Clinical trial NCT05610696: Different Modalities of Aquatic Physiotherapy in Patients With Knee Osteoarthrosis
Official title: Effects of Different Modalities of Aquatic Physiotherapy on Biomechanical and Functional Behavior of Subjects With Knee Osteoarthrosis
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Osteoarthritis of the Knee
Keywords: Osteoarthritis
Hydrotherapy
Lead sponsor: Federal University of Health Science of Porto Alegre
Sponsor class: OTHER
First posted: 2022-11-09
Enrollment: 15
Sex: ALL
Minimum age (years): 50
Maximum age (years): 95
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: Randomized clinical trial, of the crossover type
Primary purpose: TREATMENT

Brief summary: The aim of this study is to evaluate the effects of different modalities of aquatic physiotherapy on the biochemical and functional behavior of patients with knee's Osteoarthritis.

Detailed description: The subjects will be informed about the study and its potentials risks and sign the informed consent. The sample will be submitted to three different modalities of AF interventions: (a) low impact immersion, (b) conventional aquatic physiotherapy and (c) high intensity aquatic physiotherapy. The functional variables of flexibility, pain, joint volume will be evaluated before and immediately after each intervention whereas the biochemical variables will be evaluated from the analysis of peripheral blood following times: baseline moment (immediately before the intervention), moment 1 (immediately after the intervention), and moment 2 (24 hours after the intervention).

Eligibility criteria: Inclusion Criteria:

* Patients over 50 years old and diagnosed with OA in at least one knee
* Presence of pain and at least one functional dysfunction for at least 6 months
* Absence of physical limitation that prevents the exercise protocol from being performed
* Kellgren and Lawrence ranking between I and IV
* walk independently and without auxiliary device

Exclusion Criteria:

* Inflammatory, rheumatic or autoimmune conditions
* Use of psychotropic, immunosuppressive and steroid medications
* Antioxidant consumption
* Alcohol and tobacco consumption
* Progressive ankylosis states
* neurological injuries
* Infections or skin diseases that contraindicate swimming pool immersion
* Surgical procedures on the knee joint in the last 12 months (excluding meniscectomy or arthroscopy)
* Lower Limb Joint Prosthesis
* Presence of inflammatory or infectious diseases, uncontrolled systemic arterial hypertension, uncontrolled diabetes, chronic obstructive pulmonary disease and history of ischemic heart disease
* Self-report of aquatic phobia and chlorine allergies

Primary outcomes:
measure: Biochemical variables over time
timeFrame: Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention) measured in all interventions
measure: Biochemical variables over time
timeFrame: Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention) measured in all interventions in mg/mL
Secondary outcomes:
measure: Degree of pain over time
timeFrame: Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention) measured in all interventions.
measure: Edema over time
timeFrame: Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention)
measure: Flexibility over time
timeFrame: Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention) measured in all interventions.
measure: Muscle strength over time
timeFrame: Baseline moment (immediately before the intervention), moment 1 (immediately after the intervention) measured in all interventions.
Other outcomes:
Locations:
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