Efectos del entrenamiento con resistencia variable sobre la funcionalidad en personas con trastornos musculoesqueléticos: una revisión sistemática
DOI:
https://doi.org/10.47197/retos.v65.110490Palabras clave:
Entrenamiento con resistencia variable, funcionalidad, trastornos musculoesqueléticos, rehabilitaciónResumen
Introducción y objetivo: El entrenamiento con resistencia variable (ERV) es una metodología de entrenamiento utilizada en la mejora de la fuerza muscular, pero sus efectos sobre la funcionalidad en personas con trastornos musculoesqueléticos han sido poco investigados. Esta revisión sistemática tiene como objetivo evaluar los efectos del ERV en la funcionalidad de estas personas.
Metodología: Se realizó una búsqueda en cuatro bases de datos (EBSCO, Scopus, Web of Science, PubMed), resultando en 694 estudios, de los cuales se seleccionaron 7 para su análisis. Los estudios incluyeron pacientes con diferentes disfunciones musculoesqueléticas como dolor lumbar, osteoartritis, y prótesis de rodilla.
Resultados: Los resultados muestran que el ERV mejoró significativamente la fuerza en tres estudios, el dolor en cuatro estudios, y la funcionalidad general en todos los estudios evaluados. Además, se observaron mejoras en el equilibrio y la velocidad de la marcha. A pesar de los resultados prometedores, la heterogeneidad de los protocolos y las diferencias en las evaluaciones limitan la generalización de los hallazgos.
Conclusiones: Se concluye que el ERV puede ser una intervención efectiva para mejorar la funcionalidad en personas con trastornos musculoesqueléticos, pero se requieren estudios adicionales para confirmar su eficacia en distintos contextos.
Citas
Aboodarda, S. J., Byrne, J. M., Samson, M., Wilson, B. D., Mokhtar, A. H., & Behm, D. G. (2014). Does performing drop jumps with additional eccentric loading improve jump performance? Journal of Strength and Conditioning Research / National Strength & Conditioning Association, 28(8), 2314–2323. https://doi.org/10.1519/JSC.0000000000000498
Alarcón-Rivera, Miguel, Benavides-Roca, Luis, Salazar Orellana, Cristian, & Guzmán-Muñoz, Eduardo. (2024). Efectos del entrenamiento cluster sobre la hipertrofia muscular: una revisión sistemática. MHSalud, 21(1), 82-103. https://dx.doi.org/10.15359/mhs.21-1.16859
Andersen, L. L., Andersen, C. H., Mortensen, O. S., Poulsen, O. M., Bjørnlund, I. B. T., & Zebis, M. K. (2010). Muscle activation and perceived loading during rehabilitation exercises: comparison of dumbbells and elastic resistance. Physical therapy, 90(4), 538-549. https://doi.org/10.2522/ptj.20090167
Andersen, V., Prieske, O., Stien, N., Cumming, K., Solstad, T. E. J., Paulsen, G., van den Tillaar, R., Pedersen, H., & Saeterbakken, A. H. (2022). Comparing the effects of variable and traditional resistance training on maximal strength and muscle power in healthy adults: A systematic review and meta-analysis. Journal of Science and Medicine in Sport, 25(12), 1023–1032. https://doi.org/10.1016/j.jsams.2022.08.009
Anderson, C. E., Sforzo, G. A., & Sigg, J. A. (2008). The effects of combining elastic and free weight resistance on strength and power in athletes. The Journal of Strength & Conditioning Research, 22(2), 567-574. https://doi.org/10.1519/JSC.0b013e3181634d1e
Banitalebi, E., Ghahfarrokhi, M. M., & Dehghan, M. (2021). Effect of 12-weeks elastic band resistance training on MyomiRs and osteoporosis markers in elderly women with Osteosarcopenic obesity: a randomized controlled trial. BMC geriatrics, 21, 1-11. https://doi.org/10.1186/s12877-021-02374-9
Berning, J. M., Coker, C. A., & Adams, K. J. (2004). Using chains for strength and conditioning. Strength and Conditioning Journal, 26(5), 80–84.
