What interventions can improve quality of life or psychosocial factors of individuals with knee osteoarthritis? A systematic review with meta-analysis of primary outcomes from randomised controlled trials

Autor(es)

Briani, Ronaldo Valdir ^[1] ; Ferreira, Amanda Schenatto ^[1] ; Pazzinatto, Marcella Ferraz ^[1] ; Pappas, Evangelos ^[2] ; Silva, Danilo De Oliveira ^[3] ; de Azevedo, Fabio Micolis ^[1]

Afiliação do(s) autor(es)

^[1] Sao Paulo State Univ, Lab Biomechan & Motor Control LABCOM, Sch Sci & Technol, BR-19060900 Presidente Prudente - Brazil

^[2] Univ Sydney, Fac Hlth Sci, Discipline Physiotherapy, Sydney, NSW - Australia

^[3] La Trobe Univ, La Trobe Sports & Exercise Med Res Ctr LASEM, Sch Allied Hlth, Melbourne, Vic - Australia

• Tipo de documento: Artigo de Revisão
• Fonte: BRITISH JOURNAL OF SPORTS MEDICINE; v. 52, n. 16, p. 1031+, AUG 2018.
• Citações Web of Science: 19

Resumo

Objective To systematically review evidence of primary outcomes from randomised controlled trials (RCTs) examining the effect of treatment strategies on quality of life (QoL) or psychosocial factors in individuals with knee osteoarthritis (OA). Design Systematic review with meta-analysis. Data sources Medline, Embase, SPORTDiscus, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Web of Science were searched from inception to November 2017. Eligibility criteria for selecting studies We included RCTs investigating the effect of conservative interventions on QoL or psychosocial factors in individuals with knee OA. Only RCTs considering these outcomes as primary were included. Results Pooled data supported the use of exercise therapy compared with controls for improving health-related and knee-related QoL. There was limited evidence that a combined treatment of yoga, transcutaneous electrical stimulation and ultrasound may be effective in improving QoL. Limited evidence supported the use of cognitive behavioural therapies (with or without being combined with exercise therapy) for improving psychosocial factors such as self-efficacy, depression and psychological distress. Summary/Conclusion Exercise therapy (with or without being combined with other interventions) seems to be effective in improving health-related and knee-related QoL or psychosocial factors of individuals with knee OA. In addition, evidence supports the use of cognitive behavioural therapies (with or without exercise therapy) for improving psychosocial factors such as self-efficacy, depression and psychological distress in individuals with knee OA. (AU)

• Processo FAPESP: 14/24939-7 - Análise integrada de parâmetros biomecânicos para diagnóstico e classificação de mulheres com síndrome da dor femoropatelar: estudo de reprodutibilidade, precisão, acurácia diagnóstica e associação com dor e função
• Beneficiário: Fábio Mícolis de Azevedo
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 16/19784-0 - A alteração na modulação do reflexo-h é um fator de risco para dor femoropatelar?
• Beneficiário: Marcella Ferraz Pazzinatto
• Modalidade de apoio: Bolsas no Brasil - Doutorado
• Processo FAPESP: 16/02357-1 - Análise do torque muscular do quadril e da cinemática do fêmur e tornozelo considerando as teorias ascendente e descendente como fatores causais da dor femoropatelar
• Beneficiário: Amanda Schenatto Ferreira
• Modalidade de apoio: Bolsas no Brasil - Mestrado
• Processo FAPESP: 15/17777-3 - Atividade física habitual, fatores de risco para síndrome metabólica e gastos institucionais por demanda de usuários do sistema público de saúde: estudo de coorte de 8 anos
• Beneficiário: Ítalo Ribeiro Lemes
• Modalidade de apoio: Bolsas no Brasil - Doutorado