Aquatic Cycling Improves Knee Pain and Physical Functioning in Patients With Knee Osteoarthritis: A Randomized Controlled Trial

Rewald, Stefanie; Lenssen, Antoine F.; Emans, Pieter J.; Bie, Rob A. de; Breukelen, Gerard van; Mesters, Ilse

doi:10.1016/j.apmr.2019.12.023

Cited by 39 publications

(58 citation statements)

References 37 publications

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“…São alguns: dor, que é um dos sintomas mais incapacitantes e se apresenta durante o movimento com alivio durante o repouso; rigidez articular, mais comum pela manhã em razão do período de inatividade articular durante o sono, que faz com que a articulação não seja lubrificada. Conforme há movimento ao longo do dia esse sintoma tente a melhorar; alteração de sensibilidade; crepitação; inflamação; perda muscular devido a inatividade articular e fraqueza do membro; deformidade da articulação, devido à formação de osteófitos marginais; déficits funcionais dentre outros (BARDUZZI et al, 2013;LIDIANE, 2015;REWALD et al, 2020).…”

Section: Discussionunclassified

Recursos Do Meio Hídrico Aplicados Pelo Fisioterapeuta Em Prematuros Internados Em Unidade De Terapia Intensiva Neonatal: Revisão Integrativa De Literatura

Silva¹,

Mendes²,

Soares³

et al. 2021

Fisioterapia E Terapia Ocupacional: Promoção &Amp; Prevenção E Reabilitação 4

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Direitos para esta edição cedidos à Atena Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0).O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação com base em critérios de neutralidade e imparcialidade acadêmica.A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação, evitando plágio, dados ou resultados fraudulentos e impedindo que interesses financeiros comprometam os padrões éticos da publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético.

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Section: Discussionunclassified

Recursos Do Meio Hídrico Aplicados Pelo Fisioterapeuta Em Prematuros Internados Em Unidade De Terapia Intensiva Neonatal: Revisão Integrativa De Literatura

Silva¹,

Mendes²,

Soares³

et al. 2021

Fisioterapia E Terapia Ocupacional: Promoção &Amp; Prevenção E Reabilitação 4

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“…Compared to land-based physiotherapy, aquatic-therapy had a beneficial effect on clinical outcomes following TKA with improvements in stair climbing power, knee edema, hip abductor strength, and quadriceps strength, however, it had no effect on the 6-MWT and 10-m walk test. The role of aquatic-therapy is to improve strength and control over the knee joint to achieve compensatory functional stability and improve sensorimotor control [26][27][28]. When practicing hydrotherapy, TKA participants maintained balance on their feet and appeared cautious and more concerned about their gait quality than fast moving.…”

Section: Discussionmentioning

confidence: 99%

Hydrotherapy Intervention for Patients Following Total Knee Arthroplasty: A Systematic Review

Zhuo

et al. 2021

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

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Background Hydrotherapy or aquatic exercise has long been known as a source of postoperative rehabilitation proposed in routine clinical practice. However, the effect on clinical outcome as well as the optimal timing of hydrotherapy in patients undergoing total knee arthroplasty (TKA) remain unclear. The purpose of this review was to assess the influence of aquatic physiotherapy on clinical outcomes and evaluate the role of the timing of aquatic-therapy for clinical outcomes after undergoing TKA. Methods An extensive literature search was performed in Embase, PubMed, and the Cochrane Library for randomized controlled trials (RCTs) that evaluated the impact of hydrotherapy on patients after TKA. The methodological quality of the trials was evaluated based on the Cochrane Risk of Bias Tool. Results All available studies on postoperative hydrotherapy after TKA were included. The primary endpoint was to evaluate the effect of hydrotherapy on clinical outcomes. The secondary outcome was to explore the role of the timing of aquatic therapy for clinical outcomes following TKA. Conclusion Although definitive conclusions could not be reached due to insufficient data, most studies indicated that participants benefited from aquatic-therapy in muscle strength, rather than gait speed, after TKA. Currently available data demonstrated that early postoperative hydrotherapy possessed a greater potential to improve clinical outcomes in main clinical scores and quality-adjusted life years (QALYs).

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“…Compared to land-based exercise, aquatic exercise has fewer side effects and better therapeutic effects ( Lund et al, 2008 ; Lu et al, 2015 ). Aquatic exercise has a better therapeutic effect for obese postmenopausal women with KOA, not only can alleviate pain, dysfunction, and improves quality of life, but also decrease fat mass ( Lim et al, 2010 ; Yazigi et al, 2013 ; Waller et al, 2017 ; Rewald et al, 2020 ). A randomized controlled trial showed that dance-based aquatic exercise can significantly improve physical function and cardiorespiratory capacity, as well as decrease postexercise heart rate and fatigue in obese postmenopausal women with KOA ( Casilda-Lopez et al, 2017 ).…”

Section: Exercise Training and Koamentioning

confidence: 99%

Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis

et al. 2021

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Knee osteoarthritis is a chronic degenerative disease. Cartilage and subchondral bone degeneration, as well as synovitis, are the main pathological changes associated with knee osteoarthritis. Mechanical overload, inflammation, metabolic factors, hormonal changes, and aging play a vital role in aggravating the progression of knee osteoarthritis. The main treatments for knee osteoarthritis include pharmacotherapy, physiotherapy, and surgery. However, pharmacotherapy has many side effects, and surgery is only suitable for patients with end-stage knee osteoarthritis. Exercise training, as a complementary and adjunctive physiotherapy, can prevent cartilage degeneration, inhibit inflammation, and prevent loss of the subchondral bone and metaphyseal bone trabeculae. Increasing evidence indicates that exercise training can improve pain, stiffness, joint dysfunction, and muscle weakness in patients with knee osteoarthritis. There are several exercise trainings options for the treatment of knee osteoarthritis, including aerobic exercise, strength training, neuromuscular exercise, balance training, proprioception training, aquatic exercise, and traditional exercise. For Knee osteoarthritis (KOA) experimental animals, those exercise trainings can reduce inflammation, delay cartilage and bone degeneration, change tendon, and muscle structure. In this review, we summarize the main symptoms of knee osteoarthritis, the mechanisms of exercise training, and the therapeutic effects of different exercise training methods on patients with knee osteoarthritis. We hope this review will allow patients in different situations to receive appropriate exercise therapy for knee osteoarthritis, and provide a reference for further research and clinical application of exercise training for knee osteoarthritis.

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Aquatic Cycling Improves Knee Pain and Physical Functioning in Patients With Knee Osteoarthritis: A Randomized Controlled Trial

Cited by 39 publications

References 37 publications

Recursos Do Meio Hídrico Aplicados Pelo Fisioterapeuta Em Prematuros Internados Em Unidade De Terapia Intensiva Neonatal: Revisão Integrativa De Literatura

Recursos Do Meio Hídrico Aplicados Pelo Fisioterapeuta Em Prematuros Internados Em Unidade De Terapia Intensiva Neonatal: Revisão Integrativa De Literatura

Hydrotherapy Intervention for Patients Following Total Knee Arthroplasty: A Systematic Review

Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis

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