Effect of physical therapy in the treatment of knee osteoarthritis

INTERVENTION: E02.533 E02.779.483.750 For the study were selected 45 volunteers of both sexes, with clinical diagnosis of knee osteoarthritis, according to the American College of Rheumatology criteria. The volunteers were divided into three groups: GI, GII and GIII. In GI, 17 seniors did aquatic exercises and muscle stretching segment; G II: 16 elderly conducted exercises on the ground over the global postural re‐education and GIII: 12 elderly received no treatment during the intervention period. The treatment program consisted of 16 sessions each lasting one hour, twice weekly for two months. To evaluate the effectiveness of treatment programs were used at the start and end of the treatment period, specific tools for assessing the functional capacity (six minute walk test), risk of falls (Timed up and go test) pain, stiffness and functionality (Western Ontario and McMaster Universities Osteoarthritis Index) and body mass index (BMI). For presentation of the data was used descriptive statistics, with values ??of percentiles, mean, standard deviation, median, interquartile range and absolute numbers. Was performed to compare the groups in relation to potential confounders and in relation to evolution after the follow‐up by non‐parametric tests of chi‐square, Fisher's exact test and Kruskal‐Wallis followed by Dunn's test for multiple comparisons. Differences were considered statistically significant if p <0.05. G11.427.590.530.698.277 Procedure/surgery CONDITION: Aging, Osteoartritis ; M17 ; G07.700.320.124 G07.700.320.124 M00‐M99 PRIMARY OUTCOME: Comparing the functional physical aspects after intervention (pain, stiffness and physical activity), it was observed that the participants of GI groups (aquatic therapy) and GII (land physical therapy) achieved a statistically significant reduction of all variables compared to the control group (GIII) (p <0.05). However, no statistically significant differences when comparing GI and GII. The aim of the study was to compare the effects of two physical therapy protocols in the treatment of knee osteoarthritis in the elderly. The primary endpoint of the study was to analyze the functional physical aspects: pain, stiffness and level of physical function collected at the beginning and end of treatment (16 sessions).; ; WOMAC questionnaire: The questionnaire of functional physical aspects of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is a valid, reliable and specific to osteoarthritis (OA) of the knee and hip. This index is composed of 24 parameters distributed in three domains: pain (5 questions), stiffness (2 questions) and Physical Activity (17 questions). The questions should be answered according to the perception of the volunteer regarding pain intensity, joint stiffness and the level of physical function in the last 72 hours, being necessary to emphasize to participants that the answers should be specific to the interference of knee OA in activities questioned. The questionnaire scores were given in Likert scale, in which each question is given a value ranging from 0 to 100 according to the intensity of symptoms, as follows: 0 = none; 25 = little; 50 = moderate; 75 = severe; 100 = very intense. The end result was obtained from the sum of the values ??of each question, obtaining the mean and presenting them for each domain. ; ; SECONDARY OUTCOME: Comparing the results after the intervention, it was observed that the participants of GI (aquatic therapy) and GII (land physical therapy) achieved a statistically significant reduction in travel time variables in the 6MWT and risk of falls in TUGT compared to the control group (p <0 , 05). However, no statistically significant differences when comparing GI and GII. The secondary endpoint of the study was to analyze the functional capacity (6MWT) and risk of falls (TUGT) between the intervention groups (GI and GII) and control (GIII) after the intervention period. ; 6‐minute walking test: The 6‐minute walk test (6MWT) was performed according to the guidelines established by the American Thoracic Society. The test was performed on a track of 30 meters, outdoors, always by the same previously trained examiners. Vital data such as blood pressure, heart rate, respiratory rate and level of dyspnea (Borg scale) were measured before and after the test. The distance provided for six minutes (DP6 ') was calculated by the formula DP6 (m) = (2.11 cm height x) ‐ (x weight kg 2.29) ‐ (5.78 x age) + 667m to women and DP6 (m) = (7.57 x height cm) ‐ (5.02 x weight kg) ‐ (1.76 x age) ‐ 309m for men, the procedure is considered a comparative analysis of the distances traveled pre and post intervention. ; Timed Up & Go Test: The Timed Up & Go Test (TUGT) is a simple quantitative test for assessing mobility, balance and functional capacity during gait. The test measurement is given in seconds, evaluating the time spent by the participant to rise from a chair, walk a distance of three meters, give back the cone, walk towards the chair and sit down again. Patients performed the task three times in order to get an adequate sample size, with rest interval of three minutes. The 20‐second limit score was used to discriminate against individuals with functional gait of those who have not. INCLUSION CRITERIA: Aged 60 and over; both sexes; diagnosis of OA in one knee and the functional class I, II and III according to clinical and radiographic criteria of the American College of Rheumatology