Exercícios resistidos na osteoartrite: uma revisão

Autores

  • Natália Cristina de Oliveira Vargas e Silva Centro Universitário Adventista de São Paulo
  • Fabio Marcon Alfieri Centro Universitário Adventista de São Paulo

DOI:

https://doi.org/10.5935/0104-7795.20140028

Palavras-chave:

Osteoartrite, Exercício, Reabilitação

Resumo

A osteoartrite é a doença articular mais comum em nível mundial, e no Brasil estima-se que ela afeta de 6 a 12% dos adultos e mais de um terço dos idosos. Há evidências de que o exercício, especialmente o resistido, pode reduzir a progressão da doença. Objetivo: Revisar na literatura os trabalhos sobre exercícios resistidos como forma de tratamento da osteoartrite. Método: Foram revisados artigos indexados na base de dados PubMed, com aplicação do filtro “therapy narrow” da interface “clinical queries”. Vinte artigos foram selecionados para revisão na íntegra. Várias modalidades de intervenção com exercício resistido, de diferentes intensidades, duração e velocidades de execução foram estudadas por outros autores. Resultados: Todas as formas de exercício resistido parecem ser seguras e eficazes para promover melhorias funcionais e redução da dor em pacientes com osteoartrite. Exercícios em baixa intensidade ou em isometria também podem promover benefícios aos pacientes. Conclusão: A adesão aos programas é próxima de 50% e a utilização combinada de suplementos ou medicamentos com o exercício ainda foi pouco estudada até o momento nesta população.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

Alkan BM, Fidan F, Tosun A, Ardıçoğlu O. Quality of life and self-reported disability in patients with knee osteoarthritis. Mod Rheumatol. 2014;24(1):166-71. DOI: http://dx.doi.org/10.3109/14397595.2013.854046

Fellet A, Fellet AJ, Fellet L. Osteoartrose: uma Revisão. Rev Bras Med. 2007;64:55-61.

Guccione AA, Felson DT, Anderson JJ, Anthony JM, Zhang Y, Wilson PW, et al. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health. 1994;84(3):351-8. DOI:http://dx.doi.org/10.2105/AJPH.84.3.351

Kotlarz H, Gunnarsson CL, Fang H, Rizzo JA. Insurer and out-of-pocket costs of osteoarthritis in the US: evidence from national survey data. Arthritis Rheum. 2009;60(12):3546-53. DOI: http://dx.doi.org/10.1002/art.24984

Ang DC, James G, Stump TE. Clinical appropriateness and not race predicted referral for joint arthroplasty. Arthritis Rheum. 2009;61(12):1677-85. DOI: http://dx.doi.org/10.1002/art.24944

Cooper C. Osteoarthritis: epidemiology and classification. In: Hochberg MC. Rheumatology. 3rd ed. Toronto: Mosby; 2003. p.1781-91.

Marques AP, Kondo A. A fisioterapia na osteoartrose: uma revisão da literatura. Rev Bras Reumatol 1998;38(2):83-90.

Sanchez FF, Ros RCMM, Silva TR, Uccio CB. Cinesioterapia como tratamento para osteoartrite no joelho. Rev Omnia Saúde.2007;4(2):32-6.

Vasconcelos KSS, Dias JMD, Dias RC. Impacto do grau de obesidade nos sintomas e na capacidade funcional de mulheres com osteoartrite de joelhos. Fisioter Pesqui. 2008;15(2):125-30. DOI: http://dx.doi.org/10.1590/S1809-29502008000200003

Matsudo VKR, Calmona CO. Osteoartrose e atividade física. Diagn Tratamento. 2009;14(4):146-51

Rosa C, Machado CA. Plantas medicinais utilizadas no tratamento de doenças reumáticas: revisão. Rev Bras Farm. 2007;88(1):26-32.

Arthur K, Nascimento LC, Figueiredo DAS, Souza LB, Alfieri FM. Efeitos da geoterapia e fitoterapia associadas à cinesioterapia na osteoartrite de joelho: estudo randomizado duplo cego. Acta Fisiátr. 2012;19(1):11-5. DOI:http://dx.doi.org/10.5935/0104-7795.20120003

Bongi SM, Del Rosso A. Come si prescrive l'esercizio fisico in reumatologia. Reumatismo,. 2010;62(1):4-11.

