Evaluation of effectiveness a program of exercises for knee Osteoarthritis
DOI:
https://doi.org/10.28957/rcmfr.v29n1a3Keywords:
Osteoarthritis, exercise, rehabilitationAbstract
Introduction: Osteoarthritis of the knee is a chronic disease characterized by pain due to a degenerative process suffered by the joints and which affects a large number of patients. The-re are several treatment that improve the symptoms and quality of life of the people affected.
Objetive: To evaluate the effectiveness of a kinesiological treatment program in patients with knee osteoarthritis.
Methodology: A prospective, randomized simple longitudinal study was conducted to verify the effectiveness of a physical exercise program associated with conventional treatment in patients with knee osteoarthritis. The sample consisted of 84 patients in each group, referred to the Rehabilitation Service of Cerro Polyclinic, during the period between March 2017- December 2018 and they fulfilled the inclusion approaches. The study group received conventional treatment and a kinesiology program in the Service of Rehabilitation and continued in the home, while the control group only received conventional treatment.
Results: There was a prevalence of the feminine sex with a 68 year-old half age. The control group had an evolution towards improvement in 19,1% of the patients, while the study group did it in 85,7% with an evolution between good and excellent.
Conclusions: The results achieved by the study group demonstrate the effectiveness of this individualized program of physical rehabilitation. Most of the rehabilitated patients achieved improvement, more evident in the study group. This demonstrated the benefits of the treatment program employed.
References
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18. Chen KH, Chen PC, Liu KC, Chan CT. Wearable sensor-based rehabilitation exercise assessment for knee osteoarthritis. Sensors
(Basel).2015;15(2):4193-211.Disponible en: https://doi.org/10.3390/s15020 4193.
19. Solís-Cartas U, Hernández-Cuéllar IM, Pra- da-Hernández DM, de Armas Hernández A. Evaluación de la capacidad funcional en pa- cientes con osteoartritis. Rev Cuba Reumatol. 2014[citado 2019 jul 12];16(1):23-
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20. Lee FI, Lee TD, So WK. Effects of a tailor- made exercise program on exercise adherence and health outcomes in patients with knee osteoarthritis: a mixed-methods pilot study. Clin Interv Aging.2016;11:1391-402. Disponible en: https://doi.org/10.2147/CIA.S111002.
21. Elbadawy MA. Effectiveness of Periosteal Stimulation Therapy and Home Exercise Program in the Rehabilitation of Patients with Advanced Knee Osteoarthritis. Clin J Pain. 2017;33(3):254-63. Disponible en: https://doi.org/10.1097/AJP.0000000000000404.
22. Friol-González JE, Porro-Novo J, Rodríguez- Boza E, Rodríguez-Blanco C. Gonartrosis: enfoque multidisciplinario. Rev Cuba Reumatol. 2002;5(7):9-21.
23. Focht BC, Garver MJ, Lucas AR, Devor ST, Emery CF, Hackshaw KV, et al. A group-mediated physical activity inter vention in older knee osteoarthritis patients: effects on social cognitive outcomes. J Behav Med. 2017;40(3):530-7. Disponible en: https://doi.org/10.1007s10865-017-9822-6.
24. Miller MS, Callahan DM, Tour ville TW, Slauterbeck JR, Kaplan A, Fiske BR, et al.Moderate-intensity resistance exercise alters skeletal muscle molecular and cellular structure and function in inactive older adults with knee osteoarthritis. J Appl Physiol.2017;122(4):775-87. Disponible en: https://doi.org/10.1152/japplphysiol. 00830.2016.
25. Díaz-Cortés M. Guías de Práctica Clínica para el tratamiento de la osteoartritis de ca- dera, rodilla y mano. Revista Colombiana Reumatologia. 2002,9(1):15-17.
