NADAR! ADS



Efeitos dos exercícios aquáticos em pacientes com osteoartrite

Revisão sistemática com metanálise

Efeitos dos exercícios aquáticos em pacientes com osteoartrite: revisão sistemática com metanálise


Autores

  • Ji-Ah Song Department of Nursing, Konyang University, Korea
  • Jae Woo Department of Nursing, Konyang University, Korea

Palavras-chave:

Osteoartrite, Hidroterapia, Terapia Do Exercício, Revisão Sistemática, atividade aquática

Resumo

Esta revisão sistemática examinou artigos publicados em coreano, inglês e publicações mais recentes que não foram incluídas em estudos anteriores para avaliar o tamanho do efeito de intervenções baseadas em exercícios aquáticos na dor, na qualidade de vida e na disfunção articular entre pacientes com osteoartrite. Seis bases de dados nacionais e internacionais foram utilizadas para revisar a literatura (publicada até 7 de março de 2019) sobre ensaios clínicos randomizados de intervenções baseadas em exercícios aquáticos em pacientes com osteoartrite. Para os 20 estudos incluídos, uma meta-análise mostrou que o exercício aquático produz uma redução de 0,61 pontos (n = 756; diferença média (DM) = -0,61; intervalo de confiança (IC) de 95%: -0,90--0,32) na dor em comparação com um grupo de controle, e o exercício aquático foi eficaz na redução da dor (n = 315; DM = −0,28; IC 95%: −0,50–−0,05) em comparação com um grupo de exercício terrestre. Outra meta-análise mostrou que o exercício aquático produz uma melhoria de 0,77 pontos na qualidade de vida (n = 279; DM = −0,77; IC 95%: −1,38–−0,15) em comparação com um grupo de controle. Finalmente, uma meta-análise mostrou que o exercício aquático produz uma redução de 0,34 pontos na disfunção articular (n = 279; DM = −0,77; IC 95%: −1,38–−0,15) em comparação com um grupo de controle. Para pacientes com osteoartrite, as intervenções baseadas em exercícios aquáticos são eficazes para reduzir a dor e a disfunção articular e melhorar a qualidade de vida.

Referências

(1) Arden N, Nevitt MC. Osteoarthritis: Epidemiology. Best Practice & Research Clinical Rheumatology. 2006 Feb;20(1):3–25.

(2) Woo GJ, Oh KW. Prevalence of osteoarthritis among adults over 50 years old in Korea, 2010–2013. Public Health Weekly Rep. 2015; 8, 82–84.

(3) Bennell KL, Hinman RS. A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. Journal of Science and Medicine in Sport. 2011 Jan;14(1):4–9.

(4) Cudejko T, Esch M, Leeden M, Holla J, Roorda L, Lems W, et al. Proprioception mediates the association between systemic inflammation and muscle weakness in patients with knee osteoarthritis: Results from the Amsterdam Osteoarthritis cohort. Journal of Rehabilitation Medicine. 2018;50(1):67–72.

(5) Wolfe F. The C-reactive protein but not erythrocyte sedimentation rate is associated with clinical severity in patients with osteoarthritis of the knee or hip. PubMed. 1997 Aug 1;24(8):1486–8.

(6) McAlindon TE, Bannuru RR, Sullivan MC, Arden NK, Berenbaum F, Bierma-Zeinstra SM, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis and Cartilage. 2014 Mar;22(3):363–88.

(7) Nelson AE, Allen KD, Golightly YM, Goode AP, Jordan JM. A systematic review of recommendations and guidelines for the management of osteoarthritis: The chronic osteoarthritis management initiative of the U.S. bone and joint initiative. Seminars in arthritis and rheumatism [Internet]. 2014;43(6):701–12. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24387819

(8) Beckwée D, Vaes P, Cnudde M, Swinnen E, Bautmans I. Osteoarthritis of the knee: Why does exercise work? A qualitative study of the literature. Ageing Research Reviews. 2013 Jan;12(1):226–36.

(9) Hinman RS, Hunt MA, Creaby MW, Wrigley TV, McManus FJ, Bennell KL. Hip muscle weakness in individuals with medial knee osteoarthritis. Arthritis Care & Research. 2010 Mar 16;62(8):1190–3.

(10) Knoop J, Dekker J, van der Leeden M, van der Esch M, Thorstensson CA, Gerritsen M, et al. Knee joint stabilization therapy in patients with osteoarthritis of the knee: a randomized, controlled trial. Osteoarthritis and Cartilage. 2013 Aug;21(8):1025–34.

