MARCIA UCHOA DE REZENDE
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina
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- THE ROLE OF FUNCTIONAL ORTHOSIS IN PATELLOFEMORAL OSTEOARTHRITIS: A CONTROLLED RANDOMIZED CLINICAL TRIAL(2019) SR., G. P. Ocampos; REZENDE, M. U. de; SR., G. J. Yamamoto; LUZO, M. M.; FARIAS, F. E. de; SILVA, C. A. da
- BRAZILIAN CONSENSUS STATEMENT ON VISCOSUPPLEMENTATION OF THE KNEE (COBRAVI)(2019) CAMPOS, Gustavo Constantino de; SOUSA, Eduardo Branco de; HAMDAN, Paulo Cesar; ALMEIDA JUNIOR, Cyro Scala de; TIEPPO, Antonio Martins; REZENDE, Marcia Uchoa de; ALCHAAR, Adrieni Antunes do Amaral; PINHEIRO, Carlos Bruno; ROCHA, Eduardo de Melo Carvalho; CUNHA, Fabiano Gocalves; PACHECO, Ivan; VIEIRA, Mario Sergio Rossi; ANTONIO, Silvio Figueira; MENEGASSI, Zartur Jose BarcelosObjective: The aim of this consensus statement on viscosupplementation is to serve as a reference document based on relevant literature and clinical experience in the treatment of knee osteoarthritis using an intra-articular injection of hyaluronic acid, covering key aspects such as clinical indications, effectiveness, and tolerability. Methods: A multidisciplinary panel including two sports medicine physicians, six orthopedists, four physiatrists, and two rheumatologists were selected based on their clinical and academic experience of viscosupplementation. Sixteen statements were prepared and discussed, after which a vote was held. Each member of the panel gave a score between 0 and 10 on a Likert scale, specifying their level of agreement with the statement. Results: The panel reached a consensus on several issues. Specifically, the panel agreed that the best indication is for mild to moderate knee arthrosis; prior or concomitant use of intraarticular triamcinolone hexacetonide may optimize the effect of hyaluronic acid; viscosupplementation should not be performed as an isolated procedure but in conjunction with other rehabilitative and pharmacological measures; viscosupplementation has analgesic, anti-inflammatory, and chondroprotective effects; and viscosupplementation is cost-effective. Conclusion: This consensus statement provides clear information and guidance for both individuals and payers.
- RANDOMIZED PROSPECTIVE STUDY ON THE TREATMENT OF FEMORO-PATELLAR OSTEOARTHRITIS USING BRACING(2019) YAMAMOTO, Gustavo Jum; CAMPOS, Guilherme Pereira; LUZO, Maria Candidade Miranda; SILVA, Cleidneia Aparecida Clemente da; FARIAS, Fabiane Elize Sabino de; REZENDE, Marcia Uchoa deObjective: To compare the effect of a brace designed to stabilize the patellofemoral joint to that of a patella-shaped neoprene sleeve with patella cut out in patients with patellofemoral osteoarthritis. Methods: Fifty-seven patients with femoro-patellar osteoarthritis were allocated to two groups: patients with femoro-patellar functional brace and those with a neoprene knee with a patellar orifice. Both groups underwent clinical treatment of osteoarthritis and used medications daily 1 month before and up to 3 months after brace placement. They were evaluated with the WOMAC and Lequesne questionnaires and performed five times sit to stand test, Timed Up and Go test, and six minutes walk test immediately before and 1 and 3 months after brace placement. Results: Both groups had improved pain, stiffness, and function with no difference between groups. Drug use decreased in both groups in the first month but increased in the third month. Naproxen use was progressively higher in the control group. Conclusion: Both knee orthoses improved pain and function and altered drug use only in the first month. Functional knee brace provided analgesia without increased use of naproxen.
