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

Aline Bassoli Gomiero, Andrea Kayo, Marcelo Abraão, Maria Stella Peccin, Antonio Jose Grande, Virginia Fernandes Trevisani, Aline Bassoli Gomiero, Andrea Kayo, Marcelo Abraão, Maria Stella Peccin, Antonio Jose Grande, Virginia Fernandes Trevisani

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.

Trial registration: ClinicalTrials.gov NCT01529398.

Conflict of interest statement

Conflict of interest: The authors declare that they did not have any conflict of interest

Figures

Figure 1:. Flow diagram of the progress…
Figure 1:. Flow diagram of the progress through the phases of the study.

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Source: PubMed

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