Roddy E, Zhang W, Doherty M, Arden NK, Barlow J, Birrell F, et al. Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee--the MOVE consensus. Rheumatology (Oxford). 2005;44(1):67-73. DOI: http://dx.doi.org/10.1093/rheumatology/keh399

Petrella RJ. Is exercise effective treatment for osteoarthritis of the knee? Br J Sports Med. 2000;34(5):326-31. DOI:http://dx.doi.org/10.1136/bjsm.34.5.326

Ciolac EG, Greve JMD. Muscle strength and exercise intensity adaptation to resistance training in older women with knee osteoarthritis and total knee arthroplasty. Clinics. 2011;66(12):2079-84. DOI: http://dx.doi.org/10.1590/S1807-59322011001200013

Petterson SC, Barrance P, Buchanan T, Binder-Macleod S, Snyder-Mackler L. Mechanisms underlying quadriceps weakness in knee osteoarthritis. Med Sci Sports Exerc 2008;40(3):422-7. DOI:http://dx.doi.org/10.1249/MSS.0b013e31815ef285

Slemenda C, Brandt KD, Heilman DK, Mazzuca S, Braunstein EM, Katz BP, et al. Quadriceps weakness and osteoarthritis of the knee. Ann Intern Med. 1997;127(2):97-104. DOI: http://dx.doi.org/10.7326/0003-4819-127-2-199707150-00001

Foroughi N, Smith RM, Lange AK, Baker MK, Fiatarone Singh MA, Vanwanseele B. Lower limb muscle strengthening does not change frontal plane moments in women with knee osteoarthritis: a randomized controlled trial. Clin Biomech (Bristol, Avon). 2011;26(2):167-74. DOI:http://dx.doi.org/10.1016/j.clinbiomech.2010.08.011

Foroughi N, Smith RM, Lange AK, Singh MA, Vanwanseele B. Progressive resistance training and dynamic alignment in osteoarthritis: A singleblind randomised controlled trial. Clin Biomech (Bristol, Avon). 2011;26(1):71-7. DOI:http://dx.doi.org/10.1016/j.clinbiomech.2010.08.013

Fukumoto Y, Tateuchi H, Ikezoe T, Tsukagoshi R, Akiyama H, So K, et al. Effects of high-velocity resistance training on muscle function, muscle properties, and physical performance in individuals with hip osteoarthritis: a randomized controlled trial. Clin Rehab. 2014;28(1):48-58. DOI:http://dx.doi.org/10.1177/0269215513492161

Gür H, Çakın N, Akova B, Okay E, Küçükoglu S. Concentric versus combined concentric-eccentric isokinetic training: effects on functional capacity and symptoms in patients with osteoarthrosis of the knee. Arch Phys Med. 2002;83(3):308-16. DOI:http://dx.doi.org/10.1053/apmr.2002.30620

Topp R, Woolley S, Hornyak III J, Khuder S, Kahaleh B. The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee. Arch Phys Med Rehabil. 2002;83(9):1187-95. DOI:http://dx.doi.org/10.1053/apmr.2002.33988

Hughes SL, Seymour RB, Campbell RT, Pollak N, Huber G, Sharma L. Impact of the Fit and Strong intervention on older adults with osteoarthritis. Gerontologist. 2004;44(2):217-28. DOI: http://dx.doi.org/10.1093/geront/44.2.217

Hughes SL, Seymour RB, Campbell RT, Huber G, Pollak N, Sharma L, et al. Long term impact of Fit and Strong! on older adults. Gerontologist. 2006;46(6):801-14. DOI: http://dx.doi.org/10.1093/geront/46.6.801

Lin DH, Lin YF, Chai HM, Han YC, Jan MH. Comparison of proprioceptive functions between computerized proprioception facilitation exercise and closed kinetic chain exercise in patients with knee osteoarthritis. Clin Rheumatol. 2007;26(4):520-8. DOI: http://dx.doi.org/10.1007/s10067-006-0324-0

Ghroubi S, Elleuch H, Kaffel N, Echikh T, Abid M, Elleuch MH. Apport de l'exercice physique et du régime dans la prise en charge de la gonarthrose chez l'obèse. Ann Readapt Med Phys. 2008;51(8):663-70. DOI:http://dx.doi.org/10.1016/j.annrmp.2008.07.035

Jan MH, Lin JJ, Liau JJ, Lin YF, Lin DH. Investigation of clinical effects of high- and low-resistance training for patients with knee osteoarthritis: a randomized controlled trial. Phys Ther. 2008;88(4):427-36. DOI:http://dx.doi.org/10.2522/ptj.20060300

Bruce-Brand RA, Walls RJ, Ong JC, Emerson BS, O'Byrne JM, Moyna NM. Effects of home-based resistance training and neuromuscular electrical stimulation in knee osteoarthritis: a randomized controlled trial. BMC Musculoskelet Disord. 2012;13:118. DOI: http://dx.doi.org/10.1186/1471-2474-13-118

Sayers SP, Gibson K, Cook CR. Effect of high-speed power training on muscle performance, function, and pain in older adults with knee osteoarthritis: a pilot investigation. Arthritis Care Res. 2012;64(1):46-53. DOI:http://dx.doi.org/10.1002/acr.20675

