
INTENSITY, DURATION AND TYPE OF PHYSICAL ACTIVITY REQUIRED TO IMPROVE FUNCTION IN KNEE OSTEOARTHRITIS
2017; Brazilian Society of Orthopedics and Traumatology; Volume: 25; Issue: 1 Linguagem: Inglês
10.1590/1413-785220172501166212
ISSN2176-7521
AutoresR Kirihara, FELLIPE BRAVIM CATELAN, F.E. Farias, Cleidnéia Aparecida Clemente da Silva, C.H. Cernigoy, Márcia Uchôa de Rezende,
Tópico(s)Knee injuries and reconstruction techniques
ResumoTo evaluate the effects of physical activity intensity, type and duration in patients with knee osteoarthritis (KOA) .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 .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 0,05), porém os resultados do TUG foram em média 4 seg mais rápidos em pacientes que praticavam atividade física intensa e/ou acima de 180 min por semana e/ou musculação isolada, ou ainda, musculação ou natação, em relação aos pacientes sedentários (p=0,01; p<0,001; p=0,01; p=0,04, respectivamente) após dois anos. Pacientes praticantes de musculação tinham menos dor que os sedentários após o programa (p=0,009) .Pacientes com OAJ são aconselhados a objetivar atividade física intensa e/ou acima de 180 min por semana e/ou musculação para atingir melhora algo-funcional relevante.Nível de Evidência II, Estudo Retrospectivo.
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