Efeitos de dois programas de telerreabilitação sobre o estado de saúde de pessoas com osteoartrite de joelho: estudo piloto

Abstract

Introduction: Telerehabilitation can be an alternative for the maintenance of supervised and long-term physical exercise, so the objective of this study was to evaluate its effects for people with knee osteoarthritis Methods: Randomized clinical trial, single blind, with pre and post intervention evaluations in two groups: synchronous (GS), performed the exercise program via video call (WhatsApp); and asynchronous (GA), performed the same exercise program with the aid of a booklet. All underwent initial assessment and reassessment after 6 weeks of intervention, with physical performance tests and questionnaires (Western Ontario and McMaster Universities Osteoarthritis Index - WOMAC; the World Health Organization Quality of Life -WHOQOL-bref and the TAMPA Scale for Kinesiophobia - ETC ) and the Exercise Adherence Rating Scale (EARS) in the post-intervention period. Results: We evaluated 9 participants so far (90% female), mean age 58.4 years, BMI 30.34kg/m2. There was no interaction between time and groups in the evaluated outcomes. We observed improvement after 6 weeks in relation to ETC and the stiffness domain and in the total WOMAC score when comparing pre and post intervention groups (GS+GA). In the EARS, the GS presented an average of 22.4(3.6) and the GA, 20.3(3.3) in section B, and 32.0(1.0) and 30.5(6.3 ), in section C, indicating good acceptance of both programs. Conclusion: In the preliminary results, we observed that both programs are feasible and well accepted. However, it was not possible to make consistent conclusions regarding the synchronous and asynchronous modality regarding pain, quality of life and functionality.