Résumé
Objectifs
Définir la place du renforcement musculaire isocinétique (RMI) dans la prise en charge thérapeutique de la gonarthrose.
Matériels et méthodes
Revue systématique de la littérature sur les bases de données Pubmed, Cochrane Library, Reedoc et Pedro et sur les sites Geni et Cofemer, avec les mots clés: isocinétisme, gonarthrose. Seuls les essais contrôlés randomisés sont retenus.
Résultats
Les huit articles retenus montrent une amélioration des critères de jugement (douleur, qualité de vie, incapacité fonctionnelle) par rapport aux groupes témoins, une efficacité comparable aux autres techniques de renforcement musculaire et l’intérêt d’associer les traitements pharmacologiques et non pharmacologiques pour traiter la gonarthrose.
Conclusions
L’isocinétisme est une technique de renforcement musculaire qui a une place dans le traitement de la gonarthrose, mais la qualité méthodologique des essais est insuffisante et le nombre de sujets trop réduit pour pouvoir tirer des conclusions définitives. Des essais menés avec des effectifs plus importants et selon une méthode plus rigoureuse sont nécessaires pour confirmer l’intérêt de l’isocinétisme et déterminer sa place dans l’arsenal thérapeutique de la gonarthrose.
Abstract
Objective
To define isokinetic muscle strenghtening in knee osteoarthritis rehabilitation.
Methods
A systematic literature review on Pubmed, Cochrane Library, Reedoc and Pedro databases, Geni and Cofemer websites, using isokinetic and knee osteoarthritis key words was done. Only randomized controlled trials were retained.
Results
Eight randomised controlled trials have been selected. Isokinetic exercice provides greater effectiveness than control, but its effect is comparable to other muscle strengthening techniques. Integrated therapy also shows substantial benefit.
Conclusions
Isokinetic muscle strenghtening can be usefull to take in charge knee osteoarthritis. Further high quality studies should help to confirm the effectiveness of isokinetic exercice and better determine its role in knee osteoarthritis management.
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Jegu, A.G., Marrel, J.P. & Coudeyre, E. Intérêt et place du renforcement musculaire isocinétique dans le traitement de la gonarthrose. Lett Med Phys Readapt 27, 33–40 (2011). https://doi.org/10.1007/s11659-010-0257-5
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DOI: https://doi.org/10.1007/s11659-010-0257-5