| Texto completo | |
| Autor(es): |
Trombini-Souza, Francis
[1]
;
Matias, Alessandra B.
[1]
;
Yokota, Mariane
[1]
;
Butugan, Marco K.
[1]
;
Goldenstein-Schainberg, Claudia
[2]
;
Fuller, Ricardo
[2]
;
Sacco, Isabel C. N.
[1]
Número total de Autores: 7
|
| Afiliação do(s) autor(es): | [1] Univ Sao Paulo, Sch Med, Dept Physiotherapy Speech & Occupat Therapy, BR-05360160 Sao Paulo - Brazil
[2] Univ Sao Paulo, Sch Med, Div Rheumatol, BR-05360160 Sao Paulo - Brazil
Número total de Afiliações: 2
|
| Tipo de documento: | Artigo Científico |
| Fonte: | CLINICAL BIOMECHANICS; v. 30, n. 10, p. 1194-1201, DEC 2015. |
| Citações Web of Science: | 10 |
| Resumo | |
Background: Efforts have been made to retard the progressive debilitating pain and joint dysfunction in patients with knee osteoarthritis. We aimed to evaluate the therapeutic effect of a low-cost minimalist footwear on pain, function, clinical and gait-biomechanical aspects of elderly women with knee osteoarthritis. Methods: Throughout a randomized, parallel and controlled clinical trial, fifty-six patients with medial knee osteoarthritis were randomly allocated to an intervention (n = 28) or control group (n = 28), and assessed at baseline and after three and six months. The intervention involved wearing Moleca footwear for at least 6 h/day, 7 days/week, over 6 months. The pain subscale of the Western Ontario and McMaster Universities Osteoarthritis Index was the primary outcome. The secondary outcomes were the other subscales, Lequesne score, distance walked in 6 min, knee oedema and effusion, knee adduction moment and paracetamol intake. Intention-to-treat analysis was performed using two-way casewise ANOVA (< .05) and Cohen's d coefficient. Findings: Intervention group showed improvement in pain (effect size: 1.41, p < .001), function (effect size: 1.22, p = .001), stiffness (effect size: 0.76, p = .001), Lequesne score (effect size: 1.07, p < .001), and reduction by 21.8% in the knee adduction moment impulse (p = .017) during gait wearing Moleca (R). The analgesic intake was lower in the intervention group. Interpretation: The long-term use of Moleca (R) footwear relieves pain, improves self-reported function, reduces the knee loading while wearing Moleca (R), refrains the increase of analgesic intalce in elderly women with knee ostearthritis and can be considered as a conservative mechanical treatment option. (C) 2015 Elsevier Ltd. All rights reserved. (AU) | |
| Processo FAPESP: | 11/03300-0 - Influência terapêutica de um calçado flexível, sem salto e de baixo custo sobre os aspectos clínicos e cinemáticos da marcha de idosas com osteoartrite de joelho |
| Beneficiário: | Alessandra Bento Matias |
| Modalidade de apoio: | Bolsas no Brasil - Iniciação Científica |
| Processo FAPESP: | 11/01640-8 - Efeito terapêutico de um calçado flexível e sem salto sobre os aspectos clínicos, funcionais e biomecânicos da marcha de idosas com osteoartrite de joelho: um ensaio clínico randomizado |
| Beneficiário: | Francis Trombini de Souza |
| Modalidade de apoio: | Bolsas no Brasil - Doutorado |
| Processo FAPESP: | 11/03069-6 - Efeito crônico da utilização de um calçado flexível e sem salto sobre os aspectos clínicos e cinéticos da marcha de idosas com osteoartrite de joelho |
| Beneficiário: | Mariane Yokota |
| Modalidade de apoio: | Bolsas no Brasil - Iniciação Científica |