Article information
Abstract
Knee osteoarthritis is one of the most frequent joint disorders, and its major symptoms are pain and physical disability. Cartilage regeneration therapies are still under development, and current treatments target pain and disability. Physical activity could be a cheap and effective therapeutic option. However, it is not yet known which types of exercise are the most beneficial, as well as its load or intensity. Therefore, the objective of this work is to integrate all the information about the design of training programs for knee osteoarthritis treatment. All of the selected articles by Talbot and colleagues1 (except one), showed significant improvement in knee pain, physical performance, or both. However, many authors do not describe the main elements of the programs, so its application as a therapy or for contrasting the results is not possible.
Keywords:
Osteoarthritis
Joint disorder
Exercise
Physical activity
Strength
Resumen
La artrosis de rodilla es una de las enfermedades articulares más frecuentes, sus síntomas principales son dolor e incapacidad física. La regeneración del cartílago es un tratamiento todavía en desarrollo, por lo que los tratamientos actuales se centran en aliviar los síntomas. El ejercicio físico se presenta como una alternativa u opción de tratamiento barata y efectiva. Sin embargo, todavía no está claro qué tipo de ejercicio, cantidad, intensidad, etc., son más recomendables. Por lo tanto, el objetivo de esta revisión es integrar toda la información posible de cara al diseño de programas de entrenamiento para el tratamiento de la artrosis de rodilla. Todos los artículos seleccionados tras la revisión, salvo el de Talbot et al1, mostraron mejoras significativas en el dolor de la rodilla, en la capacidad física o en ambas variables. Sin embargo, muchos autores obvian elementos cruciales del programa, por lo que no es posible la aplicación con fines terapéuticos o para contrastar los resultados en otras muestras.
Palabras clave:
Artrosis
Enfermedad articular
Ejercicio
Actividad física
Fuerza
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References
[1.]
L.A. Talbot, J.M. Gaines, S.M. Ling, E.J. Metter.
A home-based protocol of electrical muscle stimulation for quadriceps muscle strength in older adults with osteoarthritis of the knee.
J Rheumatol, 30 (2003), pp. 1571-1578
[2.]
P. Creamer.
Osteoarthritis pain and its treatment.
Curr Opin Rheumatol, 12 (2000), pp. 450-455
[3.]
K.R. Baker, M.E. Nelson, D.T. Felson, J.E. Layne, R. Sarno, R. Roubenoff.
The efficacy of home based progressive strength training in older adults with knee osteoarthritis: a randomized controlled trial.
J Rheumatol, 28 (2001), pp. 1655-1665
[4.]
Ministerio de Sanidad y Consumo. Encuesta Nacional de Salud 2003 [accessed 25 May 2006]. Available from: http://www.msc.es/estadEstudios/estadisticas/encuestaNacional/home.htm
[5.]
H. Gur, N. Cakin, B. Akova, E. Okay, S. Kucukoglu.
Concentric versus combined concentric-eccentric isokinetic training: effects on functional capacity and symptoms in patients with osteoarthrosis of the knee.
Arch Phys Med Rehabil, 83 (2002), pp. 308-316
[6.]
L.A. Talbot, J.M. Gaines, T.N. Huynh, E.J. Metter.
A home-based pedometer-driven walking program to increase physical activity in older adults with osteoarthritis of the knee: a preliminary study.
J Am Geriatr Soc, 51 (2003), pp. 387-392
[7.]
N.J. Manek, N.E. Lane.
Osteoarthritis: current concepts in diagnosis and management.
Am Fam Physician, 61 (2000), pp. 1795-1804
[8.]
American Geriatrics Society. Exercise prescription for older adults with osteoarthritis pa consensus practice recommendations.
A supplement to the AGS Clinical Practice Guidelines on the management of chronic pain in older adults.
J Am Geriatr Soc, 49 (2001), pp. 808-823
[9.]
R. Topp, S. Woolley, J. Hornyak, S. Khuder, B. Kahaleh.
The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee.
Arch Phys Med Rehabil, 83 (2002), pp. 1187-1195
[10.]
K. Brandt.
Ostetoarthritis.
Curr Opin Rheumatol, 12 (2000), pp. 449
[11.]
Y. Toda, T. Toda, S. Takemura, T. Wada, T. Morimoto, R. Ogawa.
Change in body fat, but not body weight or metabolic correlates of obesity, is related to symptomatic relief of obese patients with knee osteoarthritis after a weight control program.
