Sensory-motor training versus resistance training among patients with knee osteoarthritis: randomized single-blind controlled trial.
Author: Gomiero AB1, Kayo A2, Abraão M1, Peccin MS1, Grande AJ3, Trevisani VF4
Affiliation:
1MSc. Physiotherapist, Department of Medicine, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
2PhD. Physiotherapist, Department of Medicine, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
3PhD. Associate Professor, Department of Medicine, Universidade Estadual de Mato Grosso do Sul (UEMS), Campo Grande (MS), Brazil.
4MD, PhD. Associate Professor, Department of Medicine, Universidade Federal de São Paulo (UNIFESP), and Full Professor, Discipline of Reumatology, Universidade de Santo Amaro (UNISA), São Paulo (SP), Brazil.
Conference/Journal: Sao Paulo Med J.
Date published: 2018 Jan-Feb
Other:
Volume ID: 136 , Issue ID: 1 , Pages: 44-50 , Special Notes: doi: 10.1590/1516-3180.2017.0174100917. Epub 2017 Dec 7. , Word Count: 231
BACKGROUND: Osteoarthritis of the knee is defined as a progressive disease of the synovial joints and is characterized by failure of joint damage repair. The objective here was to compare the effectiveness of sensory-motor training versus resistance training among patients with knee osteoarthritis.
DESIGN AND SETTING: Randomized, single-blinded controlled trial conducted at the outpatient service of the University of Santo Amaro.
METHODS: A total of 64 patients were randomly assigned to sensory-motor training or resistance training. The evaluations were performed at baseline and 16 weeks after the intervention and included pain evaluation on a visual analogue scale, isometric quadriceps femoris force measurement using a dynamometer, Timed Up and Go test, Tinetti balance scale, Western Ontario and McMaster Universities osteoarthritis index, and the SF-36 quality-of-life questionnaire. Data analysis was performed using analysis of variance with repeated measurements and Cohen's effect size.
RESULTS: Sensory-motor training may be a plausible alternative and showed a small effect on pain and a medium effect on maximal voluntary isometric contraction. Resistance training showed a small effect on balance and a medium effect on mobility.
CONCLUSION: Resistance training and sensory motor training for the lower limbs among patients with knee osteoarthritis seemed to present similar effects on pain and function. However, because there was a considerable risk of type 2 error, further randomized clinical trials are still needed to provide a sound conclusion.
TRIAL REGISTRATION: ClinicalTrials.gov NCT01529398.
PMID: 29236934 DOI: 10.1590/1516-3180.2017.0174100917
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