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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(05): 509-517
DOI: 10.1055/s-0039-1696681
Artigo de Revisão
Joelho

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

Article in several languages: português | English
Thiago Casali Rocha
1   Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Hospital e Maternidade Therezinha de Jesus, Juiz de Fora, MG, Brazil
,
Plínio dos Santos Ramos
1   Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Hospital e Maternidade Therezinha de Jesus, Juiz de Fora, MG, Brazil
,
Alessandra Germano Dias
2   Latu Sensu Graduation Program in Traumatic and Orthopedics Physical Therapy, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Juiz de Fora, MG, Brazil
,
Elaine Angélica Martins
2   Latu Sensu Graduation Program in Traumatic and Orthopedics Physical Therapy, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Juiz de Fora, MG, Brazil
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Resumo

Objetivo O presente estudo verificou por meio de uma revisão sistemática com metanálise os efeitos de um programa de reabilitação, através de um programa de treinamento físico, para o tratamento da dor e força muscular na osteoartrose (OA) de joelho.

Métodos Foram analisados os estudos publicados entre 2008 e 2018, tendo como referência a base de dados Medline (National Library of Medicine), da qual foram selecionados 7 ensaios clínicos controlados randomizados que pontuaram acima de 8 na escala Physiotherapy Evidence Database (PeDro, na sigla em inglês), sobre programas de exercícios na melhora da dor e força muscular em paciente com OA de joelho. Foi usada a sistematização Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA, na sigla em inglês) para a elaboração desta revisão e a realização de uma metanálise com o objetivo de evidenciar matematicamente os resultados do exercício físico sobre a dor.

Resultados Os estudos incluídos na análise continham um total de 934 participantes com idade entre 40 a 73 anos, sendo que 34,90% desses eram do sexo masculino. A maioria dos conjuntos de exercícios oferecidos no tratamento da OA tiveram resultado significativamente positivo em ambos os quesitos, mas principalmente para o alívio da dor (estatisticamente significativo p < 0, 003).

Conclusão Inferimos que houve uma melhora da dor em todos os artigos que realizaram fortalecimento muscular, porém ainda há um óbice sobre os protocolos utilizados.

Palavras-chave

dor - força muscular - osteoartrite de joelho - técnicas de exercício e de movimento

* Trabalho desenvolvido na Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Hospital e Maternidade Therezinha de Jesus, Juiz de Fora, MG, Brasil.




Publication History

Received: 04 November 2018

Accepted: 12 March 2019

Article published online:
23 September 2019

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda
Rio de Janeiro, Brazil

 

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