Intérêt et place du renforcement musculaire isocinétique dans le traitement de la gonarthrose

Article de SynthÈse / Review Article
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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.

Mots clés

Isocinétisme Gonarthrose Rééducation Traitement non pharmacologique 

Isokinetic muscle strenghtening for knee osteoarthritis treatment

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.

Keywords

Isokinetic Knee osteoarthritis Rehabilitation Non pharmacological therapy 

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Copyright information

© Springer-Verlag France 2010

Authors and Affiliations

  • A. -G. Jegu
    • 1
    • 2
    • 3
  • J. -P. Marrel
    • 1
    • 2
    • 3
  • E. Coudeyre
    • 1
    • 2
    • 3
  1. 1.Service de médecine physique et de réadaptation, CHU de Clermont-Ferrandhôpital NordCébazatFrance
  2. 2.Clermont universitéuniversité d’AuvergneClermont-FerrandFrance
  3. 3.Service de médecine physique et de réadaptationCHU Clermont-FerrandClermont-FerrandFrance

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