Relação entre intensidade de dor e capacidade funcional em indivíduos obesos com osteoartrite de joelho

Vasconcelos, K.S.S; Dias, João Marcos Domingues; Dias, R. C.

doi:10.1590/s1413-35552006000200012

Cited by 45 publications

(48 citation statements)

References 19 publications

(17 reference statements)

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“…It should be noted, however, that these authors assessed pain using a visual analogical scale, which also may not represent the perception of pain of these individuals in their usual activities. Moreover, Vasconcelos, Dias and Dias 31 found correlation between the pain section of the WOMAC questionnaire and functional capacity. These findings emphasize the importance of pain assessment using this questionnaire.…”

Section: Discussionmentioning

confidence: 92%

Knee extensor torque of men with early degrees of osteoarthritis is associated with pain, stiffness and function

Serrão

Gramani-Say

Lessi

et al. 2012

Rev. bras. fisioter.

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Knee extensor torque of men with early degrees of osteoarthritis is associated with pain, stiffness and function Homens com graus iniciais de osteoartrite apresentam correlação entre torque extensor do joelho e dor, rigidez e função Paula R. M. S. Serrão, Karina Gramani-Say, Giovanna C. Lessi, Stela M. Mattiello AbstractBackground: Osteoarthritis (OA) is a chronic-degenerative disease. The knee is the most commonly affected joint and the symptoms are generally attributed to quadriceps muscle weakness. However, few studies have evaluated this relationship in a population with early stages of knee OA. Objective: To investigate whether a correlation among the knee extensor torque and the three subscales of the WOMAC questionnaire in men with early stages of knee OA exists. Method: Twenty-one men with knee OA grades I or II (according to Kellgren and Lawrence* criteria) participated in this study. The concentric and eccentric knee extensor torque were assessed using a Biodex System 3 Pro ® isokinetic dynamometer, at a speed of 90°/s. Self-reported symptoms and disability were assessed using the WOMAC questionnaire. Spearman's correlation coefficient was used to test the relationship between the dependent variables (three subscales of WOMAC questionnaire) and the independent variables (average knee extensor peak torque). Results: We found a strong negative correlation between the concentric extensor torque and pain (r=-0.7, p<0.001) and a moderate and negative correlation among the concentric extensor torque and stiffness (r=-0.62, p=0.002) and physical function (r=-0.54, p=0.011). Eccentric extensor torque presented a moderate and negative correlation with the three subscales of the WOMAC (r=-0.40 to 0.69, p<0.05). Conclusions: The concentric and eccentric knee extensor torque is significantly correlated with self-report symptoms of patients in initial stages of knee OA. Therefore, the strengthening of the quadriceps muscles, through concentric and eccentric exercise is indicated for these patients in order to minimize these symptoms.Trial registration: number RBR-8q4zfh.Keywords: physical therapy; knee osteoarthritis; WOMAC; muscle strength. ResumoContextualização: A osteoartrite (OA) é uma doença crônico-degenerativa. O joelho é a articulação mais afetada, e os sintomas geralmente são atribuídos à fraqueza do músculo quadríceps. Entretanto, poucos estudos têm avaliado essa relação em indivíduos com graus iniciais de OA. Objetivo: Verificar se existe correlação entre o torque extensor do joelho e as seções dor, rigidez e função física do questionário WOMAC de homens com OA de joelho nos graus iniciais. Método: Participaram deste estudo 21 homens com OA de joelho graus I ou II (segundo critérios de Kelgren e Lawrence*). Foi avaliado o torque extensor concêntrico e o excêntrico do joelho por meio do dinamômetro isocinético (Biodex System 3 Pro ® ), na velocidade de 90º/s. O autorrelato de sintomas e incapacidades foi avaliado por meio do questionário WOMAC. O Coeficiente de Correlação de Spearman foi utilizado para d...

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Section: Discussionmentioning

confidence: 92%

Knee extensor torque of men with early degrees of osteoarthritis is associated with pain, stiffness and function

Serrão

Gramani-Say

Lessi

et al. 2012

Rev. bras. fisioter.

