Santos Aline Cristina Gomes, Caiado Vanessa Da Silva, Moreira-Marconi Eloá, Teixeira-Silva Ygor, De Meirelles Alexandre Gonçalves, Seixas Adérito, Lacerda Ana Cristina Rodrigues, Sonza Anelise, Mendonça Vanessa Amaral, Bernardo-Filho Mario, De Sá-Caputo Danúbia Da Cunha
Postgraduate Program in Clinical and Experimental Pathophysiology, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Laboratory of Mechanical Vibrations and Integrative Practices-LAVIMPI, Department of Biophysics and Biometry, Institute of Biology Roberto Alcântara Gomes and Polyclinic Piquet Carneiro, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Iran J Public Health. 2024 Feb;53(2):255-267. doi: 10.18502/ijph.v53i2.14911.
Flexibility is a component of functional capacity and is relevant in maintaining the musculature and structures adjacent to the joints. Then, the improvement of the flexibility must be a critical goal in the rehabilitation programs. By improving flexibility in knee osteoarthritis (KOA) individuals, the pain is relieved, the risk of injury is reduced, and the need for surgical interventions is delayed. We aimed to summarize the available literature on the influence of different physical exercise modalities on flexibility in older KOA individuals.
This study followed the PRISMA statement and registered in PROSPERO (CRD42020195786). Seven databases (MEDLINE/PubMed; PEDro; CINAHL; Scopus; Web of Science; Embase; and SPORTDiscus) were screened for papers published prior to Sep 6, 2022. The PEDro scale, Cochrane collaborations, and ROBINS-I tools were used to evaluate the methodological quality and risk of bias.
Ten studies (including 438 participants diagnosed with KOA) fulfilled the eligibility criteria, and nine concluded that flexibility was improved after a physical exercise program.
Despite the modality, physical exercise improves flexibility in older KOA individuals, improving the functional capacity. Health professionals engaged in KOA rehabilitation should use physical exercise as a strategy to improve the flexibility of this population.
柔韧性是功能能力的一个组成部分，对于维持关节周围的肌肉组织和结构至关重要。因此，提高柔韧性必须是康复计划中的一个关键目标。通过提高膝关节骨关节炎（KOA）患者的柔韧性，可以缓解疼痛、降低受伤风险并推迟手术干预的必要性。我们旨在总结现有文献中不同体育锻炼方式对老年KOA患者柔韧性的影响。
本研究遵循PRISMA声明，并在PROSPERO（CRD42020195786）中注册。检索了七个数据库（MEDLINE/PubMed、PEDro、CINAHL、Scopus、Web of Science、Embase和SPORTDiscus），以查找2022年9月6日之前发表的论文。使用PEDro量表、Cochrane协作网工具和ROBINS-I工具评估方法学质量和偏倚风险。
十项研究（包括438名被诊断为KOA的参与者）符合纳入标准，其中九项研究得出结论，体育锻炼计划后柔韧性得到改善。
无论锻炼方式如何，体育锻炼都能提高老年KOA患者的柔韧性，改善其功能能力。从事KOA康复工作的卫生专业人员应将体育锻炼作为提高该人群柔韧性的一种策略。
