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Resistance Exercise in Severe Knee Osteoarthritis

Not Applicable
Completed
Conditions
Knee Osteoarthritis
Registration Number
NCT06664905
Lead Sponsor
University of Valencia
Brief Summary

This study aim to evaluate pain after different resistance training protocols (placebo, 4 sets of 10RM, 8 sets of 10 RM and 12 sets of 10RM) in patients with severe knee osteoarthritis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
28
Inclusion Criteria
  • men and women at least 55 years old
  • diagnosed with severe knee OA
  • scheduled for unilateral Total Knee Arthroplasty (TKA) surgery
Exclusion Criteria
  • pain in the contralateral (non-studied) limb (maximum ≥80 of 100 mm on a visual analog scale (VAS) during daily activities)
  • another hip or knee joint replacement in the previous year
  • any medical condition in which exercise was contraindicated
  • participated in exercise programs (>2 days/week, training at intensities of 10-15RM) in the 6 months prior to the study
  • history of stroke, brain surgery, major depression, or any self-perceived cognitive alterations that could affect the performance of study tasks

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Primary Outcome Measures
NameTimeMethod
Change in self-reported pain intensityPre-exercise (pre), immediate post exercise (post), and 10 min after exercise (post 10min)

Measure of knee pain intensity with the Visual Analogue Scale (0-100mm), with higher scores reflecting higher perceived pain intensity

Change in pressure pain thresholdsPre-exercise (pre), immediate post exercise (post), and 10 min after exercise (post 10min)

Measured with a mechanical algometer (Wagner Instruments, Greenwich, CT, USA) in three sites (vastus medialis of the affected limb, vastus medialis of the unaffected limb, and distal to the non-dominant arm lateral epicondyle)

Secondary Outcome Measures
NameTimeMethod
WOMAC questionairepre-exercise

A self-administered questionnaire for patients with hip or knee osteoarthritis. contain 24 items grouped into three dimensions: pain (5 items), stiffness (2 items) and physical function (17 items). Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations.

Tampa Scale of Kinesiophobia (TSK 11)pre-exercise

Measure fear of movement and its score ranges from 11-44 with higher scores indicate an increasing degree of kinesiophobia

Chronic Pain Self-Efficacy Scalepre-exercise

Measures three domains of pain self-efficacy: pain management, physical functioning, and coping with symptoms management, physical functioning, and coping with symptomsmanagement, physical functioning, and coping with symptoms. A higher score suggests higher self-efficacy

Pain Catastrophizing Scalepre-exercise

People are asked to indicate the degree to which they have certain thoughts and feelings when they are experiencing pain using the 0 (not at all) to 4 (all the time) scale. A total score is yielded (ranging from 0-52), along with three subscale scores assessing rumination, magnification and helplessness, with higher scores reflecting worse condition.

Trial Locations

Locations (1)

Clinic Universitary Hospital of Valencia

🇪🇸

Valencia, Spain

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