26. Góngora-Cuenca YL, Friol-González JE, Ro- dríguez-Boza E, González-Roig JL, Castella- nos-Suárez M,Álvarez-Acosta R. Calidad de vida en pacientes con osteoartrosis de cadera y rodilla. Rev Cuba Reumatol. 2006;8(9-10):23-42.
27. Valdaza M. Ejercicios de rehabilitación deLCA(ligamento cruzado anterior) tras plastia autóloga con semitendinoso. Trau- matología y Cirugía Ortopédica. 2014 [cita- do 2016 sep14]. Disponibleen:http://www.doct oravaldazo.com/wpcontent/ uploads/2014/pdfs/rehabilitacionlca.pdf.
28. Cruz-García Y, Hernández-Cuellar IM, Montero-Barceló B. Comportamiento clínico epidemiológico de la osteoartritis en pacientes femeninas. Rev Cuba Reumatol. 2014 [ci- tado 2015feb 10];16(2).Disponible en: http:// www.revreumatologia.sld.cu/index.php/ reumatologia/article/view/330/513.
29. Guamán D, Haro A. La eficacia del trata- miento fisioterapéutico en pacientes que pre- sentan gonartrosis que acuden al departamento de fisiatría del Hospital Pro- vincial General Docente Riobamba en el período de julio a diciembre de 2013 [tesis]. Riobamba: Facultad de Ciencias de la Sa- lud, Universidad Nacional de Chimborazo; 2014 [citado 2016 jul. 20].Disponible en: http://dspace.unach.edu.ec/bitstream/51000/1130/1/UNACH-EC-TER.FIS-2014-0025.pdf.
30. Álvarez-López A, García-Lorenzo Y, Delga- do-Ceballo RM. Escala clínica para pacien- tes con gonartrosis primaria. AMC. 2013 [citado 2016 mar2];17(2):129-38.Disponible en: http://scielo.sld.cu/scielo.php?pid=S102502552013000200005&script=sci_ arttext.
31. Calchón-Prieto LH, Hernández-Acevedo LA, Méndez-Sánchez L, Segura-Soler LB. Apli- cación de escalas de valoración de la calidad de vida en intervenciones fisioterapéuticas por alteraciones musculoesqueléticas [tesis]. Chía: Universidad de la Sabana; 2012[citado 20 1 6mar2].Disponibleen:http:// intellectum.unisabana.edu.co/bitstream/ handle/10818/9433/Luz.
2. Artrosis de rodilla.Madrid: Sociedad Espa- ñola de Reumatología; 2015 [citado 2016 sep. 12].Disponible en:http://www.ser.es/wp- content/uploads/2015/09/guia_artrosis_ rodilla.pdf
3. Nagao M, Ishijima M, Kaneko H, Takazawa Y, Ikeda H, Kaneko K. [Physical activity for knee osteoarthritis]. Clinical Calcium.2017; 27(1):25-30.
4. Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(7):1323-30. Disponible en: https://doi.org/10.1136/annrheumdis-2013-204763.
5. Peat G, McCartney R, Croft P. Knee pain and osteoarthritis in older dults: areview of community burden and current use of primar y health care. AnnRheum Dis. 2001;60(2):91-7.Disponible en: https://doi.org.10.1136/ard.60.2.91
6. Ciolac EG, Rodríguez-da-Silva JM. Resistance training as a tool for preventingand treating musculoskeletal disorders. Sports Med.2016;46(9):1239-48.Disponible en: https://doi.org/10.1007/s40279-016-0507-z.
7. Wearing SC, Hennig EM, Byrne NM, Steele JR, Hills AP.Musculoskelet al disorders associated with obesity: a biomechanical perspective. Obes Rev. 2006;7(3):239-50.Dis- ponible en: https://doi.org/10.1111/j.1467-789X.2006.00251.x.
8. Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the global burden of disease study2015. Lancet. 2016;388(10053):1545-602.Disponi- ble en: https://doi.org/10.1016S0140-
6736(16)31678-6.
