Revista Fisio&terapia · Oct 12, 2026
Effects of kinesiotherapy on functional capacity and pain in older adults with knee osteoarthritis: an integrative review
By Baia AM, Gaia BA, de Brito GP et al.
This study analyzed scientific evidence regarding the effects of kinesiotherapy on pain modulation and functional capacity recovery among older adults diagnosed with knee osteoarthritis (gonarthrosis). An integrative literature review was conducted according to the SPIDER framework and PRISMA statement recommendations. The bibliographic survey encompassed MEDLINE/PubMed, PEDro, SciELO, and LILACS databases, screening clinical trials and interventional studies published between 2020 and 2024 that evaluated individuals aged 60 years or older submitted to active therapeutic exercise protocols. Following duplicate independent screening and qualitative appraisal, ten original investigations met all eligibility criteria and composed the final synthesis. The findings demonstrated that structured regimens based on progressive strengthening of the quadriceps femoris and pelvic stabilizers, particularly when utilizing closed kinetic chain exercises combined with sensorimotor routines, yielded statistically significant reductions in pain intensity (measured by Visual Analogue Scales and WOMAC pain subscores) as well as substantial enhancements in physical performance assessed via Timed Up and Go, 6-minute walk, and 30-second sit-to-stand tests. Furthermore, attenuation of kinesiophobia and decreased reliance on systemic analgesic and anti-inflammatory medications were noted. It is concluded that supervised kinesiotherapy represents a cornerstone conservative intervention in geriatric gonarthrosis, although future long-term longitudinal studies focusing on hybrid self-management models are warranted to ensure the sustainability of therapeutic outcomes.