Physiotherapeutic methods used in the rehabilitation of the balance postural in patients with osteoarthritis: a systematic review

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Bruna Knob
Matheus Santos Gomes Jorge
Caroline Zanin
Patrícia Rodigheri Vieira
Willian Guerra de Lima
Lia Mara Wibelinger


Osteoarthritis is a disease that can interfere with postural balance through various neuromuscular changes and physiotherapy has means that seek to maintain or rehabilitate this problem. The objective of this review was to identify, in the literature, rehabilitative means on the postural balance of individuals with osteoarthritis. A systematic review was performed between the months of January and March 2016 in the databases SciElo, Medline and LILACS, from the primary descriptor “Osteoartrite” (Osteoarthritis) in junction with the secondary keywords “Equilíbrio Postural” (Postural Balance), “Fisioterapia” (Physical Therapy Specialty) and “Reabilitação” (Rehabilitation) in Portuguese and English. Initially, 275 were found, of whom 29 were recruited for a qualitative analysis. Finally, four articles were chosen according to the criteria established by the review: one article addressed kinesiotherapy in soil, two to hydrokinesiotherapy and one to practice home exercises. It is concluded that the maintenance or rehabilitation of postural balance, both static and dynamic, is a phenomenon of great complexity in the individuals affected by osteoarthritis. The physiotherapeutic techniques (soil kinesiotherapy, hydrokinesiotherapy and physical exercises at home) showed positive effects on the management of postural balance in individuals with hip or knee osteoarthritis.


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Knob, B., Jorge, M. S. G., Zanin, C., Vieira, P. R., Lima, W. G. de, & Wibelinger, L. M. (2018). Physiotherapeutic methods used in the rehabilitation of the balance postural in patients with osteoarthritis: a systematic review. ABCS Health Sciences, 43(1).
Review Articles


1. Sohn DH, Sokolove J, Sharpe O, Erhart JC, Chandra PE, Lahey LJ, et al. Plasma proteins present in osteoarthritic synovial fluid can stimulate cytokine production via Toll-like receptor 4. Arthritis Res Ther. 2012;14(1):7.

2. Duarte VS, Santos ML, Rodrigues KA, Ramires JB, Arêas GPT, Borges GF. Exercícios físicos e osteoartrose: uma revisão sistemática. Fisioter Mov. 2013;26(1):193-202.

3. Wibelinger LM. Fisioterapia em Reumatologia. 2ª ed. Rio de Janeiro: Revinter, 2014.

4. Rezend MU, Campos GC. Is osteoarthritis a mechanical or inflammatory disease? Rev Bras Ortop. 2013;48(6):471-4.

5. Jorge MSG, Zanin C, Knob B, Wibelinger. Efeitos do calor profundo no tratamento da dor na osteoartrite: revisão sistemática. Rev Dor. 2017;18(1):79-84.

6. Choi YM, Dobson F, Martin J, Bennell KL, Hinman RS. Interrater and intrarater reliability of common clinical standing balance tests for people with hip osteoarthritis. Phys Ther. 2014;94(5):696-704.

7. Takacs J, Carpenter MG, Garland SJ, Hunt MA. The role of neuromuscular changes in aging and knee osteoarthritis on dynamic postural control. Aging Dis. 2013;4(2):84-99.

8. Khalaj N, Abu Osman NA, Mokhtar AH, George J, Abas WA. Effect of intra-articular hyaluronic injection on postural stability and risk of fall in patients with bilateral knee osteoarthritis. Scientific World J. 2014;2014: 815184.

9. Mat S, Tan MP, Kamaruzzaman SB, Ng CT. Physical therapies for improving balance and reducing falls risk in osteoarthritis of the knee: a systematic review. Age Ageing. 2015;44(1):16-24.

10. Silva A, Serrão PRMS, Driusso P, Mattiello SM. Efeito de exercícios terapêuticos no equilíbrio de mulheres com osteoartrite de joelho: uma revisão sistemática. Rev Bras Fisioter. 2012;16(1).

11. Khalaj N, Abu Osman NA, Mokhtar AH, Mehdikhani M, Wan Abas WA. Balance and risk of fall in individuals with bilateral mild and moderate knee osteoarthritis. PLoS One. 2014;9(3): e92270.

12. Rätsepsoo M, Gapeyeva H, Sokk J, Ereline J, Haviko T, Pääsuke M. Leg extensor muscle strength, postural stability, and fear of falling after a 2-month home exercise program in women with severe knee joint osteoarthritis. Medicina (Kaunas). 2013;49(8):347-53.

13. Wibelinger LM, Batista JS, Vidmar MF, Kayser B, Pasqualotti A, Schneider RH. Efeitos da fisioterapia convencional e da wiiterapia na dor e capacidade funcional de mulheres idosas com osteoartrite de joelho. Rev Dor. 2013;14(3):196-9.

14. Arnold CM, Faulkner RA, Gyurcsik NC. The relationship between falls efficacy and improvement in fall risk factors following an exercise plus educational intervention for older adults with hip osteoarthritis. Physiother Can. 2011;63(4):41-420.

15. Hale LA, Waters D, Herbison P. A randomized controlled trial to investigate the effects of water-based exercise to improve falls risk and physical function in older adults with lower-extremity osteoarthritis. Arch Phys Med Rehabil. 2012;93(1):27-34.

16. Takacs J, Garland SJ, Carpenter MG, Hunt MA. Validity and reliability of the community balance and mobility scale in individuals with knee osteoarthritis. Phys Ther. 2014;94(6):866-74.

17. Reis JG, Gomes MM, Neves TM, Petrella M, Oliveira RDR, Abreu DCC. Avaliação do controle postural e da qualidade de vida em idosas com osteoartrite de joelho. Rev Bras Reumatol. 2014;54(3):208-12.

18. Petrella M, Neves TM, Reis JG, Gomes MM, Oliveira RDR, Abreu DCC. Parâmetros do controle postural em mulheres idosas com ou sem histórico de quedas associadas ou não à osteoartrite de joelhos. Rev Bras Reumatol. 2012;52(4):512-7.

19. Sanchez-Ramirez DC, Van der Leeden M, Knol DL, Van der Esch M, Roorda LD, Verschueren S, et al. Association of postural control with muscle strength, proprioception, self-reported knee instability and activity limitations in patients with knee osteoarthritis. J Rehabil Med. 2013;45(2):192-7.

20. Santos MLAS, Gomes WF, Queiroz BZ, Rosa NMB, Pereira DS, Dias JMD, et al. Desempenho muscular, dor, rigidez e funcionalidade de idosas com osteoartrite de joelho. Acta Ortop Bras. 2011;19(4):193-7.

21. Rogers MW, Tamulevicius N, Semple SJ, Krkeljas Z. Efficacy of home-based kinesthesia, balance & agility exercise training among persons with symptomatic knee osteoarthritis. J Sports Sci Med. 2012;11(4):751-8.

22. Wang XQ, Huang LY, Liu Y, Li JX, Wu X, Li HP, et al. Effects of tai chi program on neuromuscular function for patients with knee osteoarthritis: study protocol for a randomized controlled trial. Trials. 2013;14(1):37.

23. Akyol Y, Durmus D, Alayli G, Tander B, Bek Y, Canturk F, et al. Does short-wave diathermy increase the effectiveness of isokinetic exercise on pain, function, knee muscle strength, quality of life, and depression in the patients with knee osteoarthritis? A randomized controlled clinical study. Eur J Phys Rehabil Med. 2010;46(3):325-36.