Effects of a treatment based on group exercises for people with osteoarthritis on the variables pain, functionality, quality of life and flexibility
DOI:
https://doi.org/10.33233/fb.v24i2.5277Keywords:
Functionality, pain, physiotherapy, therapeutic exercise, osteoarthritis.Abstract
Introduction: Studies have shown that the practice of physical exercises is recommended to reduce the symptoms of individuals with osteoarthritis (OA). Objective: To evaluate the effect of using an intervention protocol performed in a group, on the variables of pain, function, quality of life and flexibility in individuals with knee and/or hip OA. Methods: Fifteen participants, aged 50 years or older, diagnosed with hip and/or knee OA were included in the study. The protocol was performed twice a week, totaling 10 sessions, with pre-defined goals for each week, with an evaluation being performed before and after the intervention. For the evaluation, we used the VAS for pain, LEFS and TSL questionnaires to assess functionality, the sit-and-reach test for flexibility and the SF-12 questionnaire to assess quality of life. Results: There was a significant improvement in the values of pain on movement (p = 0.005) and functionality by TSL (p = 0.003). Conclusion: The protocol applied on the parameters of pain in movement and functionality, highlighted a significant reduction in pain in activities involving movement, and greater independence.
References
Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(7):1323-30. doi: 10.1136/annrheumdis-2013-204763
Kolasinski SL, Neogi T, Hochberg MC, Oatis C, Guyatt G, Block J, et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care Res (Hoboken). 2020;72(2):149-62. doi: 10.1002/acr.24131
Long H, Liu Q, Yin H, Wang K, Diao N, Zhang Y, Lin J, Guo A. Prevalence trends of site-specific osteoarthritis from 1990 to 2019: Findings from the Global Burden of Disease Study 2019. Arthritis Rheumatol. 2022;74(7):1172-83. doi: 10.1002/art.42089
Henriksen M, Hansen JB, Klokker L, Bliddal H, Christensen R. Comparable effects of exercise and analgesics for pain secondary to knee osteoarthritis: a meta-analysis of trials included in Cochrane systematic reviews. J Comp Eff Res. 2016;5(4):417-31. doi: 10.2217/cer-2016-0007
Duarte VDS, Santos ML, Rodrigues KA, Ramires JB, Arêas GPT, Borges GF. Exercícios físicos e osteoartrose. Uma revisão sistemática. Fisioter Mov. 2013;26(1):193-202. doi: 10.1590/S0103-5150201300010002
Jyoti SJ, Yadav VS. Knee joint muscle flexibility in knee osteoarthritis patients and healthy individuals. Int J Health Sci Res [Internet] 2019; 9(6):156-63. [citado 2022 Jan 25] Disponível em: https://www.ijhsr.org/IJHSR_Vol.9_Issue.6_June2019/24.pdf
Santos CG, Rosa DB, Martins GA, Rosa EF, Neto JP. Fisioterapia e qualidade de vida na osteoartrose de joelho. Fisioter Bras. 2020;21(1):86-92. doi: 10.33233/fb.v21i1.2748
Fransen M, McConnell S, Harmer AR, Van der Esch M, Simic M, Bennell KL. Exercise for osteoarthritis of the knee: a Cochrane systematic review. Br J Sports Med. 2015;49(24):1554-7. doi: 10.1136/bjsports-2015-095424.
Fransen M, McConnell S, Hernandez-Molina G, Reichenbach S. Exercise for osteoarthritis of the hip. Cochrane Database of Systematic Reviews 2014;4. doi: 10.1002/14651858.CD007912.pub2.
Goh SL, Persson MSM, Stocks J, Hou Y, Welton NJ, Lin J, et al. Relative efficacy of different exercises for pain, function, performance and quality of life in knee and hip osteoarthritis: Systematic review and network meta-analysis. Sports Med. 2019;49(5):743-61. doi: 10.1007/s40279-019-01082-0.
Bennell KL, Hinman RS. A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. J Sci Med Sport. 2011 Jan;14(1):4-9. doi: 10.1016/j.jsams.2010.08.002
Allen KD, Brandon F, Bongiorni D, Choate A, Coffman CJ, Hoening H, et al. Implementation of a group physical therapy program for Veterans with knee osteoarthritis. BMC Musculoskelet Disord. 2020;21,67. doi: 10.1186/s12891-020-3079-x
Karcioglu O, Topacoglu H, Dikme O, Dikme O. A systematic review of the pain scales in adults: Which to use? Am J Emerg Med. 2018;36(4):707-14. doi: 10.1016/j.ajem.2018.01.008.
da Cunha RA, Costa LO, Hespanhol Junior LC, Pires RS, Kujala UM, Lopes AD. Translation, cross-cultural adaptation, and clinimetric testing of instruments used to assess patients with patellofemoral pain syndrome in the Brazilian population. J Orthop Sports Phys Ther. 2013;43(5):332-9. doi: 10.2519/jospt.2013.4228
Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2018;11:851-856. doi: 10.2147/JPR.S158847.
