BENEFICIOS DEL TAI CHI EN PACIENTES CON OSTEOARTRITIS DE RODILLA. REVISIÓN SISTEMÁTICA
DOI:
https://doi.org/10.15648/redfids.13.2024.4066Palabras clave:
Tai Chi; osteoartritis de rodilla; terapia; revisiónResumen
La osteoartritis de rodilla es una condición degenerativa articular muy común asociada a mortalidad temprana. Provoca dolor y rigidez, lo que puede afectar el rendimiento físico y disminuir la calidad de vida. Recientemente se ha sugerido el Tai Chi en estos pacientes. En comparación con el ejercicio tradicional, el Tai Chi es un ejercicio seguro con movimientos lentos que puede facilitar el funcionamiento físico y el bienestar psicológico. El objetivo de este trabajo es realizar una revisión de la literatura para evaluar los beneficios del Tai Chi en pacientes con osteoartritis de rodilla. Se realizó una revisión siguiendo la normativa PRISMA. Se consultaron las bases de datos de PubMed, Cinahl, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, CENTRAL, SciELO, y WOS. Del total de bases de datos consultadas, se obtuvieron 128 estudios. Tras eliminar duplicado y aplicar criterios de inclusión quedaron 6 ensayos para formar parte de esta revisión. La muestra fue de 537 pacientes. La frecuencia del Tai Chi fue de dos veces por semana. La duración del tratamiento osciló entre 8 y 24 semanas. El Tai Chi es eficaz en pacientes con osteoartritis de rodilla. Este ejercicio mejora la función física, el control motor, la estabilidad postural, la depresión, la calidad de vida y disminuye la necesidad de medicamentos. También es capaz de mejorar la propiocepción del tobillo y la rodilla ya que mejora la flexión plantar del tobillo, dorsiflexión del tobillo, varo del tobillo y flexión de la rodilla.
Referencias bibliográficas
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12. You Y, Liu J, Tang M, Wang D, Ma X. Effects of Tai Chi exercise on improving walking function and posture control in elderly patients with knee osteoarthritis: A systematic review and meta-analysis. Medicine (Baltimore). 2021 Apr 23;100(16):e25655. doi: 10.1097/MD.0000000000025655.
13. Geng R, Li J, Yu C, Zhang C, Chen F, Chen J, et al. Knee osteoarthritis: Current status and research progress in treatment (Review). Exp Ther Med. 2023 Aug 25;26(4):481. doi: 10.3892/etm.2023.12180.
14. Huston P. Why osteoarthritis of the knee is called "a wound that does not heal" and why Tai Chi is an effective treatment. Front Med (Lausanne). 2023 Nov 27;10:1208326. doi: 10.3389/fmed.2023.1208326.
15. de-la-Casa-Almeida M, Villar-Alises O, Rodríguez Sánchez-Laulhé P, Martinez-Calderon J, Matias-Soto J. Mind-body exercises for osteoarthritis: an overview of systematic reviews including
32 meta-analyses. Disabil Rehabil. 2024 May;46(9):1699-1707. doi: 10.1080/09638288.2023.2203951.
16. Mo L, Jiang B, Mei T, Zhou D. Exercise Therapy for Knee Osteoarthritis: A Systematic Review and Network Meta-analysis. Orthop J Sports Med. 2023 Jun 5;11(5):23259671231172773. doi: 10.1177/23259671231172773.
17. Yang GY, Sabag A, Hao WL, Zhang LN, Jia MX, Dai N, et al. Tai Chi for health and well-being: A bibliometric analysis of published clinical studies between 2010 and 2020. Complement Ther Med. 2021 Aug;60:102748. doi: 10.1016/j.ctim.2021.102748.
18. Irnich D, Bäumler P. Concept for integrative pain treatment of osteoarthritis of the knee based on the evidence for conservative and complementary therapies. Schmerz. 2023 Dec;37(6):413-425. doi: 10.1007/s00482-023-00739-0.
19. Field T. Knee osteoarthritis pain in the elderly can be reduced by massage therapy, yoga and tai chi: A review. Complement Ther Clin Pract. 2016 Feb;22:87-92. doi: 10.1016/j.ctcp.2016.01.001.
20. Zhou Y, Wang Q, Larkey L, James D, Cui H. Tai Chi Effects on Heart Rate Variability: A Systematic Review and Meta-Analysis. J Integr Complement Med. 2024 Feb;30(2):121-132. doi: 10.1089/jicm.2022.0682.
