Os efeitos do exercício físico sobre o manejo da dor em pacientes com osteoartrose de joelho: Uma revisão sistemática com meta-análise

Abstract

Objective The present study verified, through a systematic review with meta-analysis, the effects of a rehabilitation, physical training program for the treatment of pain and muscle strength in knee osteoarthritis (OA). Methods We analyzed studies published between 2008 and 2018 referenced at the Medline (National Library of Medicine) database, selecting 7 randomized controlled clinical trials about exercise programs to improve pain and muscle strength in patients with knee OA with Physiotherapy Evidence Database (PeDro) score higher than 8. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) systematization was used to prepare this review, and a meta-analysis was carried out to obtain mathematical evidence the outcomes of physical exercise on pain. Results The studies included in the analysis contained a total of 934 participants aged 40 to 73 years-old, with 34.90% males. Most of the exercise sets offered in OA treatment had a significantly positive outcome result in both criteria, but mainly for pain relief (statistically significant difference, p < 0.003). Conclusion We infer that there was an improvement of pain in all articles that performed muscle strengthening, but there is still an obstacle to the protocols used.

Genicular Block in the Treatment of Advanced Knee Arthrosis

“…comorbidities. Rocha, et al (2020), verified through a systematic review the effects it is used in the treatment of knee osteoarthritis pain and muscle strength. The studies included in the analysis included a total of 934 participants aged between 40 and 73, of whom 34.90% were men.…”

Variation in the utilisation of physiotherapy in patients with advanced knee osteoarthritis prior to total knee arthroplasty a systematic review

“…Over 50 randomised controlled trials demonstrate the pain‐relieving effect of exercise in patients with KOA (Davis et al., 2020; Fransen et al., 2014; Rocha et al., 2020; Skou, Pedersen, et al., 2018; Uthman et al., 2013). The effect size (ES) of exercise for pain reduction (ES = 0.49) and for function (ES = 0.52) is moderate (Fransen et al., 2003).…”

Evidências Científicas Sobre a Transfusão Placentária Para O Recém-Nascido

“…Embora não tenham sido destacados quais protocolos foram utilizados, foi possível analisar que os portadores da OA que realizaram treinos de fortalecimento muscular obtiveram melhora da dor. De forma que, evidentemente ter uma vida ativa, principalmente nesse estado, é importante também pelo fator de estar com a funcionalidade articular limitada, uma vez que com um fortalecimento muscular poderá ter mais segurança ao se movimentar (ROCHA et al, 2020).…”

“…De forma que, os artigos após a leitura do título e do resumo aqueles que atenderam os critérios de inclusão e exclusão foram inseridos numa tabela, restando três artigos para serem analisados. Enquanto nos estudos que foram realizados treinos de fortalecimento muscular, obteve melhora da dor em todos os pacientes com osteoartrose(ROCHA et al, 2020). cada uma delas.…”