Efeitos de um protocolo de treinamento em circuito periodizado via telerreabilitação para adultos com osteoartrite de joelho ; Effects of a periodized circuit training protocol delivered via telerehabilitation for adults with knee osteoarthritis

Objectives: To investigate whether a periodized circuit training protocol delivered via telerehabilitation is as effective as the same exercise protocol applied face-to-face on self-reported pain and physical function, as well as the clinical and morphological characteristics of adults with knee OA. Secondarily, the objective was to determine the concurrent validity and reliability of performance-based tests recommended by the International Society for Osteoarthritis Research (OARSI) applied remotely in the same population. Three studies were performed: I: Effects of a periodized circuit training protocol delivered via telerehabilitation compared with the face-to-face method for adults with knee osteoarthritis: protocol for a randomized controlled non-inferiority trial; II: Telerehabilitation is non-inferior to face-to-face care to deliver a periodized circuit training protocol for knee osteoarthritis: a randomized controlled non-inferiority trial; III: Concurrent validity and reliability of telehealth performance-based tests in adults with knee osteoarthritis. Methods: One hundred participants with knee OA grades II and III, aged 40 years or older and BMI<30kg/m2 were randomized into two groups: the control group, face-to-face (FtF), (n = 50; mean age = 54.8; women 60%) received the face-to-face circuit training protocol. The intervention group, telerehabilitation (TR), (n = 50; mean age = 53.1; women 60%) received the circuit training protocol through distance telerehabilitation directly through video recordings; and were followed by periodized phone calls to motivate and educate participants. Primary outcomes were pain intensity (visual analogue scale; VAS) and disability (Western Ontario and McMaster Universities Osteoarthritis Index – WOMAC physical function subscale) measured at 14 weeks and 26 weeks after baseline assessments. Secondary outcomes included objective physical function, strength, pain catastrophizing, and morphological measures (muscle architecture; body and thigh composition). In study ...