Rezende Márcia Uchoa DE, Frucchi Renato, Pailo Alexandre Felício, Campos Gustavo Constantino DE, Pasqualin Thiago, Hissadomi Marcelo Issao
. Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil.
Acta Ortop Bras. 2017 Jan-Feb;25(1):18-24. doi: 10.1590/1413-785220172501165604.
To evaluate the effects of a multi-professional educational program in patients with knee osteoarthritis (KOA)
Prospective randomized controlled trial with 195 KOA patients. One group was submitted to two-day lectures and received educational material about KOA (Class group), and the control group received the educational material only. Patients were evaluated at baseline, twelve and 24 months. At evaluation, patients answered pain and functional questionnaires (WOMAC, Lequesne, VAS and SF-36); reported the intensity of exercise per week; measured the body fat percentage, weight and height to estimate body mass index (BMI); and performed Timed Up & Go (TUG) and Five-Times-Sit-to-Stand (FTSST) tests
The groups presented similar results in all time points with respect to pain (VAS and WOMAC pain), WOMAC, BMI and body fat percentage (p>0.05). The Class group exhibited improved function according to the Lequesne questionnaire, whereas the control group worsened (p=0.02) during follow-up (p<0.02). TUG (p=0.01) and FTSST (p<0.001) improved in the Class group. A higher percentage of patients in the Class group performed regular physical activity (p=0.045)
The educational program with classes improved the consistency of physical activity and the subjective and objective function of patients with KOA.
评估一项多专业教育项目对膝关节骨关节炎(KOA)患者的影响。
对195例KOA患者进行前瞻性随机对照试验。一组参加为期两天的讲座并收到有关KOA的教育材料(课堂组),对照组仅收到教育材料。在基线、12个月和24个月时对患者进行评估。评估时,患者回答疼痛和功能问卷(WOMAC、Lequesne、视觉模拟评分法[VAS]和简短健康调查[SF-36]);报告每周运动强度;测量体脂百分比、体重和身高以估算体重指数(BMI);并进行计时起立行走测试(TUG)和五次坐立试验(FTSST)。
在疼痛(VAS和WOMAC疼痛)、WOMAC、BMI和体脂百分比方面,两组在所有时间点的结果相似(p>0.05)。根据Lequesne问卷,课堂组在随访期间功能改善,而对照组功能恶化(p=0.02)(p<0.02)。课堂组的TUG(p=0.01)和FTSST(p<0.001)有所改善。课堂组中进行规律体育活动的患者比例更高(p=0.045)。
课堂教育项目改善了KOA患者体育活动的持续性以及主观和客观功能。