Pereira LM, Dias JM, Mazuquin BJ, Castanhas LG, Menacho MO, Cardoso JR. Translation, cross cultural adaptation and analysis of the psychometric properties of the lower extremity functional scale (LEFS): Lefs-Brazil. Brazilian Journal of Physical Therapy 2013;17:272-80. doi: 10.1590/S1413-35552012005000091
Millor N, Lecumberri P, Gómez M, Martínez-Ramírez A, Izquierdo M. An evaluation of the 30-s chair stand test in older adults: frailty detection based on kinematic parameters from a single inertial unit. J Neuroeng Rehabil. 2013;10:86. doi: 10.1186/1743-0003-10-86.
Rikli RE, Jones CJ. Development and validation of a functional fitness test for Community-residing older adults. J Aging Phys Activ. 1999;7:129-61. doi: 10.1123/japa.7.2.129.
Heyward VH. Avaliação física e prescrição de exercício: técnicas avançadas. 4 ed. Porto Alegre: Artmed; 2004.
YWare J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996 Mar;34(3):220-33. doi: 10.1097/00005650-199603000-00003
Silveira MF, Almeida JC, Freire RS, Haikal DS, Martins AEBL. Propriedades psicométricas do instrumento de avaliação da qualidade de vida: 12-item health survey (SF-12). Ciência & Saúde Coletiva 2013;18:1923-31. doi: 10.1590/S1413-81232013000700007
Oliveira RSO, Lima Jr FK, Paiva TD, Medeiros MC, Caldas RTJ, Souza MC. Impact of a three-month resistance training program for elderly persons with knee osteoarthritis residing in the Community of Santa Cruz, Rio Grande do Norte, Brazil. Rev Bras Geriatr Gerontol. 2016;19(6):950-57. doi: 10.1590/1981-22562016019.160040
Yamada EF, Muller FA, Teixeira LP, Silva MD. Effect of strength, gait and balance exercises, in the treatment of knee osteoarthritis. Revista Brasileira Ciência e Movimento 2018;26(3):5-13.
O'Reilly SC, Muir KR, Doherty M. Effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomized controlled trial. Ann Rheum Dis. 1999;58(1):15-9. doi: 10.1136/ard.58.1.15.
Osthoff AKR, Niedermann K, Braun J, Adams J, Brodin N, Dagfinrud H, et al. 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis. Ann Rheum Dis. 2018;77(9):1251-60. doi: 10.1136/annrheumdis-2018-213585
Sayin Kasar K, Karaman E. Life in lockdown: Social isolation, loneliness and quality of life in the elderly during the COVID-19 pandemic: A scoping review. Geriatr Nurs. 2021;42(5):1222-29. doi: 10.1016/j.gerinurse.2021.03.010.
Sepúlveda-Loyola W, Rodríguez-Sánchez I, Pérez-Rodríguez P, Ganz F, Torralba R, Oliveira DV, et al. Impact of social isolation due to covid-19 on health in older people: mental and physical effects and recommendations. J Nutr Health Aging. 2020;24(9):938-47. doi: 10.1007/s12603-020-1469-2.
Wolf S, Seiffer B, Zeibig JM, Welkerling J, Brokmeier L, Atrott B, Ehring T, Schuch FB. Is physical activity associated with less depression and anxiety during the COVID-19 pandemic? A rapid systematic review. Sports Med. 2021;51(8):1771-83. doi: 10.1007/s40279-021-01468-z.
Raposo N, Alves JL, Rodrigues RG, Calinin G, Alemeira GR, Praça ML, et al. Protocol proposal to rehabilitation of knee osteoarthritis in kinesiotherapy and hydrotherapy. Rev Inova Saúde. 2021;11(2):46-66. doi: 10.18616/inova.v11i2.5556
Published
Issue
Section
License
Copyright (c) 2023 Alany Gabrielli Leite, Felipe Coutinho de Aquino, Bryan Kouki Ansai, Yago Zangiacomo Lima, Rafaela Mika Takamune Nakajima, Aline Sayuri Hayasaka, Ariel Aparecido da Cruz Souza, Geovana Letícia Fernandes Oliveira, Beatriz Neves Francisco, Giulia Marcondes Demasi Araújo, Cristina Elena Prado Teles Fregonesi, Alessandra Madia Mantovani Fabri
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