21. Yang GY, Hunter J, Bu FL, Hao WL, Zhang H, Wayne PM, et al. Determining the safety and effectiveness of Tai Chi: a critical overview of 210 systematic reviews of controlled clinical trials. Syst Rev. 2022 Dec 3;11(1):260. doi: 10.1186/s13643-022-02100-5
22. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. J Clin Epidemiol. marzo de 2021;19:26.
23. Mamédio C, Andrucioli M, Cuce M. The PICO strategy for the research question construction and evidence research. Rev Latino-Am Enfermagem 2007;15:508- 11.
24. Higgins JPT, Thomas J. Cochrane Handbook for Systematic Reviews of Interventions. 2.aed. WILEY Blackwell; 2019.
25. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. diciembre de 2016;5(1):210.
26. Wang C, Schmid CH, Iversen MD, Harvey WF, Fielding RA, Driban JB, et al. Comparative Effectiveness of Tai Chi Versus Physical Therapy for Knee Osteoarthritis: A Randomized Trial. Ann Intern Med. 2016 Jul 19;165(2):77-86. doi: 10.7326/M15-2143.
27. Ghandali E, Moghadam ST, Hadian MR, Olyaei G, Jalaie S, Sajjadi E. The effect of Tai Chi exercises on postural stability and control in older patients with knee osteoarthritis. J Bodyw Mov Ther. 2017 Jul;21(3):594-598. doi: 10.1016/j.jbmt.2016.09.001.
28. Li L, Cheng S, Wang G, Duan G, Zhang Y. Tai chi chuan exercises improve functional outcomes and quality of life in patients with primary total knee arthroplasty due to knee osteoarthritis. Complement Ther Clin Pract. 2019 May;35:121-125. doi: 10.1016/j.ctcp.2019.02.003.
29. Hu X, Lai Z, Wang L. Effects of Taichi exercise on knee and ankle proprioception among individuals with knee osteoarthritis. Res Sports Med. 2020 Apr-Jun;28(2):268-278. Doi: 10.1080/15438627.2019.1663520.
30. Zhang Z, Huang L, Liu Y, Wang L. Effect of Tai Chi Training on Plantar Loads during Walking in Individuals with Knee Osteoarthritis. Biomed Res Int. 2020 Mar 5;2020:3096237. doi: 10.1155/2020/3096237.
31. Chen PY, Song CY, Yen HY, Lin PC, Chen SR, Lu LH, et al. Impacts of tai chi exercise on functional fitness in community-dwelling older adults with mild degenerative knee osteoarthritis: a randomized controlled clinical trial. BMC Geriatr. 2021 Jul 31;21(1):449. doi: 10.1186/s12877-021- 02390-9.
32. Chang WD, Chen S, Lee CL, Lin HY, Lai PT. The Effects of Tai Chi Chuan on Improving Mind- Body Health for Knee Osteoarthritis Patients: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2016;2016:1813979. doi: 10.1155/2016/1813979.
33. Ye Y, Liu A. The Effectiveness of Tai Chi for Knee Osteoarthritis: An Overview of Systematic Reviews. Int J Gen Med. 2023 Oct 4;16:4499-4514. doi: 10.2147/IJGM.S434800.
34. Ye J, Cai S, Zhong W, Cai S, Zheng Q. Effects of tai chi for patients with knee osteoarthritis: a systematic review. J Phys Ther Sci. 2024 Jul;26(7):1133-7. doi: 10.1589/jpts.26.1133.
35. Kelley GA, Kelley KS, Callahan LF. Clinical relevance of Tai Chi on pain and physical function in adults with knee osteoarthritis: An ancillary meta-analysis of randomized controlled trials. Sci Prog. 2022 Apr-Jun;105(2):368504221088375. doi: 10.1177/00368504221088375.
2. Ebell MH. Osteoarthritis: Rapid Evidence Review. Am Fam Physician. 2018 Apr 15;97(8):523- 526.
3. Gibbs AJ, Gray B, Wallis JA, Taylor NF, Kemp JL, Hunter DJ, et al. Recommendations for the management of hip and knee osteoarthritis: A systematic review of clinical practice guidelines. Osteoarthritis Cartilage. 2023 Oct;31(10):1280-1292. doi: 10.1016/j.joca.2023.05.015.
4. Mintarjo JA, Poerwanto E, Tedyanto EH. Current Non-surgical Management of Knee Osteoarthritis. Cureus. 2023 Jun 26;15(6):e40966. doi: 10.7759/cureus.40966.