J Rheumatol, 25 (1998), pp. 2181-2186
[12.]
K. Baker, T. McAlindon.
Exercise for knee osteoarthritis.
Curr Opin Rheumatol, 12 (2000), pp. 456-463
[13.]
S. Eyigor, S. Hepguler, K. Capaci.
A comparison of muscle training methods in patients with knee osteoarthritis.
Clin Rheumatol, 23 (2004), pp. 109-115
[14.]
A. Pendleton, N. Arden, M. Dougados, M. Doherty, B. Bannwarth, J.W. Bijlsma, et al.
EULAR recommendations for the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT).
Ann Rheum Dis, 59 (2000), pp. 936-944
[15.]
K.M. Jordan, N.K. Arden, M. Doherty, B. Bannwarth, J.W. Bijlsma, P. Dieppe, et al.
EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT).
Ann Rheum Dis, 62 (2003), pp. 1145-1155
[16.]
W. Zhang, R.W. Moskowitz, G. Nuki, S. Abramson, R.D. Altman, N. Arden, et al.
OARSI recommendations for the management of hip and knee osteoarthritis, part I: critical appraisal of existing treatment guidelines and systematic review of current research evidence.
Osteoarthritis Cartilage, 15 (2007), pp. 981-1000
[17.]
W. Zhang, R.W. Moskowitz, G. Nuki, S. Abramson, R.D. Altman, N. Arden, et al.
OARSI recommendations for the management of hip and knee osteoarthritis. Part II: OARSI evidence-based, expert consensus guidelines.
Osteoarthritis Cartilage, 16 (2008), pp. 137-162
[18.]
E. Roddy, W. Zhang, M. Doherty, N.K. Arden, J. Barlow, F. Birrell, et al.
Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee–the MOVE consensus.
Rheumatology (Oxford), 44 (2005), pp. 67-73
[19.]
E. Vignon, J.P. Valat, M. Rossignol, B. Avouac, S. Rozenberg, P. Thoumie, et al.
Osteoarthritis of the knee and hip and activity: a systematic international review and synthesis (OASIS).
Joint Bone Spine, 73 (2006), pp. 442-455
[20.]
National Collaborating Centre for Chronic Conditions.
Osteoarthritis: national clinical guideline for care and management in adults.
Royal College of Physicians, (2008),
[21.]
D.J. Hunter, J.J. McDougall, F.J. Keefe.
The symptoms of osteoarthritis and the genesis of pain.
Rheum Dis Clin North Am, 34 (2008), pp. 623-643
[22.]
P.J. Benito, V. Díaz, F.J. Calderón, A.B. Peinado, C. Martín, M. Álvarez, et al.
La revisión bibliográfica sistemática en fisiología del ejercicio: recomendaciones prácticas.
RYCIDE, 3 (2007), pp. 1-11
[23.]
E. Roddy, W. Zhang, M. Doherty.
Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review.
Ann Rheum Dis, 64 (2005), pp. 544-548
[24.]
M. Izquierdo, K. Hakkinen, J. Ibanez, W.J. Kraemer, E.M. Gorostiaga.
Effects of combined resistance and cardiovascular training on strength, power, muscle cross-sectional area, and endurance markers in middle-aged men.
Eur J Appl Physiol, 94 (2005), pp. 70-75
[25.]
S.P. Messier, J.L. Glasser, W.H. Ettinger, T.E. Craven, M.E. Miller.
Declines in strength and balance in older adults with chronic knee pain: a 30-month longitudinal, observational study.
Arthritis Rheum, 47 (2002), pp. 141-148
[26.]
M.V. Hurley, D.L. Scott.
Improvements in quadriceps sensorimotor function and disability of patients with knee osteoarthritis following a clinically practicable exercise regime.
Br J Rheumatol, 37 (1998), pp. 1181-1187
[27.]
ACS.M., American College of Sports Medicine Position Stand.
The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults.
Med Sci Sports Exerc, 30 (1998), pp. 975-991
[28.]
M.E. Nelson, W.J. Rejeski, S.N. Blair, P.W. Duncan, J.O. Judge, A.C. King, et al.
Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association.
Circulation, 116 (2007), pp. 1094-1105
[29.]
