水上物理治疗对老年膝骨关节炎患者疼痛感知、功能能力及生活质量的影响：一项随机对照试验的研究方案
Effect of aquatic physical therapy on pain perception, functional capacity and quality of life in older people with knee osteoarthritis: study protocol for a randomized controlled trial.
作者信息
Alcalde Guilherme Eleutério, Fonseca Ana Carolina, Bôscoa Thais Fernanda, Gonçalves Mirella Regina, Bernardo Gabriele Candido, Pianna Bruna, Carnavale Bianca Ferdin, Gimenes Camila, Barrile Silvia Regina, Arca Eduardo Aguilar
机构信息
Universidade do Sagrado Coração, Street Irmã Arminda, 10-50, Jardim Brasil, Bauru, SP, Brazil.
Universidade Federal de São Carlos, São Carlos, SP, Brazil.
出版信息
Trials. 2017 Jul 11;18(1):317. doi: 10.1186/s13063-017-2061-x.
BACKGROUND
Aquatic therapy promotes short-term benefits for patients with knee osteoarthritis (OA), and it may be the first therapeutic option for this pathological condition. The objective of this study was to investigate the effects of an aquatic therapy program on pain intensity, functional ability, and quality of life in older people with knee OA.
METHODS/DESIGN: This is a parallel, two-arm, open, randomized controlled clinical trial with older people with knee OA. Volunteers will be allocated to an aquatic intervention group (WG), subjected to the intervention, or to a control group, not be subjected to any kind of intervention. Data collection pre- and postintervention will be composed of the evaluation of the perception of pain by visual analogue scale with application of nociceptive stimuli in four anatomical points of the knee, functional fitness tests, and application of the World Health Organization Quality of Life Scale abbreviated version and Western Ontario and McMaster Universities Osteoarthritis Index. The program will last 12 weeks, consisting of aerobic and functional exercises in the form of circuit training.
DISCUSSION
The objective of this clinical trial is to evaluate the effect of aquatic therapy in elderly patients with knee OA. The study is guided by practice-based scientific evidence for the use of aquatic rehabilitation exercises. It is expected that the WG volunteers will show reduced pain intensity, increased flexibility, and improved functional capacity and quality of life. It is believed that the desired results can be attributed to physical and physiological effects of immersion in warm water associated with the exercise protocol proposed. The data will be published after completion of the study.
TRIAL REGISTRATION
Brazilian Registry of Clinical Trials (ReBEC) registration number: RBR-78h48d . Registered on 19 August 2015.
背景
水疗对膝骨关节炎（OA）患者有短期益处，可能是这种病理状况的首选治疗方法。本研究的目的是调查水疗方案对老年膝OA患者疼痛强度、功能能力和生活质量的影响。
方法/设计：这是一项针对老年膝OA患者的平行、双臂、开放、随机对照临床试验。志愿者将被分配到水疗干预组（WG）接受干预，或分配到对照组不接受任何干预。干预前后的数据收集将包括通过视觉模拟量表评估疼痛感知，在膝关节的四个解剖部位施加伤害性刺激，进行功能适应性测试，以及应用世界卫生组织生活质量量表简版和西安大略和麦克马斯特大学骨关节炎指数。该方案将持续12周，包括以循环训练形式进行的有氧运动和功能锻炼。
讨论
本临床试验的目的是评估水疗对老年膝OA患者的效果。该研究以水康复锻炼的循证医学证据为指导。预计WG组志愿者的疼痛强度会降低，灵活性会提高，功能能力和生活质量会改善。据信，预期结果可归因于温水浸泡的物理和生理效应以及所提议的运动方案。研究完成后将公布数据。
试验注册
巴西临床试验注册中心（ReBEC）注册号：RBR-78h48d。于2015年8月19日注册。
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