Vol. 18 No. 2 (2019)
Original Articles

Land-based versus water-based walking programs in elderly women with knee osteoarthritis: preliminary results of a randomized clinical trial

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  • Arthur N. Arrieiro,
  • Vanessa A. Mendonça,
  • Sueli F. Fonseca,
  • Jousielle M. Santos,
  • Vanessa G. C. Ribeiro,
  • Mateus R. Amorim,
  • Amanda A. O. Leopoldino,
  • Ana C. R. Lacerda
Arthur N. Arrieiro
Centro Integrado de Pesquisa e Pós-Graduação em Saúde (CIPqSaúde). Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM). Diamantina, Minas Gerais, Brazil.
Bio
Vanessa A. Mendonça
Centro Integrado de Pesquisa e Pós-Graduação em Saúde (CIPqSaúde). Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM). Diamantina, Minas Gerais, Brazil.
Bio
Sueli F. Fonseca
Centro Integrado de Pesquisa e Pós-Graduação em Saúde (CIPqSaúde). Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM). Diamantina, Minas Gerais, Brazil.
Bio
Jousielle M. Santos
Bio
Vanessa G. C. Ribeiro
Centro Integrado de Pesquisa e Pós-Graduação em Saúde (CIPqSaúde). Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM). Diamantina, Minas Gerais, Brazil.
Bio
Mateus R. Amorim
Departmento de Biologia Básica e Oral. Universidade de São Paulo. São Paulo, Ribeirão Preto, Brazil.
Amanda A. O. Leopoldino
Departmento de Fisioterapia. Faculdade de Ciências Médicas de Minas Gerais. Minas Gerais, Belo Horizonte, Brazil.
Ana C. R. Lacerda
Centro Integrado de Pesquisa e Pós-Graduação em Saúde (CIPqSaúde). Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM). Diamantina, Minas Gerais, Brazil.
Bio
DOI: https://doi.org/10.12957/bjhbs.2019.53504

Published 2020-01-03

Keywords

  • Osteoarthritis of knee,
  • Elderly,
  • Aerobic training

How to Cite

1.
Arthur N. Arrieiro, Vanessa A. Mendonça, Sueli F. Fonseca, Jousielle M. Santos, Vanessa G. C. Ribeiro, Mateus R. Amorim, Amanda A. O. Leopoldino, Ana C. R. Lacerda. Land-based versus water-based walking programs in elderly women with knee osteoarthritis: preliminary results of a randomized clinical trial . BJHBS [Internet]. 2020 Jan. 3 [cited 2024 Oct. 11];18(2):114-2. Available from: https://bjhbs.hupe.uerj.br/bjhbs/article/view/120

Copyright (c) 2020 Brazilian Journal of Health and Biomedical Sciences

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Abstract

Introduction: Knee osteoarthritis (kOA) is a chronic degenerative disorder. Aerobic exercise programs have been effective treatments to reduce symptoms in kOA. However, studies comparing land- and water-based interventions did not control for the intensity of exercise programs. Objectives: Investigate the effects of walking programs with a controlled progressive workload in water compared to land in terms of pain, functional and physical performance, and quality of life in elderly women with kOA. Materials and Methods: The walking training programs were divided into two groups: 1) land-based aerobic training (LB); and 2) water-based aerobic training (WB). Each training session was divided into three phases: 1 – Warm-up (5 minutes): stretching exercises; 2 - Training (30 to 55 minutes): walking at target heart rate; 3 – Cool-down (5 minutes). Sixteen elderly women with kOA underwent assessments of functional performance using the six-minute walk test (6MWT) and the stair test (ST), while physical performance, maximum oxygen consumption (VO2max) and anaerobic threshold (AT) were determined during a progressive test. kOA was assessed by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and quality of life was assessed using the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36). All parameters were reevaluated after 12 weeks of aerobic training that consisted of walking (duration: 30-55 min.; intensity: 72-82% of maximal heart rate). Results: No significant difference between the LB and WB groups was found. There was a reduction in self-reported pain (by WOMAC), increased performance in the 6MWT and ST, increased VO2max and VO2max corresponding to AT and improved quality of life (by SF-36) in both groups after training compared with before intervention. Conclusion: Land-based aerobic training was as effective as its water-based equivalent in clinical, physical and functional parameters in elderly women with knee OA.

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