Rheumatology International

, Volume 33, Issue 9, pp 2269–2275 | Cite as

Effectiveness of sensorimotor training in patients with rheumatoid arthritis: a randomized controlled trial

  • Kelson Nonato Gomes da Silva
  • Lucas Emmanuel Pedro de Paiva Teixeira
  • Aline Mizusaki Imoto
  • Álvaro Nagib Atallah
  • Maria Stella Peccin
  • Virginia Fernandes Moça Trevisani
Original Article


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&GT)], 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&GT (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.


Physical therapy Rheumatoid arthritis Exercise therapy Randomized controlled trial 


Conflict of interest



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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Kelson Nonato Gomes da Silva
    • 1
  • Lucas Emmanuel Pedro de Paiva Teixeira
    • 1
  • Aline Mizusaki Imoto
    • 1
  • Álvaro Nagib Atallah
    • 1
    • 2
  • Maria Stella Peccin
    • 1
    • 2
  • Virginia Fernandes Moça Trevisani
    • 1
    • 3
  1. 1.Division of Emergency Medicine and Evidence-Based MedicineFederal University of Sao Paulo (UNIFESP)São PauloBrazil
  2. 2.Brazilian Cochrane CentreSão PauloBrazil
  3. 3.Discipline of RheumatologySanto Amaro University (UNISA)São PauloBrazil

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