M.E. Nelson, W.J. Rejeski, S.N. Blair, P.W. Duncan, J.O. Judge, A.C. King, et al.
Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association.
Med Sci Sports Exerc, 39 (2007), pp. 1435-1445
[31.]
G.D. Deyle, S.C. Allison, R.L. Matekel, M.G. Ryder, J.M. Stang, D.D. Gohdes, et al.
Physical therapy treatment effectiveness for osteoarthritis of the knee: a randomized comparison of supervised clinical exercise and manual therapy procedures versus a home exercise program.
Phys Ther, 85 (2005), pp. 1301-1317
[32.]
L.E. Silva, V. Valim, A.P. Pessanha, L.M. Oliveira, S. Myamoto, A. Jones, et al.
Hydrotherapy versus conventional land-based exercise for the management of patients with osteoarthritis of the knee: a randomized clinical trial.
Phys Ther, 88 (2008), pp. 12-21
[33.]
D. Durmus, G. Alayli, F. Canturk.
Effects of quadriceps electrical stimulation program on clinical parameters in the patients with knee osteoarthritis.
Clin Rheumatol, 26 (2007), pp. 674-678
[34.]
M.H. Jan, J.J. Lin, J.J. Liau, Y.F. Lin, D.H. Lin.
Investigation of clinical effects of high- and low-resistance training for patients with knee osteoarthritis: a randomized controlled trial.
Phys Ther, 88 (2008), pp. 427-436
[35.]
D.H. Lin, Y.F. Lin, H.M. Chai, Y.C. Han, M.H. Jan.
Comparison of proprioceptive functions between computerized proprioception facilitation exercise and closed kinetic chain exercise in patients with knee osteoarthritis.
Clin Rheumatol, 26 (2007), pp. 520-528
[36.]
S.P. Messier, R.F. Loeser, M.N. Mitchell, G. Valle, T.P. Morgan, W.J. Rejeski, et al.
Exercise and weight loss in obese older adults with knee osteoarthritis: a preliminary study.
J Am Geriatr Soc, 48 (2000), pp. 1062-1072
[37.]
L. Hart.
Effect of stretching on sport injury risk: a review.
Clin J Sport Med, 15 (2005), pp. 113
[38.]
S.B. Thacker, J. Gilchrist, D.F. Stroup, C.D. Kimsey.
The impact of stretching on sports injury risk: a systematic review of the literature.
Med Sci Sports Exerc, 36 (2004), pp. 371-378
[39.]
A.J. Fradkin, B.J. Gabbe, P.A. Cameron.
Does warming up prevent injury in sport? The evidence from randomised controlled trials?.
J Sci Med Sport, 9 (2006), pp. 214-220
[40.]
K.K. Mangione, K. McCully, A. Gloviak, I. Lefebvre, M. Hofmann, R. Craik.
The effects of high-intensity and low-intensity cycle ergometry in older adults with knee osteoarthritis.
J Gerontol A Biol Sci Med Sci, 54 (1999), pp. M184-M190
[41.]
N.F. Taylor, K.J. Dodd, D.L. Damiano.
Progressive resistance exercise in physical therapy: a summary of systematic reviews.
Phys Ther, 85 (2005), pp. 1208-1223
[42.]
T.R. Baechle, R.W. Earle.
Essentials of strength training and conditioning.
2nd ed, Human Kinetics, (2000),
[43.]
J. Ramos Álvarez, F. López-Silvarrey Varela, J. Segovia Martínez, J. Montoya Miñano, J. Legido Arce.
Prescripción del ejercicio en pacientes con artrosis. Recomendaciones actuales.
Selección, 15 (2006), pp. 144-153
[44.]
A. Foley, J. Halbert, T. Hewitt, M. Crotty.
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.
Ann Rheum Dis, 62 (2003), pp. 1162-1167
[45.]
T.N. Shepstone, J.E. Tang, S. Dallaire, M.D. Schuenke, R.S. Staron, S.M. Phillips.
Short-term high- vs. low-velocity isokinetic lengthening training results in greater hypertrophy of the elbow flexors in young men.
J Appl Physiol, 98 (2005), pp. 1768-1776
[46.]
M. Tanimoto, N. Ishii.
Effects of low-intensity resistance exercise with slow movement and tonic force generation on muscular function in young men.
J Appl Physiol, 100 (2006), pp. 1150-1157
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