9. Silverwood V, Blagojevic-Bucknall M, Jinks C, Jordan JL, Protheroe J, JordanKP. Current evidence on risk factors for knee osteoar- thritis in older adults: asystematic review and meta-analysis. Osteoarthritis Cartilage.2015;23(4):507-15. Disponible en: https://doi.org/10.1016/j.joca.2014.11.019.
10. Wallace IJ, Wor thington S, Felson DT, Jurmain RD, Wren KT, Maijanen H,et al. Knee osteoarthritis has doubled in preva- lence since the mid-20th century. Proc Natl Acad Sci USA. 2017;114(35):9332-6. Disponible en: https://doi.org/10.1073/pnas.1703856114.
11. Álvarez-López A, Ortega-González C, García-Lorenzo Y. Comportamiento de pacien- tes con gonartrosis tricompartimental. AMC. 2013[citado2019jul12];17(3):26477Disponible en:http://scielo.sld.cuscielo.php?script= sci_ar ttext&pid=S1025-02552013000300003.
12. Solís-Cartas U, Prada-Hernández DM, Mo- linero-Rodríguez C, de Armas-Hernández A, García-González V, Hernández-Yane A. Rasgos demográficos en la osteoartritis de rodilla. Rev Cubana Reumatol.2015;17(1):32-9.
13. Abbasi J. Can Exercise Prevent Knee Osteoarthritis? Jama. 2017;318(22): 2169-71. Disponible en: https://doi.org/10.1001/jama.2017.16144.
14. Alvarez López A, García Lorenzo Y, López Lastre G López Lastre M. Artrosis patelo- femoral. Revista Cubana Ortopedia Traumatologia.2013;27(2).
15. Williams QI, Gunn AH, Beaulieu JE, Benas BC, Buley B, Callahan LF, et al.Physical therapy vs. internet-based exercise training (PATH-IN) for patients with knee oste- oarthritis: study protocol of a randomized controlled trial. BMC Musculoskeletal Disorders.2015;16:26 4. Disponible en: https://doi.org/10.1186/s12891-015-0725-9.
16. Servicios Médicos F.C. Barcelona.Guía de práctica clínica de las tendinopatías. Barce- lona: F C Barcelona; 2010 [citado 2019 jul 12]. Disponible en: http://media4.fcbarce lona.com/media/asset_publics resources/000/045/906/original/Tendinopatias_castell_FCB__ver_3_optimizado.v1363688839.pdf.
17. Chang SY, Lin YJ, Hsu WC, Hsieh LF, Lin YH, Chang CC, et al. Exercise Alters Gait Pattern but Not Knee Load in Patients with Knee Osteoarthritis. BiomedRes Int. 2016; 7468937.Disponible en: https://doi.org/10.1155/2016/7468937.
18. Chen KH, Chen PC, Liu KC, Chan CT. Wearable sensor-based rehabilitation exercise assessment for knee osteoarthritis. Sensors
(Basel).2015;15(2):4193-211.Disponible en: https://doi.org/10.3390/s15020 4193.
19. Solís-Cartas U, Hernández-Cuéllar IM, Pra- da-Hernández DM, de Armas Hernández A. Evaluación de la capacidad funcional en pa- cientes con osteoartritis. Rev Cuba Reumatol. 2014[citado 2019 jul 12];16(1):23-
9. Disponibleen:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962014000100004.
20. Lee FI, Lee TD, So WK. Effects of a tailor- made exercise program on exercise adherence and health outcomes in patients with knee osteoarthritis: a mixed-methods pilot study. Clin Interv Aging.2016;11:1391-402. Disponible en: https://doi.org/10.2147/CIA.S111002.
21. Elbadawy MA. Effectiveness of Periosteal Stimulation Therapy and Home Exercise Program in the Rehabilitation of Patients with Advanced Knee Osteoarthritis. Clin J Pain. 2017;33(3):254-63. Disponible en: https://doi.org/10.1097/AJP.0000000000000404.
