Strength training vs. aerobic training for managing pain and physical function in patients with knee osteoarthritis: a systematic review and meta-analysis
Autor/a
Ceballos-Laita, Luis
Lahuerta-Martín, Silvia
Hernández-Lázaro, Héctor
Pérez-Guillén, Silvia
Jiménez-del-Barrio, Sandra
Fecha de publicación
2024ISSN
2227-9032
Resumen
(1) Background: Strength training (ST) and aerobic training (AT) are the most recommended interventions in patients with knee OA. These recommendations are supported by high-quality evidence, but it is still unknow whether one type of exercise is superior to the other. Thus, the aim was to investigate whether one type of exercise (ST or AT) is superior to the other for improving pain and physical function in patients with knee osteoarthritis. (2) Methods: A systematic review and meta-analysis was carried out following the PRISMA statement. The search strategy was conducted in PubMed, PEDro, Scopus, Web of Science and Cochrane Library databases. Randomized controlled trials comparing ST and AT on pain intensity and physical function in patients with knee osteoarthritis were included. Methodological quality and risk of bias were assessed with a PEDro scale and risk-of-bias tool, respectively. The certainty of evidence was evaluated using GRADE guidelines. (3) Results: Four studies (6 publications) were included. The qualitative and quantitative synthesis showed that ST produces no more improvement in pain intensity (SMD after intervention: 0.02; 95%CI: −0.15, 0.19; I2: 0%; three studies; 426 patients) and physical function (SMD after intervention: 0.07; 95%CI: −0.10, 0.24; I2: 0%; three studies; 426 patients) compared to AT in patients with knee osteoarthritis. The certainty of evidence was rated as very low. (4) Conclusions: Both type of exercises showed clinical benefits in people with knee osteoarthritis, but no differences between ST and AT were found.
Tipo de documento
Artículo
Versión del documento
Versión publicada
Lengua
English
Materias (CDU)
61 - Medicina
Palabras clave
Osteoartritis del genoll
Exercici
Entrenament de resistència
Revisió sistemàtica
Osteoartritis de rodilla
Ejercicios
Entrenamiento de resistencia
Revisión sistemática
Knee osteoarthritis
Exercises
Resistance training
Endurance training
Systematic review
Páginas
16
Publicado por
MDPI
Colección
12; 1
Publicado en
Healthcare
Citación
Ceballos-Laita, Luis; Lahuerta-Martín, Silvia; Carrasco-Uribarren, Andoni [et al.]. Strength training vs. aerobic training for managing pain and physical function in patients with knee osteoarthritis: a systematic review and meta-analysis. Healthcare, 2024, 12(1), 33. Disponible en: <https://www.mdpi.com/2227-9032/12/1/33>. Fecha de acceso: 4 abr. 2024. DOI: 10.3390/healthcare12010033
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Derechos
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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