(11) Yázigi F, Espanha M, Vieira F, Messier SP, Monteiro C, Veloso AP. The PICO project: aquatic exercise for knee osteoarthritis in overweight and obese individuals. BMC Musculoskeletal Disorders [Internet]. 2013 Nov 13;14(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3830983/

(12) Ambrosini AB, Brentano MA, Coertjens M, Kruel LFM. The Effects of Strength Training in Hydrogymnastics for Middle-Age Women. International Journal of Aquatic Research and Education [Internet]. 2010 May [cited 2022 Nov 10];4(2). Available from: https://scholarworks.bgsu.edu/cgi/viewcontent.cgi?article=1200&context=ijare

(13) Barker, A.L.; Talevski, J.; Morello, R.T.; Brand, C.A.; Rahmann, A.E.; Urquhart, D.M. Effectiveness of aquatic exercise for musculoskeletal conditions: A meta-analysis. Arch. Phys. Med. Rehabil. 2014, 95, 1776–1786.

(14) Hinman RS, Heywood SE, Day AR. Aquatic Physical Therapy for Hip and Knee Osteoarthritis: Results of a Single-Blind Randomized Controlled Trial. Physical Therapy. 2007 Jan 1;87(1):32–43.

(15) Bento PCB, Pereira G, Ugrinowitsch C, Rodacki ALF. The Effects of a Water-Based Exercise Program on Strength and Functionality of Older Adults. Journal of Aging and Physical Activity [Internet]. 2012 Oct 1;20(4):469–70. Available from: https://journals.humankinetics.com/view/journals/japa/20/4/article-p469.xml

(16) Batterham SI, Heywood S, Keating JL. Systematic review and meta-analysis comparing land and aquatic exercise for people with hip or knee arthritis on function, mobility and other health outcomes. BMC Musculoskeletal Disorders [Internet]. 2011 Jun 2;12(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3141607/

(17) Mattos F de, Leite N, Pitta A, Bento PCB. Effects of aquatic exercise on muscle strength and functional performance of individuals with osteoarthritis: a systematic review. Revista Brasileira de Reumatologia (English Edition). 2016 Nov;56(6):530–42.

(18) Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Chisester: Wiley-Blackwell; 2011.

(19) Becker BE. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM & R : the journal of injury, function, and rehabilitation. 2009;1(9):859–72.

(20) Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Son HJ, Suh HS, Shin CM. NECA’s Guidance for Undertaking Systematic Reviews and Meta-Analyses for Intervention; National Evidence-Based Healthcare Collaborating Agency: Seoul, Korea, 2011.

(21) Arnold CM, Faulkner RA. The Effect of Aquatic Exercise and Education on Lowering Fall Risk in Older Adults With Hip Osteoarthritis. Journal of Aging and Physical Activity. 2010 Jul;18(3):245–60.

(22) Belza B, Topolski T, Kinne S, Patrick DL, Ramsey SD. Does adherence make a difference? Results from a community-based aquatic exercise program. Nurs. Res. 2002; 51, 285–291.

(23) Choi HK, Cho KS, Kim JI. Comparative Study of the Effects of Stretching Exercise and Aquatic Exercise Program. Journal of muscle and joint health. 2010 Apr 30;17(1):5–13.

(24) Choi PB. Effects of aquatic exercise program on leg muscle functions and T-score as well as depression in elderly women with knee osteoarthritis for 24 weeks. 2011 Jan 1;20(3):1289–99.

(25) Fisken AL, Waters DL, Hing WA, Steele M, Keogh JW. Comparative Effects of 2 Aqua Exercise Programs on Physical Function, Balance, and Perceived Quality of Life in Older Adults With Osteoarthritis. Journal of Geriatric Physical Therapy. 2015;38(1):17–27.

(26) Foley A. Does hydrotherapy improve strength and physical function in patients with osteoarthritis--a randomised controlled trial comparing a gym based and a hydrotherapy based strengthening programme. Annals of the Rheumatic Diseases. 2003 Dec 1;62(12):1162–7.

(27) Fransen M, Nairn L, Winstanley J, Lam P, Edmonds J. Physical activity for osteoarthritis management: A randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes. Arthritis & Rheumatism. 2007;57(3):407–14.

(28) Hale LA, Waters D, Herbison P. A Randomized Controlled Trial to Investigate the Effects of Water-Based Exercise to Improve Falls Risk and Physical Function in Older Adults With Lower-Extremity Osteoarthritis. Archives of Physical Medicine and Rehabilitation. 2012 Jan;93(1):27–34.

(29) Han SW, Kyoung-Tae K. The effect of aquarobic and swimming exercise for female elderly suffering from degenerative arthritis on body composition, gait function and pain. 2012 Jan 1;21(3):1077–89.

(30) Jeong TW, Choi YC, Lee JW. Effects of land-based and water-based walking exercise on WOMAC and activity fitness in female elderly with knee osteoarthritis. Korean J. Sports Sci. 2016; 25, 1409–1421.

(31) JungKyu Kim, SeongKyu Roh. Effect of Nordic walking and Aquatic exercise on Oxidative stress and Pain in women with Degenerative Arthritis. Exercise Science. 2009 Nov;18(4):549–58.

(32) 이형대, Han Seung Wan. The effects of swimming and aquarobics exercise programs for female elderly suffering from degenerative arthritis on leg muscular function and knee joint ROM. 2010 Jan 1;19(4):1129–39.

