Different Modalities of Aquatic Physiotherapy in Patients With Knee Osteoarthrosis

Federal University of Health Science of Porto Alegre

Status: Not yet enrolling

Conditions: Osteoarthritis of the Knee

Treatments: Other: Conventional aquatic physiotherapy; Other: High intensity aquatic physiotherapy; Other: Low impact immersion

Study type: Interventional

Funder types: Other

Identifiers

NCT05610696

FUHSPortoAlegreCesar

Details and patient eligibility

About

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.

Full 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).

Enrollment: 15 estimated patients

Sex: All

Ages: 50 to 95 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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15 participants in 3 patient groups

Low impact immersion

Experimental group

Description:

This intervention will use the principles of Ai Chi, a model defined as a low-intensity aquatic exercise strategy

Treatment:

Other: Low impact immersion

Conventional aquatic physiotherapy

Experimental group

Description:

In this intervention, medium impact exercises will be performed, with a comfortable movement speed.

Treatment:

Other: Conventional aquatic physiotherapy

High intensity aquatic physiotherapy

Experimental group

Description:

In this intervention, high-impact exercises will be performed, with maximum movement speed, twice time of the medium-intensity protocol

Treatment:

Other: High intensity aquatic physiotherapy