Effects of group kinesiotherapy on primary and secondary symptoms of osteoarthrosis

Marcela Regina De Camargo,Renilton José Pizzol,Ellene Cristine Lopes De Oliveira,Cíntia Tiemi Gushiken,Cristina Elena Prado Teles Fregonesi,Alessandra Madia Mantovani

doi:10.4025/actascihealthsci.v42i1.47087

Marcela Regina De Camargo, Renilton José Pizzol + Show 4 more

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https://doi.org/10.4025/actascihealthsci.v42i1.47087

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Abstract

The aim of this study was to investigate the influence of a specific, kinesiotherapy-based rehabilitation program on the various symptoms of osteoarthrosis (OA), following group treatment. Thirty-one individuals, of both sexes, aged over 50 years and with medical diagnosis of OA, underwent 16 sessions, twice a week, totaling eight weeks, of a specific rehabilitation protocol based on group kinesiotherapy. Primary OA symptoms were assessed (directly related to the disease: OA symptoms, trunk flexibility, balance and pain), and so were secondary ones (indirectly related to the disease: signs of depression and anxiety, and quality of life). Data were tested through Student's t test or Wilcoxon's test, and contingencies of categorical data were analyzed using McNemar's test. There was an improvement in all primary symptoms of OA after the kinesiotherapy protocol was applied. Signs of anxiety and depression improved only in contingency, when risk stratification was taken into account. In addition, physical components of quality of life also showed improvement, which did not occur with mental components though. Therefore, the kinesiotherapy-based rehabilitation program was capable of positively influencing all primary symptoms, and only some aspects of secondary OA symptoms.

Highlights

Osteoarthrosis (OA) is a chronic-degenerative rheumatic disease of the cartilage, characterized by wear due to an imbalance between formation and destruction of its main components, as a consequence of trauma, overuse and genetic predisposition (Hayashi, Roemer, & Guermazi, 2018; Pereira, Ramos, & Branco, 2015)
The aim of this study was to verify the influence of group kinesiotherapy on OA symptoms
Regarding the primary symptoms of OA, the proposed treatment program was effective in improving this population's general symptoms, since the WOMAC score was lower in the post-test

Summary

Introduction

Osteoarthrosis (OA) is a chronic-degenerative rheumatic disease of the cartilage, characterized by wear due to an imbalance between formation and destruction of its main components, as a consequence of trauma, overuse and genetic predisposition (Hayashi, Roemer, & Guermazi, 2018; Pereira, Ramos, & Branco, 2015). Pain is the main cause of restriction to physical activity, leading to muscle weakness and hypotrophy, which culminate in decreased physical fitness. The latter, in its turn, leads to an increase in pain, generating incapacity (Runhaar, Luijsterburg, Dekker, & Bierma-Zeinstra, 2015; Sakalauskiene et al, 2010; Sandell, 2012; Silva et al, 2009)

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