5. Du X, Liu ZY, Tao XX, Mei YL, Zhou DQ, Cheng K, et al. Research Progress on the Pathogenesis of Knee Osteoarthritis. Orthop Surg. 2023 Sep;15(9):2213-2224. doi: 10.1111/os.13809.
6. Martinez-Calderon J, Cano-García FJ, García-Muñoz C, Rufo-Barbero C, Matias-Soto J, Infante- Cano M. How can clinicians enhance self-efficacy beliefs in osteoarthritis? An overview of systematic reviews with meta-analysis. Clin Rheumatol. 2024 May;43(5):1435-1446. doi: 10.1007/s10067-024-06943-2.
7. Sharma L. Osteoarthritis of the Knee. N Engl J Med. 2021 Jan 7;384(1):51-59. doi: 10.1056/NEJMcp1903768.
8. Giorgino R, Albano D, Fusco S, Peretti GM, Mangiavini L, Messina C. Knee Osteoarthritis: Epidemiology, Pathogenesis, and Mesenchymal Stem Cells: What Else Is New? An Update. Int J Mol Sci. 2023 Mar 29;24(7):6405. doi: 10.3390/ijms24076405.
9. Benner RW, Shelbourne KD, Bauman SN, Norris A, Gray T. Knee Osteoarthritis: Alternative Range of Motion Treatment. Orthop Clin North Am. 2019 Oct;50(4):425-432. doi: 10.1016/j.ocl.2019.05.001.
10. Primorac D, Molnar V, Rod E, Jeleč Ž, Čukelj F, Matišić V, et al. Knee Osteoarthritis: A Review of Pathogenesis and State-Of-The-Art Non-Operative Therapeutic Considerations. Genes (Basel). 2020 Jul 26;11(8):854. doi: 10.3390/genes11080854.
11. Jang S, Lee K, Ju JH. Recent Updates of Diagnosis, Pathophysiology, and Treatment on Osteoarthritis of the Knee. Int J Mol Sci. 2021 Mar 5;22(5):2619. doi: 10.3390/ijms22052619.
12. You Y, Liu J, Tang M, Wang D, Ma X. Effects of Tai Chi exercise on improving walking function and posture control in elderly patients with knee osteoarthritis: A systematic review and meta-analysis. Medicine (Baltimore). 2021 Apr 23;100(16):e25655. doi: 10.1097/MD.0000000000025655.
13. Geng R, Li J, Yu C, Zhang C, Chen F, Chen J, et al. Knee osteoarthritis: Current status and research progress in treatment (Review). Exp Ther Med. 2023 Aug 25;26(4):481. doi: 10.3892/etm.2023.12180.
14. Huston P. Why osteoarthritis of the knee is called "a wound that does not heal" and why Tai Chi is an effective treatment. Front Med (Lausanne). 2023 Nov 27;10:1208326. doi: 10.3389/fmed.2023.1208326.
15. de-la-Casa-Almeida M, Villar-Alises O, Rodríguez Sánchez-Laulhé P, Martinez-Calderon J, Matias-Soto J. Mind-body exercises for osteoarthritis: an overview of systematic reviews including
32 meta-analyses. Disabil Rehabil. 2024 May;46(9):1699-1707. doi: 10.1080/09638288.2023.2203951.
16. Mo L, Jiang B, Mei T, Zhou D. Exercise Therapy for Knee Osteoarthritis: A Systematic Review and Network Meta-analysis. Orthop J Sports Med. 2023 Jun 5;11(5):23259671231172773. doi: 10.1177/23259671231172773.
17. Yang GY, Sabag A, Hao WL, Zhang LN, Jia MX, Dai N, et al. Tai Chi for health and well-being: A bibliometric analysis of published clinical studies between 2010 and 2020. Complement Ther Med. 2021 Aug;60:102748. doi: 10.1016/j.ctim.2021.102748.
18. Irnich D, Bäumler P. Concept for integrative pain treatment of osteoarthritis of the knee based on the evidence for conservative and complementary therapies. Schmerz. 2023 Dec;37(6):413-425. doi: 10.1007/s00482-023-00739-0.
19. Field T. Knee osteoarthritis pain in the elderly can be reduced by massage therapy, yoga and tai chi: A review. Complement Ther Clin Pract. 2016 Feb;22:87-92. doi: 10.1016/j.ctcp.2016.01.001.
