Effects of a therapeutic exercises program associated with pompage technique on pain, balance and strength in elderly women with knee osteoarthritis

Abstract

Introduction: Knee Osteoarthritis (OA) affects mainly elderly, being characterized by arthralgia, stiffness and strength and balance deficits. Scientific evidence suggests beneficial effects of exercise therapy on these changes, but lacks detailed protocols. In addition, there were published studies on effects of therapeutic exercise associated with pompage that were not located. Objective: To investigate the effects of a therapeutic exercise program associated with pompage on pain, balance and muscle strength in elderly women with knee osteoarthritis. Methods: A randomized pilot clinical trial that included 22 women (60 - 80 years) diagnosed with knee OA, randomized and allocated by simple raffle into two groups: intervention and control. Intervention group (strengthening and balance exercises and knee pompage) performed two sessions per week for 12 weeks. The control group received educational lectures, they were evaluated before and after 12 weeks: arthralgia- subscale pain of the Western Ontario and McMaster Universities Osteoarthritis Index questionnaire (WOMAC); postural stability- postural balance protocol by Biodex Balance SD and muscle strength- concentric peak torque of the knee extensor by isokinetic dynamometer. The Independent Student t test was used for intergroup analysis. Results: The intervention group compared with the control showed better results for the outcomes pain, balance and muscle strength after 12 weeks. However, the difference was statistically significant (p < 0.05) for levels of antero-posterior oscillation (DM -0.28, 95% CI -0.54 a -0.02; p = 0.035) and global oscillation (DM -0.36, 95% CI -0.68 a -0.04; p = 0.028). Conclusion: The intervention had a positive effect on postural balance in elderly women with knee osteoarthritis.

The Effectiveness of Pump Techniques and Pompages: A Systematic Review

“…Among these studies, 20 analyzed pump techniques [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56], and five concerned pompages [57][58][59][60][61]. The included studies were published from 1968 to 2019 and conducted in the USA [38][39][40][41][43][44][45][46][47][48][49][50][54][55][56], Brazil [57,58,60,61], Italy [51,52,59], Egypt [37], Poland [53], and India [42]; the total number of patients who completed the assessments was 1632.…”

“…In 20 studies, thoracic lymphatic techniques were applied together with other techniques, such as pedal pump, abdominal pump, and sternal pump [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56]. In five studies, pompages were used [57][58][59][60][61]. The duration of the treatments ranged from one day to seven weeks and the duration of each treatment ranged from two to 50 min.…”

“…The duration of the treatments ranged from one day to seven weeks and the duration of each treatment ranged from two to 50 min. The interventions with which the pump techniques were compared were no treatment [37,52], light touch [44][45][46][47][48]50,54,56,57], conventional rehabilitation [38,41,42,51,53,55,61], vaccination [39,40] stretching [58], muscle-tension headache program and electrotherapy program [59], and educational lectures [60]. Primary outcomes were pain intensity, lung functions, blood count cell, and length of hospitalization.…”

“…Pain, postural balance and muscle strength. Only one study [60] was identified comparing knee pompage added to exercise versus educational lectures in knee osteoarthritis, at shortterm follow-up. Outcomes assessed were pain, postural balance and muscle strength.…”

“…2015 [52] Ratajska M. 2019 [53] Saggio G. 2010 [54] Sleszynski P. 1993 [55] HIGH Gondim I. 2017 [60] the control group, one participant reported "a little muscle soreness in the abdomen" [46]. In a second study [47], one subject in the treatment group reported generalized muscle soreness, and another reported "a little muscle soreness in the neck", while in the control group, four instances of possible adverse effects were reported: "elevated blood pressure in the morning," (164/90 mm Hg)"mild heart palpitations," "a little [muscle] soreness," and "back was a little sore.…”