Blazek, D., Kolinger, D., Petruzela, J., Kubovy, P., Golas, A., Petr, M., Pisz, A., & Stastny, P. (2021). The effect of breathing technique on sticking region during maximal bench press. Biology of Sport, 38(3), 445–450. https://doi.org/10.5114/biolsport.2021.100362
Chen, S.-M., Shen, F.-C., Chen, J.-F., Chang, W.-D., & Chang, N.-J. (2020). Effects of Resistance Exercise on Glycated Hemoglobin and Functional Performance in Older Patients with Comorbid Diabetes Mellitus and Knee Osteoarthritis: A Randomized Trial. International Journal of Environmental Research and Public Health, 17(1). https://doi.org/10.3390/ijerph17010224
Colado, J. C., García-Massó, X., Pellicer, M., Alakhdar, Y., Benavent, J., & Cabeza-Ruiz, R. (2010). A comparison of elastic tubing and isotonic resistance exercises. International journal of sports medicine, 31(11), 810-817. https://doi.org/10.1055/s-0030-1262808
Daryanti Saragih, I., Yang, Y. P., Saragih, I. S., Batubara, S. O., & Lin, C. J. (2022). Effects of resistance bands exercise for frail older adults: a systematic review and meta‐analysis of randomised controlled studies. Journal of Clinical Nursing, 31(1-2), 43-61. https://doi.org/10.1111/jocn.15950
Elnaggar, R. K., Azab, A. R., Alrawaili, S. M., Alhowimel, A. S., Alotaibi, M. A., Abdrabo, M. S., ... & Abd El-nabie, W. A. (2024). Efficacy of accommodating variable-resistance training on muscle architecture, peak torque, and functional performance in patients with juvenile idiopathic arthritis: A randomized controlled trial. Heliyon, 10(6). https://doi.org/10.1016/j.heliyon.2024.e27693
Fakontis, C., Iakovidis, P., Kasimis, K., Lytras, D., Koutras, G., Fetlis, A., & Algiounidis, I. (2023). Efficacy of resistance training with elastic bands compared to proprioceptive training on balance and self-report measures in patients with chronic ankle instability: A systematic review and meta-analysis. Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine, 64, 74–84. https://doi.org/10.1016/j.ptsp.2023.09.009
Frost, D. M., Cronin, J., & Newton, R. U. (2010). A biomechanical evaluation of resistance: fundamental concepts for training and sports performance. Sports Medicine , 40(4), 303–326. https://doi.org/10.2165/11319420-000000000-00000
Fuentes-García, M. A., Malchrowicz-Mośko, E., & Castañeda-Babarro, A. (2024). Effects of variable resistance training versus conventional resistance training on muscle hypertrophy: A systematic review. Sport Sciences for Health, 20(1), 37–45. https://doi.org/10.1007/s11332-023-01103-6
Han, K., & Ricard. (2011). Effects of 4 weeks of elastic-resistance training on ankle-evertor strength and latency. Journal of Sport Rehabilitation, 20(2). https://doi.org/10.1123/jsr.20.2.157
Hernandez-Lucas, P., Leirós-Rodríguez, R., Lopez-Barreiro, J., & García-Soidán, J. L. (2023). Effects of exercise therapy using elastic bands on strength and pain in women with non-specific neck pain: A randomised controlled trial. Heliyon, 9(11), e22237. https://doi.org/10.1016/j.heliyon.2023.e22237
Israetel, M. A., McBride, J. M., Nuzzo, J. L., Skinner, J. W., & Dayne, A. M. (2010). Kinetic and kinematic differences between squats performed with and without elastic bands. Journal of strength and conditioning research, 24(1), 190–194. https://doi.org/10.1519/JSC.0b013e31819b7995
Iversen, V. M., Vasseljen, O., Mork, P. J., & Fimland, M. S. (2018b). Resistance training vs general physical exercise in multidisciplinary rehabilitation of chronic neck pain: A randomized controlled trial. Journal of Rehabilitation Medicine: Official Journal of the UEMS European Board of Physical and Rehabilitation Medicine, 50(8). https://doi.org/10.2340/16501977-2370
Iversen, V. M., Vasseljen, O., Mork, P. J., Gismervik, S., Bertheussen, G. F., Salvesen, Ø., & Fimland, M. S. (2018a). Resistance band training or general exercise in multidisciplinary rehabilitation of low back pain? A randomized trial. Scandinavian Journal of Medicine & Science in Sports, 28(9). https://doi.org/10.1111/sms.13091
Joshi, S., Kamboj, R., & Pawalia, A. (2022). Effect of interferential therapy and elastic band exercises on subjects with round shoulder and forward head posture: a randomized trial. Journal of the Dow University of Health Sciences (JDUHS), 16(2), 59-65.
