Sensory-motor training versus resistance training among patients with knee osteoarthritis: randomized single-blind controlled trial

Abstract

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.

Adult Measures of General Health and Health‐Related Quality of Life

“…Some examples of recent trials that utilized the SF‐36 include the assessments of the efficacy of debridement of unstable chondral lesions versus observation following arthroscopic partial meniscectomy , intra‐articular ozone versus placebo in knee osteoarthritis , the effects of Tai Ji Quan training versus health promotion classes on self‐reported sleep quality in elderly Chinese women with knee osteoarthritis , tofacitinib in combination with conventional disease‐modifying antirheumatic drugs in rheumatoid arthritis , acupuncture versus sham procedure for knee osteoarthritis , and andrographis paniculata extract versus placebo in knee osteoarthritis . The SF‐36 was also used in comparative effectiveness trials, including trials comparing muscle‐stretching exercise and resistance training in fibromyalgia , sensory‐motor training versus resistance training among patients with knee osteoarthritis ; and quadriceps strength training alone versus quadriceps and hip abductor strength training in knee osteoarthritis .…”

Stationary cycling exercise for knee osteoarthritis: A systematic review and meta-analysis

“…It appears that while stationary cycling offers some benefits, it is not a panacea for knee osteoarthritis. 39,40 From a cost point of view, it may be economical for individuals with knee osteoarthritis to add in body-weight knee-loading exercises such as Tai Chi and Walking. [41][42][43] There are three main limitations to the current review.…”

Fisioterapia e qualidade de vida na osteoartrose de joelho

“…O fortalecimento com exercícios resistidos foi aplicado em 8 estudos [7,9,10,[12][13][14]16,18], de forma isolada ou associada a outras técnicas. Para Jiménez et al [20], o treino de força e educação do paciente melhoram a função e qualidade de vida.…”