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Effectiveness of sensorimotor training in patients with rheumatoid arthritis: a randomized controlled trial
Authors:Kelson Nonato Gomes da Silva  Lucas Emmanuel Pedro de Paiva Teixeira  Aline Mizusaki Imoto  Álvaro Nagib Atallah  Maria Stella Peccin  Virginia Fernandes Moça Trevisani
Affiliation:1. Division of Emergency Medicine and Evidence-Based Medicine, Federal University of Sao Paulo (UNIFESP), S?o Paulo, Brazil
2. Brazilian Cochrane Centre, 598, Pedro Toledo Street, Vila Clementino, S?o Paulo, SP, 04039-001, Brazil
3. Discipline of Rheumatology, Santo Amaro University (UNISA), S?o Paulo, Brazil
Abstract:The objective of this study was to evaluate the effectiveness of a sensorimotor training in patients with rheumatoid arthritis on the improvement of functional skills and quality of life, a double-blinded, prospective, randomized controlled trial. One hundred two participants with rheumatoid arthritis were selected. After the baseline evaluation, the participants were randomized to two different groups: sensorimotor group (2 sessions per week, 30–50 min each session, besides continuing taking the same drugs as the control group) and control group (control group was only submitted to the clinical drug treatment with Methotrexate, Leflunomide and/or Prednisone (5 mg), being then evaluated 4 months later). Functional capacity [Health Assessment Questionnaire (HAQ) and Timed Up & Go Test (TU>)], Balance and Gait (Berg Balance Scale (BBS) and Tinetti Test) and Quality of Life (Short Form Health Survey—SF-36). The study had been concluded with ninety-one participants, and a statistically significant improvement was found in all variables assessed: HAQ (P < .01), TU> (P < .01), BBS (P < .01), Tinetti Test (P < .01) and improvement in the subscales of SF-36 (P < .01) in the sensorimotor group in comparison with the baseline evaluation and control group. No significant difference was found related to the pre- and post-evaluation in the control group. Therefore, the sensorimotor training is effective in the improvement of the functional capacity and quality of life of patients with rheumatoid arthritis.
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