Trabalho apresentado em EULAR Annual European Congress of Rheumatology, 11-14 de junho 2014, Paris, FrançaN/

Branco, J. C.

Carrasqueira, A. R.

Gomes da Silva, Madalena

Pimentel-Santos, F. M.

English

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FRI0562-HPR  EFFECTIVENESS OF THE INTRODUCTION OF PROPRIOCEPTIVE TRAINING IN THE EXERCISE PROGRAMS FOR KNEE OSTEOARTHRITIS  A. R. Carrasqueira1*, J. C. Branco2,3, F. M. Pimentel-Santos2,3, M. Gomes da Silva1 1. Escola Superior de Saúde, Instituto Politécnico de Setúbal. 2. Serviço de Reumatologia, CHLO; Hospital de Egas Moniz. 3. CEDOC, Faculdade de Ciências Médicas, Universidade Nova de Lisboa. R heumatic diseases are a major social and economic problem, with increasing negative impact on public health. The prevalence of Knee Osteoarthritis among older people is increasing and it seems to be associated with proprioceptive deficits. METHODS  Design of quasi-experimental study with independent samples;    Controlled study without randomization, with a convenience sample of 42 subjects, and "single-blind" (Hicks, 2009);   Subjects in the experimental group (n = 21) underwent the current exercise program guidelines (Arthritis Foundation, 2009) with the additional proprioceptive training, whilst the control group (n = 21) attended the current exercise program guidelines (Arthritis Foundation, 2009).  Population and sample   Subjects with clinical and radiological diagnosis of knee OA and aged ≥ 50 years. OBJECTIVE To investigate the effectiveness of the introduction of proprioceptive training in the current program guidelines-eight week duration (Arthritis Foundation, 2009), on range of motion, pain and stiffness of the knee, as well as in physical function and quality of life of clients with knee RESULTS The sample consisted of 42 caucasian subjects, mostly females (83.3 %) with an average age of 72.1 years (SD=7.23).  Outcomes  Median (Week 0) Median (Week 8) Min±Máx (Week 0) Min±Máx (Week 8) Mean±standard deviation  (Week 0) Mean±standard deviation (Week 8) Value p Goniometer              ROM Flexion (degree) 115,00 120,00 70±135 85±140 110,24±16,92 114,52±14,82 0,001(*) ROM Extension (degree) -10,00 0,00 -20±0 -10±0 -7,14±6,04 -2,62±3,75 0,002(*) KOOS (0-100)             Pain 50,00 67,00 25±64 39±86 46,48±12,14 68,14±10,06 0,000(**) Stiffness 43,00 68,00 18±75 39±93 48,86±18,74 66,90±17,26 0,000(**) Function Activity of daily living  38,00 65,00 24±76 44±96 42,14±13,36 65,57±14,90 0,000(**) Function Sport / leasure  0,00 20,00 0±15 0±50 3,81±4,98 22,62±13,93 0,000(**) Quality of life 25,00 44,00 0±81 0±88 25,33±17,43 43,95±20,72 0,002(*) ROM - “Rang Of Motion”; KOOS - Knee Injury and Osteoarthritis Outcome Score; Min – minimum; Máx – maximum; (*) p<0,01; (**) p<0,0001. Comparison of the evolution of groups  There was a significant improvement, compared to the exercises in the soil, the level of KNEE EXTENSION ROM (p <0.05) and FUNCTION IN SPORTS / LEASURE (p <0.0001).  CONCLUSION  The results obtained suggest that exercise training introduces a positive effect on the most relevant symptoms, function and quality of life of subjects with knee osteoarthritis.   The introduciton of of proprioceptive trainning appears to additionally improve some of the most relevant outcomes for patients with KO, according to the Arthritis Foundation, 2009: knee extension range of motion, sports and leasure and quality of life. For this reason we suggest that its introduction in the exercise plan should be considered.  Table 1: Evolution of Variables REFERENCES  Hicks, C. (2009). Research methods for clinical therapists – Applied project, design and analysis (5th ed.). Edinburgh: Churchikk Livingstone.  Felson, D. T., Gross, K. D., Nevitt, M. C., Yang, M., Lane, N. E., Torner, J. C., et al. (2009). The effects of impaired joint position sense on the development and progression of pain and structural damage in knee osteoarthritis. Arthritis & Rheumatism, 61(8), 1070-1076.  Foundation, A. (2009). Arthritis Foundation Exercise Program. Instructor’s Manual. Atlanta: Arthritis Foundation. 

Effectiveness of the introduction of Proprioceptive Training in the exercise programs for Knee Osteoarthritis

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Effectiveness of the introduction of Proprioceptive Training in the exercise programs for Knee Osteoarthritis

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