- PROFILE OF PATIENTS WITH OSTEOPOROTIC FRACTURES AND FACTORS THAT DECREASE PREVENTION(2019) XAVIER, Renato Martins; GIAROLA, Ivan Carvalho; CAMPOS, Guilherme Pereira; PLAPLER, Perola Grinberg; CAMARGO, Olavo Fires de; REZENDE, Marcia Uchoa deObjective: To evaluate the epidemiological profile of patients with osteoporotic fractures compared to patients with osteoarthritis (OA) and identify factors that diminish adherence to secondary prevention. Methods: A total of 108 patients with osteoporotic fractures (OF) were compared to 86 patients with OA. Results: Patients in the OF group were older (p < 0.001); had a lower body mass index (p < 0.001); were less literate (p = 0.012); were more frequently Caucasian (p = 0.003); were less frequently married (p < 0.001); experienced more falls, cognitive deficiency, previous fractures, old fracture, falls in the last year, and fall fractures; needed more help and took more medicine for osteoporosis (p < 0.05); and showed less pathology in the feet, muscle weakness, less vitamin D intake, and lower Katz & Lawton scores (p < 0.001). Factors that increased the chance of nonadherence included older age (p = 0.020), falls (p = 0.035), cognitive deficiency (p = 0.044), and presence of depression/apathy/confusion (p < 0.001). Conclusion: Patient age, ethnicity, marital status, previous falls, foot pathologies, muscle weakness, previous fractures, use of vitamin D, use of osteoporosis drugs, and lower Katz & Lawton scale score defined the OF group. Factors that increased the chance of nonadherence included older age, sedative use, cognitive disorders, and symptoms of depression/apathy/confusion.
conferenceObject COMPARISON BETWEEN A HOLISTIC PROGRAM AND AN EDUCATIONAL PROGRAM IN OA TREATMENT(2019) OCAMPOS, G. P.; REZENDE, M. U. De; BRITO, N. L. R.; CAMARGO, O. P. DeconferenceObject EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH OSTEOPOROTIC FRACTURES COMPARED TO OA PATIENTS AND FACTORS THAT DECREASE SECONDARY PREVENTION OF OSTEOPOROTIC FRACTURES(2019) OCAMPOS, G. P.; REZENDE, M. U. De; XAVIER, R. M.; GIAROLA, I. C.; PLAPLER, P. G.; CAMARGO, O. P. De- Muscular and Functional Capacity in Subjects Under Treatment for Knee Osteoarthritis: Role of Physical Activity Status(2019) SILVA, Jose Messias Rodrigues da; REZENDE, Marcia Uchoa de; SPADA, Tania Carvalho; FRANCISCO, Lucila da Silva; SANTOS, Helenilson Pereira dos; SOUZA, Robson de Andrade; GREVE, Julia Maria D'Andrea; CIOLAC, Emmanuel GomesBackground: The purpose of this study was to assess the role of physical activity (PA) in muscular and functional capacity in subjects under treatment for knee osteoarthritis submitted to an interdisciplinary educational program emphasizing the regular practice of PA and exercises. Methods: Subjects under treatment for primary knee osteoarthritis (N = 136; age = 66 [3]) were allocated in sedentary to sedentary (SED-SED, sedentary or insufficiently active at pre and post), active to sedentary (ACT-SED, active or very active at pre and sedentary or insufficiently active at post), sedentary to active (SED-ACT, sedentary or insufficiently active at pre and active or very active at post), and active to active (ACT-ACT, active or very active at pre and post) groups. Muscular capacity (isokinetic test), functional capacity (timed up and down stairs test, timed up and go test, and 5 times sit to stand test), and daily living PA (International PA Questionnaire short version) were assessed before and after (12 mo) the follow-up. Results: There were improvements in performance (P < .05) in the time to up and down stairs: 37% in SED-ACT and 27.5% in ACT-ACT; timed up and go test: 33.5% in SED-ACT, 19% in ACT-SED, and 40% in ACT-ACT; 5 times sit to stand test: 39% in SED-ACT and 51% in ACT-ACT groups after 12 months of follow-up. Conclusions: The present results suggest that high levels of daily living PA may have an important role in the prevention/management of knee osteoarthritis.
- Improving Functional Capacity And Physical Activity Through Education: Four-year Follow-up Of Parqve Study(2019) SILVA, Jose M. Rodrigues da; REZENDE, Marcia Uchoa de; SPADA, Tania Carvalho; FRANCISCO, Lucila da Silva; SANTOS, Helenilson Pereira dos; GREVE, Julia Maria D'Andrea; CIOLAC, Emmanuel Gomes
conferenceObject COMPARISON OF TWO ORTHOSES IN THE TREATMENT OF FEMORO-PATELLAR OSTEOARTHRITIS(2019) OCAMPOS, G. P.; DEREZENDE, M. U.; YAMAMOTO, G. J.; LUZO, M. C. M.; SILVA, C. A. C. Da; DEFARIAS, F. E. S.; DECAMARGO, O. P.- DIFFERENCES BETWEEN AN EXCLUSIVE EDUCATIONAL AND THE ADDING OF MULTIMODAL AND MULTIPROFESSIONAL PROGRAM IN THE TREATMENT OF OA(2019) REZENDE, M. U.; OCAMPOS, G. P.; BRITO, N. L.; CAMARGO, O. P.