Physiotherapeutic methods used in the rehabilitation of the balance postural in patients with osteoarthritis: a systematic review
Main Article Content
Abstract
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.
Downloads
Article Details
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY) that allows others to share and adapt the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.References
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. http://dx.doi.org/10.1186/ar3555
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. http://dx.doi.org/10.1590/S0103-51502013000100022
Wibelinger LM. Fisioterapia em Reumatologia. 2ª ed. Rio de Janeiro: Revinter, 2014.
Rezend MU, Campos GC. Is osteoarthritis a mechanical or inflammatory disease? Rev Bras Ortop. 2013;48(6):471-4. http://dx.doi.org/10.1016/j.rboe.2013.12.002
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. http://dx.doi.org/10.5935/1806-0013.20170016
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. http://dx.doi.org/10.2522/ptj.20130266
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.
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. http://dx.doi.org/10.1155/2014/815184
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.http://dx.doi.org/10.1093/ageing/afu112
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).
http://dx.doi.org/10.1590/S1413-35552012000100002
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. http://dx.doi.org/10.1371/journal.pone.0092270
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.
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. http://dx.doi.org/10.1590/S1806-00132013000300009
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. http://dx.doi.org/10.3138/ptc.2010-29
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. http://dx.doi.org/10.1016/j.apmr.2011.08.004
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.http://dx.doi.org/10.2522/ptj.20130385
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.
http://dx.doi.org/10.1016/j.rbr.2013.11.002
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. http://dx.doi.org/10.1590/S0482-50042012000400004
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. http://dx.doi.org/10.2340/16501977-1087
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.
http://dx.doi.org/10.1590/S1413-78522011000400004
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.
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.
http://dx.doi.org/10.1186/1745-6215-14-375
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.