22. Friol-González JE, Porro-Novo J, Rodríguez- Boza E, Rodríguez-Blanco C. Gonartrosis: enfoque multidisciplinario. Rev Cuba Reumatol. 2002;5(7):9-21.
23. Focht BC, Garver MJ, Lucas AR, Devor ST, Emery CF, Hackshaw KV, et al. A group-mediated physical activity inter vention in older knee osteoarthritis patients: effects on social cognitive outcomes. J Behav Med. 2017;40(3):530-7. Disponible en: https://doi.org/10.1007s10865-017-9822-6.
24. Miller MS, Callahan DM, Tour ville TW, Slauterbeck JR, Kaplan A, Fiske BR, et al.Moderate-intensity resistance exercise alters skeletal muscle molecular and cellular structure and function in inactive older adults with knee osteoarthritis. J Appl Physiol.2017;122(4):775-87. Disponible en: https://doi.org/10.1152/japplphysiol. 00830.2016.
25. Díaz-Cortés M. Guías de Práctica Clínica para el tratamiento de la osteoartritis de ca- dera, rodilla y mano. Revista Colombiana Reumatologia. 2002,9(1):15-17.
26. Góngora-Cuenca YL, Friol-González JE, Ro- dríguez-Boza E, González-Roig JL, Castella- nos-Suárez M,Álvarez-Acosta R. Calidad de vida en pacientes con osteoartrosis de cadera y rodilla. Rev Cuba Reumatol. 2006;8(9-10):23-42.
27. Valdaza M. Ejercicios de rehabilitación deLCA(ligamento cruzado anterior) tras plastia autóloga con semitendinoso. Trau- matología y Cirugía Ortopédica. 2014 [cita- do 2016 sep14]. Disponibleen:http://www.doct oravaldazo.com/wpcontent/ uploads/2014/pdfs/rehabilitacionlca.pdf.
28. Cruz-García Y, Hernández-Cuellar IM, Montero-Barceló B. Comportamiento clínico epidemiológico de la osteoartritis en pacientes femeninas. Rev Cuba Reumatol. 2014 [ci- tado 2015feb 10];16(2).Disponible en: http:// www.revreumatologia.sld.cu/index.php/ reumatologia/article/view/330/513.
29. Guamán D, Haro A. La eficacia del trata- miento fisioterapéutico en pacientes que pre- sentan gonartrosis que acuden al departamento de fisiatría del Hospital Pro- vincial General Docente Riobamba en el período de julio a diciembre de 2013 [tesis]. Riobamba: Facultad de Ciencias de la Sa- lud, Universidad Nacional de Chimborazo; 2014 [citado 2016 jul. 20].Disponible en: http://dspace.unach.edu.ec/bitstream/51000/1130/1/UNACH-EC-TER.FIS-2014-0025.pdf.
30. Álvarez-López A, García-Lorenzo Y, Delga- do-Ceballo RM. Escala clínica para pacien- tes con gonartrosis primaria. AMC. 2013 [citado 2016 mar2];17(2):129-38.Disponible en: http://scielo.sld.cu/scielo.php?pid=S102502552013000200005&script=sci_ arttext.
31. Calchón-Prieto LH, Hernández-Acevedo LA, Méndez-Sánchez L, Segura-Soler LB. Apli- cación de escalas de valoración de la calidad de vida en intervenciones fisioterapéuticas por alteraciones musculoesqueléticas [tesis]. Chía: Universidad de la Sabana; 2012[citado 20 1 6mar2].Disponibleen:http:// intellectum.unisabana.edu.co/bitstream/ handle/10818/9433/Luz.
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Estévez-Perera A, Martínez-de Murga G, Sujo-Sit M. Evaluation of effectiveness a program of exercises for knee Osteoarthritis. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2019 Sep. 4 [cited 2024 May 18];29(1):30-9. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/224
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2019-09-04
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