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Effect of analgesic and anti-inflammatory current on muscle strengthening in patients with knee arthrosis. Blind randomized clinical trial

Not Applicable
Conditions
Osteoarthritis
Resistance Training
Electric Stimulation
Registration Number
RBR-9yffqb7
Lead Sponsor
FMRP - USP (Faculdade de Medicina de Ribeirão Preto - Universidade de São Paulo)
Brief Summary

Osteoarthritis (OA) is a pathology commonly known within orthopedic and rheumatological physiotherapy, it consists of loss of articular cartilage in synovial joints classified in relation to clinical and radiological characteristics. The weakening of the knee muscles is directly associated with the development of the disease and ends up becoming progressive from the moment that people decrease their physical activity due to limitations. Pain is another striking feature of these patients affected by such pathology, and may even be linked to the severity of symptoms. The objective of this work is to analyze the effectiveness of using diadynamic currents as an adjunct to a muscle strengthening program in patients with knee OA. A randomized blind clinical trial will be carried out, patients will be divided into three groups - exercises, exercises + electrical stimulation and home exercises, with the focus of the exercises for strengthening the muscles of the lower limbs. The protocols will be applied twice a week for 6 weeks. The evaluations will take place on the days before (0), 14, 28, 42 and 72 (30-day follow-up) after the end of the treatment, using the following instruments: questionnaires - Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Lequesne algofunctional index, numerical pain scale, algometry, manual dynamometer, in addition to the functional tests - Time Up Go, 6-minute walk The data will be submitted to the Kolmogorov-Smirnov test and the Bonferroni ANOVA test will be used for parametric data and for non-parametric data, the Kruskal-Wallis test with Dunn's post-hoc, considering p <0.05. It is hoped with the results obtained to provide new treatment strategies for patients affected with knee OA.

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
Not specified
Target Recruitment
Not specified
Inclusion Criteria

Patient with knee osteoarthritis (Kellgren and Lawrence classification grades II and III); Age between 50 and 70 years and; Pain equal to or greater than 3 at rest and / or equal to or greater than 5 after a 6-minute walk test; Whether a bilateral OA will be considered the side most affected.

Exclusion Criteria

Occurrence of great discomfort after performing the exercises and / or applying electrical stimulation; Failure to perform the exercises during two consecutive sessions; Also excluded are patients who for any reason no longer wish to participate in the research or have any of the criteria for non-inclusion in the period.

Study & Design

Study Type
Intervention
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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