Different Modalities of Aquatic Physiotherapy in Patients With Knee Osteoarthrosis
Effects of Different Modalities of Aquatic Physiotherapy on Biomechanical and Functional Behavior of Subjects With Knee Osteoarthrosis
1 other identifier
interventional
15
0 countries
N/A
Brief Summary
The aim of this study is to evaluate the effects of different modalities of aquatic physiotherapy on the biochemical and functional behavior of patients with knee's Osteoarthritis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Mar 2023
Shorter than P25 for not_applicable
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
January 20, 2022
CompletedFirst Posted
Study publicly available on registry
November 9, 2022
CompletedStudy Start
First participant enrolled
March 30, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 3, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2024
CompletedJanuary 20, 2023
January 1, 2023
8 months
January 20, 2022
January 18, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Biochemical variables over time
Variations in the concentration of and Glutathione perioxidase in peripheral blood resulting from three aquatic physical therapy interventions evaluated comparatively between the different interventions in U/L
Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention) measured in all interventions
Biochemical variables over time
Variations in the concentration of Metalloproetinase
Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention) measured in all interventions in mg/mL
Secondary Outcomes (4)
Degree of pain over time
Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention) measured in all interventions.
Edema over time
Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention)
Flexibility over time
Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention) measured in all interventions.
Muscle strength over time
Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention) measured in all interventions.
Study Arms (3)
Low impact immersion
EXPERIMENTALThis intervention will use the principles of Ai Chi, a model defined as a low-intensity aquatic exercise strategy
Conventional aquatic physiotherapy
EXPERIMENTALIn this intervention, medium impact exercises will be performed, with a comfortable movement speed.
High intensity aquatic physiotherapy
EXPERIMENTALIn this intervention, high-impact exercises will be performed, with maximum movement speed, twice time of the medium-intensity protocol
Interventions
Consists of a sequence of shoulder, trunk and hip movements. In this modality, the aim will be to understand the physiological effects of immersion in heat water. Resisted movements (either by turbulence or by floats) or interventional maneuvers in the knee joints will not be performed. Considering the period of 5 minutes for acclimatization to the liquid environment, the program will last approximately 47 minutes.
include warm-up, strengthening and calming down activities. Aquatic steppes will be used to ensure that all participants will maintain the waterline level approximately in the xiphoid appendix. For strengthening activities, the exercises must be performed at an adequate speed, which ensures a comfortable level for the activity. For this purpose, a subjective feedback will be extracted from the participants constantly. The warm-up sequence consists of six different active hip and knee movements performed at maximum range of motion and contributes to neuromuscular activation. For strengthening, each movement should be performed for 1 minute (30 seconds for each lower limb) followed by a period of 30 seconds of rest between each movement.
In this modality subjects will perform the same sequence of exercises of the Conventional Aquatic Physiotherapy program will be respected. However the work load and speed will be adjusted to the maximum level. For strengthening, each movement should be performed for 2 minutes (1 minute for each lower limb) followed by a period of 30 seconds of rest between each movement. To guarantee the maximum effort of the participants, verbal stimuli will be constantly provided. The program will last approximately 68 minutes.
Eligibility Criteria
You may qualify if:
- Patients over 50 years old and diagnosed with OA in at least one knee
- Presence of pain and at least one functional dysfunction for at least 6 months
- Absence of physical limitation that prevents the exercise protocol from being performed
- Kellgren and Lawrence ranking between I and IV
- walk independently and without auxiliary device
You may not qualify if:
- Inflammatory, rheumatic or autoimmune conditions
- Use of psychotropic, immunosuppressive and steroid medications
- Antioxidant consumption
- Alcohol and tobacco consumption
- Progressive ankylosis states
- neurological injuries
- Infections or skin diseases that contraindicate swimming pool immersion
- Surgical procedures on the knee joint in the last 12 months (excluding meniscectomy or arthroscopy)
- Lower Limb Joint Prosthesis
- Presence of inflammatory or infectious diseases, uncontrolled systemic arterial hypertension, uncontrolled diabetes, chronic obstructive pulmonary disease and history of ischemic heart disease
- Self-report of aquatic phobia and chlorine allergies
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (1)
Augusto Teixeira C, Haas L, Frata B, Fiori Bortoli A, Scalco Acco F, de Castro G, Cechetti F. Effects of a low, medium, and high-intensity aquatic physiotherapy protocol on functional and biochemical parameters in individuals with knee osteoarthritis: protocol for a crossover randomized controlled trial. F1000Res. 2024 Sep 16;12:1605. doi: 10.12688/f1000research.140342.4. eCollection 2023.
PMID: 39296351DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
A Teixeria
CONTACT
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Sponsor-Investigator
Study Record Dates
First Submitted
January 20, 2022
First Posted
November 9, 2022
Study Start
March 30, 2023
Primary Completion
December 3, 2023
Study Completion
January 31, 2024
Last Updated
January 20, 2023
Record last verified: 2023-01
Data Sharing
- IPD Sharing
- Will not share