and clinical teaching (e.g. guidelines and clinical protocols). Published since 1973, Acta Reumatológica Portuguesa is the official scientific publication of the Portuguese Society of Rheumatology, a non-profit organization that promotes the knowledge and investigation of rheumatic diseases and the development of Rheumatology.