Ejercicios de fuerza-resistencia para mejorar el dolor en pacientes con artrosis de rodilla

Nury Aidé  Chango Tubón; Josselyn Gabriela  Bonilla Ayala

doi:10.51736/sa.v7iEspecial 3.281

Authors

Nury Aidé Chango Tubón Physiotherapy Career of Health Sciences, Universidad Técnica de Ambato. Ecuador https://orcid.org/0009-0009-9329-1110
Josselyn Gabriela Bonilla Ayala Physiotherapy Career of Health Sciences, Universidad Técnica de Ambato. Ecuador https://orcid.org/0000-0003-1744-2609

DOI:

https://doi.org/10.51736/sa.v7iEspecial%203.281

Keywords:

exercise, strength, osteoarthritis, resistance, knee

Abstract

The aim is to compare whether performing muscle strengthening exercises (EF) is better than doing aerobic exercises (EA), or vice versa, to reduce pain and improve physical capacity in individuals with knee osteoarthritis. A comprehensive search of databases was conducted, and 13 relevant randomized controlled trials (RCTs) were selected, of which the quality was evaluated using the Pedro and Amstar scales. The results showed differences in the duration and type of exercise among the studies; approximately 33.33% supported the efficacy of resistance training, 26.67% aerobic training, and 40% concluded that both interventions are equally important. The importance of considering an integrated approach combining both interventions to optimize outcomes in patients with knee osteoarthritis is emphasized, as each offers complementary benefits. Strength training improves muscle strength, while aerobic exercise addresses central sensitization, both reducing pain and enhancing physical capacity.

Downloads

Download data is not yet available.

References

Becker. R., Berth, A., Nehring, M., Awiszus, F. (2004). Neuromuscular quadriceps dysfunction prior to osteoarthritis of the knee. J Orthop Res, 22(4), 768–73.

Benner, R. W., Shelbourne, K. D., Bauman, S. N, Norris, A., & Gray, T. (2019). Knee Osteoarthritis: Alternative Range of Motion Treatment. Orthop Clin North Am, 50(4), 425–32. https://doi.org/10.1016/j.ocl.2019.05.001

Borgia, B., Dufek, J. S., Radzak, K. N., Freedman, G. & Silvernail, J. (2022). The effect of exercise modality on age-related changes observed during running. Eur Rev Aging Phys Act, 19(1), 1–8. https://doi.org/10.1186/s11556-022-00302-3

Ceballos, L., Lahuerta, S., Carrasco, A., Cabanillas, S., Hernández, H., & Pérez-Guillén, S. (2024). Strength Training vs. Aerobic Training for Managing Pain and Physical Function in Patients with Knee Osteoarthritis: A Systematic Review and Meta-Analysis. Healthc,12(1).

Cui, A., Li, H., Wang, D., Zhong, J., Chen, Y., & Lu, H. (2020). Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. Clinical Medicine, 29(100587). https://doi.org/10.1016/j.eclinm.2020.100587

Ferreira, R. M., Torres, R. T., Duarte, J. A., Gonçalves, R. S. (2019). Non-pharmacological and non-surgical interventions for knee osteoarthritis: A systematic review and meta-analysis. Acta Reumatol Port, (3), 173–217.

Gates, L. S., Perry, T. A., Golightly, Y. M., Nelson, A. E., Callahan, L. F., & Felson, D. (2022). Recreational Physical Activity and Risk of Incident Knee Osteoarthritis: An International Meta-Analysis of Individual Participant–Level Data. Arthritis Rheumatol, 74(4), 612–22.

Jette, D., Hunter, S., Burkett, L., Langham, B., Logerstedt, D., & Piuzzi, N. (2020). Physical Therapist Management of Total Knee Arthroplasty. Phys Ther, 100(00), 1–29.

Lange, A. K., Vanwanseele, B., Fiatarone, R. Singh, M. A. (2023). Strength training for treatment of osteoarthritis of the knee: A systematic review. Arthritis Care Res, 59(10),1488–94.

Moseley, A. M., Rahman, P., Wells, G. A., Zadro, J. R., Sherrington, C., Toupin-April, K, (2019). Agreement between the Cochrane risk of bias tool and Physiotherapy Evidence Database (PEDro) scale: A meta-epidemiological study of randomized controlled trials of physical therapy interventions. PLoS One, 14(9),1–16.

Muñoz, F., Concha, Y., Díaz, X., Celis, C., Zapata, R., & Cigarroa, I. (2022). Efectos en la capacidad funcional de un programa de ejercicio físico terapéutico basado en telesalud en personas con diagnóstico de osteoartritis de rodilla y cadera. Rev Med Chile, 33–45.

Perez, B., Díaz, B., Pecos, D., Beckwee, D., Lluch, E., Fernandez, R., (2020). Effectiveness of a program combining strengthening, stretching, and aerobic training exercises in a standing versus a sitting position in overweight subjects with knee osteoarthritis: A randomized controlled trial. J Clin Med, 9(12),1–13.

Raposo, F., Ramos, M., Lúcia, K., & Cruz, A. (2021). Effects of exercise on knee osteoarthritis: A systematic review. Musculoskeletal Care, 19(4),399–435.

Shon, O. J., Kim, G. B., & Cho, S. J. (2023). Does Sarcopenia Accompanying End-Stage Knee Osteoarthritis Affect the Outcomes following Total Knee Arthroplasty? Med, 59(6):1–12.

Sterne, J. A. C. Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., & Boutron, I. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ, 366, 1–8.

Thomas, D. T., Shruthi, R., Prabhakar, A. J., Dineshbhai, P. V., & Eapen, C. (2022). Hip abductor strengthening in patients diagnosed with knee osteoarthritis – a systematic review and meta-analysis. BMC Musculoskelet Disord, 23(1), 1–14. https://doi.org/10.1186/s12891-022-05557-6

Turner, M. N., Hernandez, D. O, Cade, W., Emerson, C. P., Reynolds, J. M., & Best, T. M. (2020). The Role of Resistance Training Dosing on Pain and Physical Function in Individuals With Knee Osteoarthritis: A Systematic Review. Sports Health, 12(2), 200–6.

Tsokanos, A., Livieratou, E., Billis, E., Tsekoura, M., Tatsios, P., Tsepis, E., (2021). The efficacy of manual therapy in patients with knee osteoarthritis: A systematic review. Med, 57(7), 1–12.

Urrutia, G., & Bonfill, X. (2019). Declaración PRISMA: Una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis. Medicina Clínica, 135, 2019. p. 507–11. http://es.cochrane.org/sites/es.cochrane.org/files/public/uploads/PRISMA_Spanish.pdf

Vea, M., Salazar, J., & Flores, P. (2024). Signo de digito-presión en pacientes con osteoartritis de rodilla. Acta Ortopédica Mex, 38(2), 101–4.

Wallace, I. J., Worthington, S., Felson, D. T., Jurmain, R. D., Wren, K. T., Maijanen, H. (2017). Knee osteoarthritis has doubled in prevalence since the mid-20th century. Proc Natl Acad Sci U S A, 114(35), 9332–9336.