View full text Add to dashboard Cite

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“…The test was performed on a 10m track, but the speed was only recorded from the middle 6m to avoid acceleration and deceleration bias. The average of two attempts was used for analysis 8,17 .…”

Section: Methodsmentioning

confidence: 99%

“…A Jamar  hydraulic hand dynamometer (Sammons Preston Rolyan, Bolingbrook, Illinois), which allows objective, reliable, safe and effective grip and pinch strength evaluation, was used to evaluate HG 16 . Habitual Walking Speed (HWS) and Fast Walking Speed (FWS) were measured with the Multisprint  kit for computerized evaluation of physical performance, which consists of reflectors and photoelectric cells that are connected to a computer running Multisprint  software 8,17 . LPA was obtained via self-reported performance on the Human Activity Profile (HAP) questionnaire, which is a valid, reliable instrument that has been translated and culturally adapted for the Brazilian population 18 and allows the classification of subjects as either active, moderately active or inactive.…”

Section: Instrumentationmentioning

confidence: 99%

A study on the relationship between muscle function, functional mobility and level of physical activity in community-dwelling elderly

Garcia¹,

Dias²,

Dias³

et al. 2011

Braz. J. Phys. Ther.

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“…A condromalácia patelar (CP) e a osteoartrite (OA) de joelho apresentam-se como condições crônicas degenerativas associadas à fraqueza e à inibição muscular 1 . A CP caracteriza-se pelo amolecimento e degeneração da cartilagem articular 2 .…”

Section: Introductionunclassified

Inibição muscular dos extensores do joelho em sujeitos acometidos por condromalácia patelar e osteoartrite do joelho - um estudo de revisão sistemática

Pompeo¹,

Mello²,

Vaz³

2012

Fisioter. Pesqui.

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| Muscle inhibition (MI) has been reported as one of the factors associated with muscle weakness present in osteoarthritis (OA) and chondromalacia patellae (CP), including being associated with the etiology and progression. However, there seems to be a gap in the literature regarding the review studies that assessed the degree of IM subjects affected by CP and OA. The main objective of study was bringing together the results of studies that investigated the degree of OA in the MI and CP and to identify possible differences in IM which are linked to stages of the degenerative process. We included crosssectional and/or experimental studies published in the databases PubMed, Scopus, SciELO and Cochrane between 1990 and 2010 that evaluated the MI through interpolation twitch techniques. Data on population characteristics, MI protocol, quality of studies and MI results were summarized and presented in Tables. For quality analysis, it was used the scale PEDro. After applying the inclusion criteria, 13 articles were included in the systematic review (OA=9 and CP=4). Based on the analysis of the data, there MI>CP compared to OA. However, the variability of protocols, as well as the lack of information about the IM protocols, indicates the need for further experimental studies in order that we can determine more precisely the relationship between IM and degenerative joint diseases.Keywords | systematic review; muscle inhibition; chondromalacia patellae; osteoarthritis.RESUMO | A inibição muscular (IM) tem sido reportada como um dos fatores associados à fraqueza muscular presente na osteoartrite (OA) e condromalácia patelar (CP), sendo inclusive associada com a etiologia e a progressão. Entretanto, parece existir uma lacuna na literatura em relação a estudos de revisão que avaliaram o grau de IM de sujeitos acometidos por CP e OA. O objetivo do estudo foi reunir os resultados de estudos que investigaram o grau de IM na OA e CP e identificar possíveis diferenças na IM que estejam associadas aos estágios do processo degenerativo. Foram incluídos nesta revisão sistemática estudos transversais e/ou experimentais publicados nas bases de dados PubMed, Scopus, SciELO e Cochrane entre 1990 e 2010 que avaliaram a IM por meio da técnica de interpolação de abalo publicados. Os dados referentes à população, protocolo de IM, qualidade dos estudos e resultados de IM foram sumariados e apresentados em Tabelas. Para análise da qualidade, utilizou-se a escala de PEDro. Após a aplicação dos critérios de inclusão, 13 artigos foram incluídos na revisão sistemática (OA=9 e CP=4). A partir da análise dos dados, observou-se uma IM maior na CP em comparação à OA. Contudo, a variabilidade metodológica e a falta de informações sobre os protocolos de IM indicam a necessidade de novos estudos experimentais a fim de que se possa determinar com maior precisão a relação entre a IM e as doenças degenerativas articulares.Descritores | revisão sistemática; inibição muscular; condromalácia patelar; osteoartrite.Inibição muscular dos extensores do ...

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Relação entre intensidade de dor e capacidade funcional em indivíduos obesos com osteoartrite de joelho

Cited by 45 publications

References 19 publications

Knee extensor torque of men with early degrees of osteoarthritis is associated with pain, stiffness and function

Knee extensor torque of men with early degrees of osteoarthritis is associated with pain, stiffness and function

A study on the relationship between muscle function, functional mobility and level of physical activity in community-dwelling elderly

Inibição muscular dos extensores do joelho em sujeitos acometidos por condromalácia patelar e osteoartrite do joelho - um estudo de revisão sistemática

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