Effectiveness of Aquatic Physical Therapy for Knee Osteoarthritis Patients
RCT-OA
Effectiveness of Health Education Compared to Aquatic Physical Therapy for Patients With Knee Osteoarthritis: a Randomized Clinical Trial
2 other identifiers
interventional
60
1 country
1
Brief Summary
The purpose of this study is to determine whether education or aquatic physical therapy are effective in the treatment of osteoarthritis in Knee due to intensity of pain, function capacity, quality of life and kinetic.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2015
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 21, 2014
CompletedFirst Posted
Study publicly available on registry
September 25, 2014
CompletedStudy Start
First participant enrolled
February 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2016
CompletedMay 25, 2017
May 1, 2017
1.3 years
September 21, 2014
May 23, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pain
Evaluation of pain - EVA
up to 3 months
Secondary Outcomes (4)
Function
2 and 3 months
Balance
2 and 3 months
Quality Of Live
2 and 3 months
kinetic
2 and 3 months
Study Arms (2)
Patient Education
EXPERIMENTALHealth Education.
Aquatic Physical Therapy
ACTIVE COMPARATORProtocol of aquatic physical therapy exercises.
Interventions
The educational program will comprise a multidisciplinary team: doctor, pharmacist, nurse, nutritionist, psychologist, physiotherapist and physical educator. Classes will be weekly in groups for eight weeks, with a duration of two hours. The education program will include the following items: guidelines about the disease and its complications, strategies for pain management (pharmacological and cognitive), physical exercise, nutrition and weight control, medication (type, interactions, current trends, side effects ), balance, proprioception, fall prevention, coping with chronic pain.
The exercise protocol will consist of: five minutes of heating with walking and patellar mobilization; ten minutes stretching the muscles of the lower limbs (quadriceps, gluteus, adductors and abductors of hip sural triceps and hamstrings); ten minutes isometric and dynamic exercises with elastic (quadriceps, gluteus, adductors and abductors of hip sural triceps and hamstrings); twenty minutes away from aerobic exercise (stationary running deep running water); ten minutes in functional training step and proprioceptive exercises; and five minutes of cooling with stretching of muscles of lower limbs (quadriceps, gluteus, adductors and abductors of hip sural triceps and hamstrings).
Eligibility Criteria
You may qualify if:
- patients aged between 60 and 85 years;
- patients with knee OA by a physician confirmed by the criteria of American College of Rheumatology;
- patients with clinical and cognitive activities for the realization of the pool conditions, confirmed by the Mini-Exam Mental state.
You may not qualify if:
- patients undergoing surgical procedures in the last six months;
- patients with chronic diseases such as coronary, other rheumatic diseases such as rheumatoid arthritis; serious diseases such as cancer; chronic obstructive pulmonary diseases; uncontrolled hypertensive;
- patients unable to walk without aid equipment;
- patients who have contraindications to practice exercises;
- patients who have contraindications for entry into the pool, such as urinary or fecal incontinence and skin problems;
- patients participating in nutrition programs or physical activity in the last two months (or resisted aerobic activity more than once a week for at least two months);
- patients with metal implants in the lower limbs;
- patients with morbid obesity (body mass index (BMI)\> 40 kg / m 2);
- Patients unable to continue the study by programmed change of address or hospitalization.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Universidade Estadual de Londrinalead
- Ministry of Health, Brazilcollaborator
- Fundação Araucáriacollaborator
Study Sites (1)
Aquatic Physical Therapy Center "Paulo A. Seibert"
Londrina, Paraná, 86038440, Brazil
Related Publications (6)
Lyytinen T, Liikavainio T, Bragge T, Hakkarainen M, Karjalainen PA, Arokoski JP. Postural control and thigh muscle activity in men with knee osteoarthritis. J Electromyogr Kinesiol. 2010 Dec;20(6):1066-74. doi: 10.1016/j.jelekin.2010.05.005. Epub 2010 Jun 11.
PMID: 20541439BACKGROUNDPrice DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983 Sep;17(1):45-56. doi: 10.1016/0304-3959(83)90126-4.
PMID: 6226917BACKGROUNDFernandes MI. Tradução e validação do questionário de qualidade de vida específico para osteoartrose WOMAC (Western Ontario McMasterUniversities) para a língua portuguesa. São Paulo, 2002. 103p. Tese de Mestrado - Universidade Federal de São Paulo - Escola Paulista de Medicina - Reumatologia.
BACKGROUNDMarques AP, Mendes YC, Taddei U, Pereira CA, Assumpcao A. Brazilian-Portuguese translation and cross cultural adaptation of the activities-specific balance confidence (ABC) scale. Braz J Phys Ther. 2013 Mar-Apr;17(2):170-8. doi: 10.1590/S1413-35552012005000072.
PMID: 23778771BACKGROUNDDuarte M, Freitas SMSF. Revisão sobre posturografia baseada em plataforma de força para avaliação do equilíbrio. Rev Bras Fisioter, São Carlos, v. 14, n. 3, p. 183-92, maio/jun. 2010.
BACKGROUNDCICONELLI RM, FERRAZ MB, SANTOS W, MEINÃO I, QUARESMA MR. Tradução para a língua portuguesa e validação do questionário genérico de avaliação da qualidade de vida SF-36 (Brasil SF-36).RevBrasreumatol 1999; 39(3): 143-150.
BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ligia M Facci, PT, PhD
Adjunct Professor
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Ligia Maria Facci
Study Record Dates
First Submitted
September 21, 2014
First Posted
September 25, 2014
Study Start
February 1, 2015
Primary Completion
June 1, 2016
Study Completion
June 1, 2016
Last Updated
May 25, 2017
Record last verified: 2017-05
Data Sharing
- IPD Sharing
- Will share