Parqve: Project Arthritis Recovering Quality of Life Through Education: Two-Year Results

Rezende, Márcia Uchôa de; Frucchi, Renato; Pailo, Alexandre Felício; Campos, Gustavo Constantino de; Pasqualin, Thiago; Hissadomi, Marcelo Issao

doi:10.1590/1413-785220172501165604

Cited by 11 publications

(26 citation statements)

References 7 publications

(9 reference statements)

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“…After two years of participating in the PARQVE 9 , 10 program, the 19 patients who practiced intense physical activity completed the TUG an average of 4 seconds faster than the sedentary group (p = 0.01, Table 2) and reported less pain (50.9±15.3) than those who did not engage in any physical activity (59.4±23.1) but not significantly (Table 2). …”

Section: Resultsmentioning

confidence: 99%

“…, 10 The exclusion criteria were 1) KOA surgery during the study period or other surgery during the study period that would prevent regular physical activity, and 2) participation in another nutritional education program or another clinical study. Patients who were not able to perform or did not attend the functional tests were excluded only from the functional analysis.…”

Section: Methodsmentioning

confidence: 99%

“…, 10 The DVD was 2 hours and 23 minutes long. All of the patients were instructed to watch the DVD and/or read the handout at least three times and to exercise under the guidance of physical therapists or physical educators (via information of the handout or at public or private gyms) at least three times a week.…”

Section: Methodsmentioning

confidence: 99%

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Intensity, Duration and Type of Physical Activity Required to Improve Function in Knee Osteoarthritis

et al. 2017

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Objective: To evaluate the effects of physical activity intensity, type and duration in patients with knee osteoarthritis (KOA) . Methods: A retrospective study of 195 KOA patients who were followed for two years after receiving educational material about KOA with or without attending classes. The patients were evaluated at baseline and 24 months. At the evaluations, the patients answered questionnaires pertaining to pain and function (WOMAC, Lequesne, VAS and SF-36); reported the intensity, duration and type of exercise performed per week; and performed the Timed Up & Go (TUG) and Five Times Sit-to-Stand (FTSST) tests . Results: Increased age affected improvements in the TUG results (p=0.017). The type, intensity and duration of physical activity did not correlate with pain, function or quality of life improvements (p>0.05), but the TUG results were on average 4 seconds faster among the patients who practiced intense physical activity and/or exercised for more than 180 minutes per week and/or performed isolated weight training or swam compared with those who remained sedentary after 2 years (p=0.01; p<0.001; p=0.01; p=0.04, respectively) . Conclusions: Patients with KOA should aim for intense physical activity and/or more than 180 minutes of exercise per week and/or weight training (bodybuilding) for relevant pain reduction and functional improvement. Level of Evidence II, Retrospective Study.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Intensity, Duration and Type of Physical Activity Required to Improve Function in Knee Osteoarthritis

et al. 2017

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“…However, functional capacity has been primarily assessed through self-administered questionnaires [ 20 , 23 ]. More recently, the TUGT and FTSST has shown to improve after educational programs in individuals with knee OA [ 24 , 25 ]. The present study was pioneer in investigating the effect of an educational program on functional capacity measured through different tests that represent the ability to perform different daily activities.…”

Section: Discussionmentioning

confidence: 99%

Educational program promoting regular physical exercise improves functional capacity and daily living physical activity in subjects with knee osteoarthritis

