Efficacy of Proprioceptive Neuromuscular Facilitation in Older Women With Gonarthrosis

Study Overview
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Brief Summary
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To evaluate the effectiveness of the method Proprioceptive Neuromuscular Facilitation (PNF) as physical therapy approach to the reduction of pain and improvement in functional performance and quality of life in women with knee osteoarthritis.

Detailed Description
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Patients will be divided into two groups: group perform proprioceptive neuromuscular facilitation and other group submit performing resistance exercises.

Official Title
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Efficacy of Proprioceptive Neuromuscular Facilitation About Functional Performance, Pain and Quality of Life in Older Women With Gonarthrosis: Randomized Controlled Trial

Conditions
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Osteoarthritis Knee

Intervention / Treatment
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* Other: Proprioceptive neuromuscular facilitation (PNF)
* Other: Resistance exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women; Age between 50 and 80 years; Clinical diagnosis of Osteoarthritis of knees ; Patients with presence of at least 90 ° range of motion of knee flexion ; Do not practitioners of physical exercise and physical therapy during the period of participation in the survey Exclusion Criteria: Diagnosis of other rheumatological and neurological diseases ; orthopedic surgery History in the lower limbs ; Individuals with muscle strength of the lower limbs <3 ; Cognitive impairment or neurological disease that compromises the understanding and implementation of the Protocol (Mini Mental State Examination <18 for the illiterate and <24 for others); Body mass index ≥ 30.0 (obesity , according to the World Health Organization ) . Individuals classified as physical activity level very active by the IPAQ (International Physical Activity Questionnaire ) .

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Proprioceptive neuromuscular facilitation (PNF);<br>Proprioceptive neuromuscular facilitation, using the technique of rhythmic initiation and Combination of Isotonic on lower members | Other: Proprioceptive neuromuscular facilitation (PNF)<br>* Proprioceptive neuromuscular facilitation, using the technique of rhythmic initiation and Combination of Isotonic on lower members<br>|
| Experimental: resistance exercise<br>Resistance exercise to strengthen lower limbs | Other: Resistance exercise<br>* resistance exercise to strengthen lower limbs<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in pain | Pain control diary | change from baseline in pain 6th - 12th week | 
| Quality of life | Western Ontario and McMaster Universities Questionaire | change from baseline in quality of life 6th-12th week | 
| Functional performance | 30 s -chair stand test | Change based on functional performance 6th - 12th week | 
| Quality of life | Medical Outcomes Study 36 - Item Short - Form Health Survey | Change based on functional performance 6th - 12th week | 
| Functional Performance | Walk Test of 40 meters at a rapid pace | Change based on functional performance 6th - 12th week | 
| Functional Performance | Stair climb test | Walk Test of 40 meters at a rapid pace | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain sensitivity threshold | Algometry | change from baseline in pain threshold 6th-12th week pressure | 
| Range of motion | Universal Goniometer | change from baseline in the range of knee flexion 6th-12th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Proprioceptive Neuromuscular Facilitation (PNF ), resistance exercise