Aquatic physiotherapy in the reduction of pain and improvement of the quality of life of the elderly with knee osteoarthritis: a systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i14.22535

Keywords:

Aquatic Physiotherapy; Knee osteoarthritis; Quality of life.

Abstract

Osteoarthritis is a commonly insidious, gradual, and slow musculoskeletal dysfunction characterized by wear of the articular cartilage and bone changes. Aquatic physiotherapy has great relevance in the treatment of patients with knee osteoarthritis, reducing pain and contributing to a significant improvement in quality of life. The aim of this study is to systematically review the effectiveness of aquatic physical therapy in reducing pain in patients and improving the quality of life in elderly patients with knee osteoarthritis. It is a systematic review of randomized clinical trials, analyzed by two independent reviewers, as recommended by the Prisma platform in the PubMed, PEDro and CENTRAL databases. Original studies using Aquatic Physical Therapy to reduce pain and improve quality of life in elderly patients with knee OA were included. The PEDro scale was used to analyze the methodological quality and analysis of risk of bias. Five studies were included. Aquatic Physiotherapy intervened to reduce pain and improve quality of life when compared to other intervention methods applied to elderly patients with knee OA. It is concluded that Aquatic Physical Therapy is an effective option for knee osteoarthritis, reducing pain levels and increasing the quality of life of the elderly.

References

Alcade, G. E., et al. (2017). Effect of aquatic physical therapy on pain perception, funcional capacity and quality of life in older people with knee osteoarthritis: study protocol for a randomized controlled trial. BioMed Central, 1-6.

Azizi, S. A. D., Zahra, R., S. A. Raeissadat, R. K. M., & Sharif, N. (2019). Randomized controlled trial of aquatic exercise for treatment of knee osteoarthritis in elderly people. Interventional Medicine & Applied Science, 161-167.

Campion M. R. (1997) Hydrotherapy: principles and practice, 2nd edn. Butterworth-Heinemann, Oxford.

Souza, D.V., Lasmar, S. M., Abreu, R. K., Ramires, J. B., Arêas, Gpt. & Borges, G. F. (2013). Exercise and osteoarthrosis: a systematic review [in Portuguese]. Fisioter Mov. 26:193–202.

Dias, J. M., et al. (2017). Hydrotherapy improves pain and function in older women with knee osteoarthritis: a randomized controlled trial. Brazilian Journal of Physical Therapy, 1-8.

Dong, R. et al. (2018). Is aqautic exercise more effective than land-based exercise for knee osteoarthritis? Medicine, 1-13.

Foley, A., J. Halbert, T. Hewitt, & M, Crotty. (2003). Does hydrotherapy improvise strength and physical function in patients with osteoarthritis - a randomized controlled trial comparing a gym based and a hydrotherapy based strengthening programme. Ann Rheum Dis, 1162-1167.

Hinman, R. S, S. E. Heywood, & Anthony, R. D. (2007). Aquatic Physical Therapy for Hip and Knee Osteoarthritis: Results of a Single-Blind Randomized Trial. Research Report, 32-43.

Hochberg, M., Altman, R. & April, K., et al. (2012). American college of rheumatology recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 64:465---474.

Kelley, W. N. & Harris, E. D, (2005). Kelley’s Textbook of Rheumatology. 7th ed, Philadelphia: Elsevier Saunders.

Khruakhorn, S. & Sanon, C. (2021). Effects of hydrotherapy and land-based exercise on mobility and quality of life in patients whith knee osteoarthritis: a randomized control trial. The Journal of Physical Therapy Sciense, 375-383.

Lim, J. Y., Tchai, E. & Jang, S. N. (2010). Effectiveness of aquatic exercise for obese patients with knee osteoarthritis: a randomized controlled trial.” The jornal of injury, function and rehabilitation, 723-731.

Lu, M., et al. (2015). Effectiveness of aquatic exercise for treatment of knee osteoarthritis. Zeitschrift für Rheumatologie, 543-552.

Rosis, R. G. P. Sérgio, M., & Maisa, K. (2010). Osteoartrite: avaliação clínica e epidemiológica de pacientes idosos em instituição de longa permanência.” Rev Bras Clin Med, 101-108.

Silva, L. E., et al. (2008). Hydrotherapy Versus Conventional Land-Based Exercise of the Management of Patients With Osteroarthritis of the Knee: A Randomized Clinical Trial.” Physical Terapy, 12-21.

Simon, L. & Blotman, F. (1981). Exercise therapy and hydrotherapy in the treatment of the rheumatic diseases. Clin Rheum Dis 7:337–47.

Taglieti, M., et al. (2018). Efevtiveness of aquatic exercises compared to patient-education on health status in individuals with knee osteoarthritis: a randomized controlled trial.” Clinical Rehabilitation, 1-11.

Vanni, G. F, Stucky, J. M. & Schwarstmann, C. A. (2008). Radiologic evaluation of joint space in hip arthrosis: comparative study in decubitus and upright [in Portuguese]. Rev Bras Ortop. 43:460–4.

Vannucci, A. (2002). Osteoartrose. Ver Bras Med. 20(1):36-43.

Wang, X. G, et al. (2013). Effects of tai chi program on neuromuscular function for patients with knee osteoarthritis: study protocol for a randomized controlled trial. Trials. 14:375.

Zhang, W., Doherty, M. & Arden, N., et al. (2005). EULAR evidence based recommendations for the management of hip osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics. Ann Rheum Dis. 64:669---681.

Published

13/11/2021

How to Cite

OLIVEIRA, M. C. S. .; VERAS, W. J. C. .; VENTURA, P. L. . Aquatic physiotherapy in the reduction of pain and improvement of the quality of life of the elderly with knee osteoarthritis: a systematic review. Research, Society and Development, [S. l.], v. 10, n. 14, p. e597101422535, 2021. DOI: 10.33448/rsd-v10i14.22535. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/22535. Acesso em: 24 dec. 2024.

Issue

Section

Health Sciences