20. Zhou Y, Wang Q, Larkey L, James D, Cui H. Tai Chi Effects on Heart Rate Variability: A Systematic Review and Meta-Analysis. J Integr Complement Med. 2024 Feb;30(2):121-132. doi: 10.1089/jicm.2022.0682.
21. Yang GY, Hunter J, Bu FL, Hao WL, Zhang H, Wayne PM, et al. Determining the safety and effectiveness of Tai Chi: a critical overview of 210 systematic reviews of controlled clinical trials. Syst Rev. 2022 Dec 3;11(1):260. doi: 10.1186/s13643-022-02100-5
22. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. J Clin Epidemiol. marzo de 2021;19:26.
23. Mamédio C, Andrucioli M, Cuce M. The PICO strategy for the research question construction and evidence research. Rev Latino-Am Enfermagem 2007;15:508- 11.
24. Higgins JPT, Thomas J. Cochrane Handbook for Systematic Reviews of Interventions. 2.aed. WILEY Blackwell; 2019.
25. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. diciembre de 2016;5(1):210.
26. Wang C, Schmid CH, Iversen MD, Harvey WF, Fielding RA, Driban JB, et al. Comparative Effectiveness of Tai Chi Versus Physical Therapy for Knee Osteoarthritis: A Randomized Trial. Ann Intern Med. 2016 Jul 19;165(2):77-86. doi: 10.7326/M15-2143.
27. Ghandali E, Moghadam ST, Hadian MR, Olyaei G, Jalaie S, Sajjadi E. The effect of Tai Chi exercises on postural stability and control in older patients with knee osteoarthritis. J Bodyw Mov Ther. 2017 Jul;21(3):594-598. doi: 10.1016/j.jbmt.2016.09.001.
28. Li L, Cheng S, Wang G, Duan G, Zhang Y. Tai chi chuan exercises improve functional outcomes and quality of life in patients with primary total knee arthroplasty due to knee osteoarthritis. Complement Ther Clin Pract. 2019 May;35:121-125. doi: 10.1016/j.ctcp.2019.02.003.
29. Hu X, Lai Z, Wang L. Effects of Taichi exercise on knee and ankle proprioception among individuals with knee osteoarthritis. Res Sports Med. 2020 Apr-Jun;28(2):268-278. Doi: 10.1080/15438627.2019.1663520.
30. Zhang Z, Huang L, Liu Y, Wang L. Effect of Tai Chi Training on Plantar Loads during Walking in Individuals with Knee Osteoarthritis. Biomed Res Int. 2020 Mar 5;2020:3096237. doi: 10.1155/2020/3096237.
31. Chen PY, Song CY, Yen HY, Lin PC, Chen SR, Lu LH, et al. Impacts of tai chi exercise on functional fitness in community-dwelling older adults with mild degenerative knee osteoarthritis: a randomized controlled clinical trial. BMC Geriatr. 2021 Jul 31;21(1):449. doi: 10.1186/s12877-021- 02390-9.
32. Chang WD, Chen S, Lee CL, Lin HY, Lai PT. The Effects of Tai Chi Chuan on Improving Mind- Body Health for Knee Osteoarthritis Patients: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2016;2016:1813979. doi: 10.1155/2016/1813979.
33. Ye Y, Liu A. The Effectiveness of Tai Chi for Knee Osteoarthritis: An Overview of Systematic Reviews. Int J Gen Med. 2023 Oct 4;16:4499-4514. doi: 10.2147/IJGM.S434800.
34. Ye J, Cai S, Zhong W, Cai S, Zheng Q. Effects of tai chi for patients with knee osteoarthritis: a systematic review. J Phys Ther Sci. 2024 Jul;26(7):1133-7. doi: 10.1589/jpts.26.1133.
35. Kelley GA, Kelley KS, Callahan LF. Clinical relevance of Tai Chi on pain and physical function in adults with knee osteoarthritis: An ancillary meta-analysis of randomized controlled trials. Sci Prog. 2022 Apr-Jun;105(2):368504221088375. doi: 10.1177/00368504221088375.
Cómo citar
Martínez Pizarro, S., & Sánchez Lozano, J. (2024). BENEFICIOS DEL TAI CHI EN PACIENTES CON OSTEOARTRITIS DE RODILLA. REVISIÓN SISTEMÁTICA. REVISTA EDUCACIÓN FÍSICA, DEPORTE Y SALUD, 7(13), 90–103. https://doi.org/10.15648/redfids.13.2024.4066
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2024-06-12
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