Efeito imediato da utilização da joelheira elástica em indivíduos com osteoartrite

Abstract

Background: Knee osteoarthritis (KOA) is one of the major reasons for seeking medical and physical therapy services, because it usually causes diffi culties in performing daily life activities. There are several types of treatment, with varied results. The use of knee sleeve as an adjuvant resource has been controversial in the literature. Objective: To assess the immediate effi cacy of elastic knee sleeve on pain and functional capacity of individuals with KOA. Methods: Seventyfour patients (132 knees) with symptomatic KOA were assessed by use of the Stair Climb Power Test (SCPT), Timed Up and Go (TUG) and 8-Meter Walk (8MW) tests, in addition to the VAS for pain. The tests were performed with and without knee sleeves, with a cover on the knees to hide knee sleeve. The order and the presence of the knee sleeve were randomized, and the investigator was blind. Results: A statistically signifi cant difference was found between the two compared circumstances (with and without knee sleeve) when using the VAS (P < 0.001), which showed a reduction in pain with the knee sleeve use. Analyses of the three functional tests under both circumstances were performed, resulting in statistically signifi cant differences in 8MW and TUG tests (P < 0.05), but not in SCPT (P > 0.1339). Conclusion: The elastic knee sleeve proved to be effective to immediately improve the functional capacity and pain of individuals with KOA, because it enhanced performance during the tests proposed. Thus, the knee sleeve is an adjuvant resource for treating KOA, because it is practical, useful, and of easy clinical use, and can aid in the practice of therapeutic exercises.

Effects of knee sleeves on coordination of lower-limb segments in healthy adults during level walking and one-leg hopping

“…These results implied that the knee sleeve less altered the subject performance during the gait and the one-leg hop, which was consistent with the inferences made in previous studies (Bryk et al, 2011; Mortaza et al, 2012). …”

“…Mortaza et al (2012) showed that using a knee sleeve did not have any negative effects on the performance of a single-leg vertical jump and a crossover hop in healthy adults. Bryk et al (2011) found that immediate positive effects were seen in the functional capacity of osteoarthritis patients wearing knee sleeves. Several other researchers also evaluated the effects of using a knee sleeve on the kinematics and kinetics of walking or other physical activities.…”

“…We hypothesized that a knee sleeve might alter joint or segment coordination based on the influences of a knee sleeve on the functional capacity and performance associated with the joint or segment kinematics (Bryk et al, 2011; Collins et al, 2014; Mortaza et al, 2012; Schween, Gehring & Gollhofer, 2015). However, to the best of our knowledge, no study has focused on the effects of using knee sleeves on joint or segment coordination.…”

A utilização de joelheira na dor e função em pacientes com osteoartrite de joelho e síndrome da dor patelofemoral: uma revisão de escopo

“…A OA do joelho é uma condição inflamatória e degenerativa (Bryk et al, 2011;Schween;Gehring;Gollhofer, 2015;Yamada et al, 2018) que gera defeitos na integridade da cartilagem articular acompanhada de alterações no tecido ósseo (Oliveira et al, 2012). Sua prevalência tende a aumentar com o avançar da idade (Schween;Gehring;Gollhofer, 2015), afetando 25% dos indivíduos com idade superior a 18 anos (Chen et al, 2017) e mais de 80% das pessoas após os 65 anos (Charlier et al, 2016).…”

“…A AO do joelho e a SDPF, são dois dos principais motivos pela busca por serviços médicos e fisioterapêuticos (Ghasemi;Dehghan, 2015), seus sinais e sintomas clínicos são similares em sua maioria, apresentando dor, rigidez, fraqueza muscular, instabilidade e mudanças no alinhamento articular, provocando diminuição de habilidades funcionais essenciais, como sentar e levantar, subir e descer escadas, ajoelhar-se, andar e até mesmo em ficar de pé, podendo ainda aumentar a probabilidade de quedas (Bryk et al, 2011;Oliveira et al, 2014;Ghasemi;Dehghan, 2015;Yamamoto et al, 2019).…”