Evaluation of the profile, satisfaction and effectiveness of group physiotherapy in pacients with knee osteoarthritis
DOI:
https://doi.org/10.5935/0104-7795.20130020Keywords:
Physical Therapy Specialty, Rehabilitation, Osteoarthritis, KneeAbstract
Osteoarthritis (OA) is a chronic slowly progressive degenerative disease that most often affects the knee. Among the predisposing factors are age, obesity, previous surgeries or injuries, occupational and recreational cumulative effort, poor joint alignment and muscle weakness. Physicaltherapy in the conservative treatment aims to improve muscle strength, range of motion and joint stability. Group physicaltherapy is held twice a week, with stretching and strengthening exercises of lower limbs and sensory-motor training. Objective: The objectives of this study were to characterize socioeconomic and health profiles, distribution by gender and age and pain relief and satisfaction of patients with knee OA who underwent physiotherapy group from January 2005 to July 2011. Method: For this, were contacted by telephone 45 patients with a mean of 59.1 ± 8.17 years who remained in treatment for 246 ± 99 days, and of these 28.9% were retired, 49% were hypertensive, 57.7% had difficulty to climb one step and 80% came to physicaltherapy by bus. Results: There was a statistically significant improvement in pain for patients treated in 2007 (p= 0.006), 2008 (p= 0.001), 2009 (p= 0.003) and 2010 (p= 0.048). Conclusion: Through the analysis of personal and physical determinants we can conclude that group physicaltherapy could satisfactorily meet the population leading to an improvement of 35.82% in average pain and hence the satisfaction of 95.6% of the patients included in this study.
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Mohammadi F, Taghizadeh S, Ghaffarinejad F, Khorrami M, Sobhani S. Proprioception, dynamic balance and maximal quadriceps strength in females with knee osteoarthritis and normal control subjects. Int J Rheum Dis. 2008;11(1):39-44.
Zacaron KAM, Dias JMD, Abreu NS, Dias RC. Nível de atividade física, dor e edema e suas relaçoes com a disfunçao muscular do joelho de idosos com osteoartrite. Rev Bras Fisioter. 2006;10(3):279-84.
Link TM, Steinbach LS, Ghosh S, Ries M, Lu Y, Lane N, et al. Osteoarthritis: MR imaging findings in different stages of disease and correlation with clinical findings. Radiology. 2003;226(2):373-81.
Tsauo JY, Cheng PF, Yang RS. The effects of sensorimotor training on knee proprioception and function for patients with knee osteoarthritis: a preliminary report. Clin Rehabil. 2008;22(5):448-57.
Sanghi D, Srivastava RN, Singh A, Kumari R, Mishra R, Mishra A. The association of anthropometric measures and osteoarthritis knee in non-obese subjects: a cross sectional study. Clinics (Sao Paulo). 2011;66(2):275-9.
An BC, Fang K, Wang Y, Zeng YM, Dai KR. New variables for measuring joint space width to evaluate knee osteoarthritis. Chin Med J (Engl). 2011;124(23):3886-90.
Bennell KL, Hinman RS, Metcalf BR, Buchbinder R, McConnell J, McColl G, et al. Efficacy of physiotherapy management of knee joint osteoarthritis: a randomized, double blind, placebo controlled trial. Ann Rheum Dis. 2005;64(6):906-12.
Sato EI. Guias de medicina ambulatorial e hospitalar da UNIFESP-EPM: Reumatologia. 2 ed. Sao Paulo: Manole; 2010.
Marx FC, Oliveira LM, Bellini CG, Ribeiro MCC. Traduçao e validaçao cultural do questionário algofuncional de Lequesne para osteoartrite de joelhos e quadris para a língua portuguesa. Rev Bras Reumatol. 2006;46(4):253-60.
Feliche JC, Costa LFC, Duarte DG, Chahade WH. Elementos básicos de diagnóstico da osteoartrite. Temas Reumatol Clin. 2002;3(3):68-79.
Oliveira AMI, Peccin MS, Silva KNG, Teixeira LEPP, Trevisani VFM. Impacto dos exercícios na capacidade funcional e dor em pacientes com osteoartrite de joelhos: ensaio clínico randomizado. Rev Bras Reumatol. 2012;52(6):876-82.
Fransen M, McConnell S, Bell M. Exercise for osteoarthritis of the hip or knee. Cochrane Database Syst Rev. 2003;(3):CD004286.
Jinks C, Jordan K, Ong BN, Croft P. A brief screening tool for knee pain in primary care (KNEST). 2. Results from a survey in the general population aged 50 and over. Rheumatology (Oxford). 2004;43(1):55-61.
Corrêa DFG. Nível funcional de pacientes com osteoartrite de joelho com indicador de objetivos terapêuticos [Tese]. Sao Paulo: Universidade Federal de Sao Paulo; 2005.
Roddy E, Zhang W, Doherty M. Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review. Ann Rheum Dis. 2005;64(4):544-8.
Busija L, Bridgett L, Williams SR, Osborne RH, Buchbinder R, March L, et al. Osteoarthritis. Best Pract Res Clin Rheumatol. 2010;24(6):757-68.
Jorgensen KT, Pedersen BV, Nielsen NM, Hansen AV, Jacobsen S, Frisch M. Socio-demographic factors, reproductive history and risk of osteoarthritis in a cohort of 4.6 million Danish women and men. Osteoarthritis Cartilage. 2011;19(10):1176-82
Sachetti A, Vidmar MF, Venâncio G, Tombini DK, Sordi S, Pilla S, et al. Perfil epidemiológico de idosos com osteoartrose. Rev Cienc Med Biol. 2010;10(3):212-15.
Alexandre TS, Cordeiro RC, Ramos LR. Fatores associados à qualidade de vida em idosos com osteoartrite de joelho. Fisioter Pesq. 2008;15(4)327:326-32.
Hortobágyi T, Westerkamp L, Beam S, Moody J, Garry J, Holbert D, et al. Altered hamstring-quadriceps muscle balance in patients with knee osteoarthritis. Clin Biomech (Bristol, Avon). 2005;20(1):97-104.
Gupta S, Hawker GA, Laporte A, Croxford R, Coyte PC. The economic burden of disabling hip and knee osteoarthritis (OA) from the perspective of individuals living with this condition. Rheumatology (Oxford). 2005;44(12):1531-7.
McCarthy CJ, Oldham JA. The effectiveness of exercise in the treatment of osteoarthritic knees: a critical review. Phys Ther Reviews.1999;4(4):241-50.
Lange AK, Vanwanseele B, Fiatarone Singh MA. Strength training for treatment of osteoarthritis of the knee: a systematic review. Arthritis Rheum. 2008;59(10):1488-94.
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