(33) Lim JY, Kim BH, Chae E, Kim YD, Hong HJ. The effectiveness of aquatic exercise for obese patients with knee osteoarthritis: Preliminary study. Korean J. Sports Med. 2007; 25, 98–105.

(34) Lund H, Weile U, Christensen R, Rostock B, Downey A, Bartels E, et al. A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis. Journal of Rehabilitation Medicine. 2008;40(2):137–44.

(35) Łyp M, Kaczor R, Cabak A, Tederko P, Włostowska E, Stanisławska I, et al. A Water Rehabilitation Program in Patients with Hip Osteoarthritis Before and After Total Hip Replacement. Medical Science Monitor [Internet]. 2016 Jul 25;22:2635–42. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4970440/

(36) Munukka M, Waller B, Rantalainen T, Häkkinen A, Nieminen MT, Lammentausta E, et al. Efficacy of progressive aquatic resistance training for tibiofemoral cartilage in postmenopausal women with mild knee osteoarthritis: a randomised controlled trial. Osteoarthritis and Cartilage. 2016 Oct;24(10):1708–17.

(37) Patrick DL, Ramsey SD, Spencer AC, Kinne S, Belza B, Topolski TD. Economic Evaluation of Aquatic Exercise for Persons With Osteoarthritis. Medical Care. 2001 May;39(5):413–24.

(38) Silva LE, Valim V, Pessanha APC, Oliveira LM, Myamoto S, Jones A, et al. Hydrotherapy Versus Conventional Land-Based Exercise for the Management of Patients With Osteoarthritis of the Knee: A Randomized Clinical Trial. Physical Therapy. 2008 Jan 1;88(1):12–21.

(39) Wang TJ, Belza B, Elaine Thompson F, Whitney JD, Bennett K. Effects of aquatic exercise on flexibility, strength and aerobic fitness in adults with osteoarthritis of the hip or knee. Journal of Advanced Nursing [Internet]. 2007 Jan;57(2):141–52. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2648.2006.04102.x

(40) Bender T, Karagulle Z, Balint GP, Gutenbrunner C, Balint PV, Sukenik S. Hydrotherapy, balneotherapy, and spa treatment in pain management. Rheumatology International. 2004 Jul 15;25(3):220–4.

(41) Padilla GV, Ferrell B, Grant MM, Rhiner M. Defining the content domain of quality of life for cancer patients with pain. Cancer Nursing. 1990 Apr;13(2): 108–115.

(42) Alkan BM, Fidan F, Tosun A, Ardıçoğlu Ö. Quality of life and self-reported disability in patients with knee osteoarthritis. Modern Rheumatology. 2013 Nov 22;24(1):166–71.

(43) Ayis S, Dieppe P. The Natural History of Disability and Its Determinants in Adults with Lower Limb Musculoskeletal Pain. The Journal of Rheumatology. 2009 Jan 22;36(3):583–91.

(44) Marks R, Allegrante JP. Chronic osteoarthritis and adherence to exercise: A review of the literature. J. Aging Phys. Act. 2005; 13, 434–460.

(45) Vincent KR, Vincent HK. Resistance exercise for knee osteoarthritis. PM & R : the journal of injury, function, and rehabilitation [Internet]. 2012;4(5 Suppl):S45-52. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22632702

(46) Pollard H, Ward G, Hoskins W, Hardy K. The effect of a manual therapy knee protocol on osteoarthritic knee pain: A randomised controlled trial. J. Can. Chiropr Assoc. 2008; 52, 229–242.

(47) Cudejko T, Esch M, Noort JC, Rijnhart JJM, Leeden M, Roorda LD, et al. Decreased Pain and Improved Dynamic Knee Instability Mediate the Beneficial Effect of Wearing a Soft Knee Brace on Activity Limitations in Patients With Knee Osteoarthritis. Arthritis Care & Research. 2019 Jul 12;71(8):1036–43.

(48) Cherian JJ, Kapadia BH, Bhave A, McElroy MJ, Cherian C, Harwin SF, Mont MA. Use of Transcutaneous Electrical Nerve Stimulation Device in Early Osteoarthritis of the Knee. J Knee Surg. 2015 Aug;28(4):321-7. doi: 10.1055/s-0034-1389160. Epub 2014 Aug 27. PMID: 25162407.

_______________

Artigo adaptado e traduzido para o português pelos editores de NADAR! SWIMMING MAGAZINE para republicação, conforme normas de submissão do periódico. Versão original em: https://www.mdpi.com/2227-9032/10/3/560 LICENÇA ORIGINAL E DA ADAPTAÇÃO:© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

Publicado

2024-05-17

Como Citar

1.
Song J-A, Woo J. Efeitos dos exercícios aquáticos em pacientes com osteoartrite: Revisão sistemática com metanálise. Nadar! Swim Mag [Internet]. 17º de maio de 2024 [citado 18º de outubro de 2024];4(167):e167-87. Disponível em: https://revistanadar.com.br/index.php/Swimming-Magazine/article/view/87

ARK

NADAR! ADS