Chang TF, Liou TH, Chen CH, Huang YC, Chang KH. Effects of elastic-band exercise on lower-extremity function among female patients with osteoarthritis of the knee. Disabil Rehabil. 2012;34(20):1727-35. DOI:http://dx.doi.org/10.3109/09638288.2012.660598

Farr JN, Going SB, McKnight PE, Kasle S, Cussler EC, Cornett M. Progressive resistance training improves overall physical activity levels in patients with early osteoarthritis of the knee: a randomized controlled trial. Phys Ther. 2010;90(3):356-66. DOI: http://dx.doi.org/10.2522/ptj.20090041

Rejeski WJ, Brawley LR, Ettinger W, Morgan T, Thompson C. Compliance to exercise therapy in older participants with knee osteoarthritis: implications for treating disability. Med Sci Sports Exerc. 1997;29(8):977-85. DOI:http://dx.doi.org/10.1097/00005768-199708000-00001

Ettinger WH Jr1, Burns R, Messier SP, Applegate W, Rejeski WJ, Morgan T, et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). JAMA. 1997;277(1):25-31. DOI:http://dx.doi.org/10.1001/jama.1997.03540250033028

Rejeski WJ, Ettinger WH Jr, Martin K, Morgan T. Treating disability in knee osteoarthritis with exercise therapy: a central role for self-efficacy and pain. Arthritis Care Res. 1998;11(2):94-101. DOI:http://dx.doi.org/10.1002/art.1790110205

Sevick MA, Bradham DD, Muender M, Chen GJ, Enarson C, Dailey M, et al. Cost-effectiveness of aerobic and resistance exercise in seniors with knee osteoarthritis. Med Sci Sports Exerc. 2000;32(9):1534-40. DOI:http://dx.doi.org/10.1097/00005768-200009000-00002

Neves M Jr, Gualano B, Roschel H, Fuller R, Benatti FB, Pinto ALS, et al. Beneficial effect of creatine supplementation in knee osteoarthritis. Med Sci Sports Exerc. 2011;43(8):1538-43. DOI:http://dx.doi.org/10.1249/MSS.0b013e3182118592

Petersen SG, Beyer N, Hansen M, Holm L, Aagaard P, Mackey AL, et al. Nonsteroidal anti-inflammatory drug or glucosamine reduced pain and improved muscle strength with resistance training in a randomized controlled trial of knee osteoarthritis patients. Arch Phys Med Rehabil. 2011;92(8):1185-93. DOI: http://dx.doi.org/10.1016/j.apmr.2011.03.009

Scanlon TC, Fragala MS, Stout JR, Emerson NS, Beyers KS, Oliveira LP, et al. Muscle architecture and strength: adaptations to short term resistance training. Muscle Nerve. 2014;49(4):584-92. DOI: http://dx.doi.org/10.1002/mus.23969

Anwer S, Alghadir A. Effect of isometric quadriceps exercise on muscle strength, pain, and function in patients with knee osteoarthritis: a randomized controlled study. J Phys Ther Sci. 2014;26(5):745-8. DOI:http://dx.doi.org/10.1589/jpts.26.745

Bennell KL, Hunt MA, Wrigley TV, Hunter DJ, Hinman RS. The effects of hip muscle strengthening on knee load, pain, and function in people with knee osteoarthritis: a protocol for a randomised, singleblind controlled trial. BMC Musculoskelet Disord. 2007;8:121. DOI: http://dx.doi.org/10.1186/1471-2474-8-121

O'Reilly SC, Muir KR, Doherty M. Effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomised controlled trial. Ann Rheum Dis. 1999;58(1):15-9. DOI:http://dx.doi.org/10.1136/ard.58.1.15

Alnahdi AH, Zeni JA, Snyder-Mackler L. Mucle impairments in patients with knee osteoarthritis. Sports Health. 2012;4(4):284-92. DOI:http://dx.doi.org/10.1177/1941738112445726

Koralewicz LM, Engh GA. Comparison of proprioception in arthritic and age-matched normal knees. J Bone Joint Surg Am. 2000;82-A(11):1582-8.

Barrett DS, Cobb AG, Bentley G. Joint proprioception in normal, osteoarthritic and replaced knees. J Bone Joint Surg Br. 1991;73(1):53-6.

Publicado

2014-09-09

Edição

Seção

Artigo de Revisão

Como Citar

1.
Silva NC de OV e, Alfieri FM. Exercícios resistidos na osteoartrite: uma revisão. Acta Fisiátr. [Internet]. 9º de setembro de 2014 [citado 24º de abril de 2024];21(3):141-6. Disponível em: https://www.revistas.usp.br/actafisiatrica/article/view/103860