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Rezende

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et al. 2017

BMC Musculoskelet Disord

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BackgroundPhysical exercise and educational programs promote several benefits for patients with knee osteoarthritis (OA). However, little is known about the effects of educational programs promoting the regular practice of physical exercise. The purpose of the present study was to assess the effect of an interdisciplinary educational program, emphasizing the recommendation for regular practice of physical exercise, on functional capacity and daily living physical activity in individuals with knee OA.MethodsTwo hundred and thirty-nine individuals (50 men) with an established diagnosis of knee OA (degree I to IV in the Kelgreen and Lawrence scale) were randomly allocated into a multidisciplinary educational program (EDU; n = 112) or control group (CON; n = 127). Functional capacity (sit and reach, 6-min walking test (6MWT), timed up and down stairs test, timed up and go test (TUGT), and five times sit-to-stand test (FTSST)) and daily living physical activity (IPAQ, short version) were measured before, during (6 months) and after 12 months of follow-up.ResultsBody mass index reduced significantly (P < 0.05) after 6 months, and remained reduced after 12-month of follow-up in EDU, but not in CON. EDU group improved (P < 0.05) timed up and down stairs (19%), TUGT (32.5%) and FTSST (30%) performance after 6 months of follow-up, which remained improved after 12 months of follow-up. Functional capacity did not change in CON, excepted for the timed up and down stairs performance that increased after 6 months (12%, P < 0.05), but returned to levels similar to baseline after 12 months of follow-up. There was also an increase (P < 0.05) in the prevalence of active and very active individuals, as well as a reduction (P < 0.05) in the prevalence of sedentary individuals in EDU group during follow-up. There were no significant changes on sit and reach and 6MWT performance during follow-up in both groups.ConclusionsThe results suggest that an educational program emphasizing the recommendation for regular practice of physical exercise may be an effective tool for improving functional capacity and daily physical activity in individuals with knee OA.Trial registration NCT 02335034, December 22, 2014.

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“…We created an educational program for patients with OA of the knee which from the outset included clinical and radiographic evaluation of all patient complaints, including the hands, in addition to classes on joint protection. 11 - 15 Approximately 70% of our sample was composed of patients with multiple OA and comorbidities, mainly affecting the knees, spine, and hands. 15 The program addressed holistic treatment of OA that extended beyond an educational program with or without classes and provided patients with routine diacerein, analgesics, hand orthotics, acupuncture and physiotherapy as required.…”

Section: Introductionmentioning

confidence: 99%

Effect of the P.A.R.Q.V.E on Rhizarthritis

et al. 2018

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Objective:To evaluate the effect of a clinical management program involving education on hand function in patients with rhizarthritis. Methods:One hundred and eight patients with rhizarthritis and multiple arthritis (191 hands with clinical and radiographic rhizarthritis) followed for two years as part of an educational program on osteoarthritis were administered the SF-36, DASH, and HAQ questionnaires and measured for the strength of their palmar grip, pulp to pulp pinch, key (lateral) pinch, and tripod pinch at the time of inclusion and after 24 months. Age, race, level and frequency of physical activity, sex, body mass index, percentage of body fat, and degree of osteoarthritis were correlated to the test outcomes. Results:Women improved less than men on the HAQ (p=0.037). Each 1% reduction in fat percentage increased the chance of HAQ score improvement by 9.2% (p=0.038). Physical activity did not influence improvement in the parameters evaluated (p>0.05). Palmar grip improvement was affected by age and presence of rhizarthritis (p<0.05); patients with unilateral rhizarthritis improved 5.3 times more than patients without the disease (p=0.015), while improvement in palmar grip strength decreased 6.8% per year (p=0.004). Pulp pinch grip strength improved more in women than in men (p=0.018). Conclusion:Patients with rhizarthritis and multiple arthritis improved quality of life and grip strength through clinical treatment, an educational program, and fat loss. Level of Evidence II; Retrospective study.

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Parqve: Project Arthritis Recovering Quality of Life Through Education: Two-Year Results

Cited by 11 publications

References 7 publications

Intensity, Duration and Type of Physical Activity Required to Improve Function in Knee Osteoarthritis

Intensity, Duration and Type of Physical Activity Required to Improve Function in Knee Osteoarthritis

Educational program promoting regular physical exercise improves functional capacity and daily living physical activity in subjects with knee osteoarthritis

Effect of the P.A.R.Q.V.E on Rhizarthritis

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