Joy, J. M., Lowery, R. P., Oliveira de Souza, E., & Wilson, J. M. (2016). Elastic Bands as a Component of Periodized Resistance Training. Journal of strength and conditioning research, 30(8), 2100–2106. https://doi.org/10.1519/JSC.0b013e3182986bef
Krzysztofik, M., Wilk, M., Wojdała, G., & Gołaś, A. (2019). Maximizing Muscle Hypertrophy: A Systematic Review of Advanced Resistance Training Techniques and Methods. International Journal of Environmental Research and Public Health, 16(24). https://doi.org/10.3390/ijerph16244897
Kim, M., Kuruma, H., & Thawisuk, C. (2021). The use of elastic band exercise as a physical therapy intervention for improving shoulder function in older adults: a scoping review. Journal of exercise rehabilitation, 17(5), 313–318. https://doi.org/10.12965/jer.2142574.287
Kwak, C. J., Kim, Y. L., & Lee, S. M. (2016). Effects of elastic-band resistance exercise on balance, mobility and gait function, flexibility and fall efficacy in elderly people. Journal of physical therapy science, 28(11), 3189–3196. https://doi.org/10.1589/jpts.28.3189
LeCerf Paredes, L., Valdés-Badilla, P., & Guzman Muñoz, E. (2022). Efectos del entrenamiento de fuerza sobre la condición física en niños y niñas con sobrepeso y obesidad: una revisión sistemática (Effects of strength training on the fitness in boys and girls with overweight and obesity: a systematic review). Retos, 43, 233–242. https://doi.org/10.47197/retos.v43i0.87756
Liao, C. D., Tsauo, J. Y., Chiu, Y. S., Ku, J. W., Huang, S. W., & Liou, T. H. (2020). Effects of Elastic Resistance Exercise After Total Knee Replacement on Muscle Mass and Physical Function in Elderly Women With Osteoarthritis: A Randomized Controlled Trial. American Journal of Physical Medicine & Rehabilitation / Association of Academic Physiatrists, 99(5). https://doi.org/10.1097/PHM.0000000000001344
Lidegaard, M., Jensen, R. B., Andersen, C. H., Zebis, M. K., Colado, J. C., Wang, Y., Heilskov-Hansen, T., & Andersen, L. L. (2013). Effect of brief daily resistance training on occupational neck/shoulder muscle activity in office workers with chronic pain: randomized controlled trial. BioMed Research International, 2013. https://doi.org/10.1155/2013/262386
Lin, Y., Xu, Y., Hong, F., Li, J., Ye, W., & Korivi, M. (2022). Effects of Variable-Resistance Training Versus Constant-Resistance Training on Maximum Strength: A Systematic Review and Meta-Analysis. International journal of environmental research and public health, 19(14), 8559. https://doi.org/10.3390/ijerph19148559
Lorenz D. S. (2014). Variable resistance training using elastic bands to enhance lower extremity strengthening. International journal of sports physical therapy, 9(3), 410–414.
Madsen, B. K., Søgaard, K., Andersen, L. L., Tornøe, B., & Jensen, R. H. (2018). Efficacy of strength training on tension-type headache: A randomised controlled study. Cephalalgia : an international journal of headache, 38(6), 1071–1080. https://doi.org/10.1177/0333102417722521
Martins, W. R., de Oliveira, R. J., Carvalho, R. S., de Oliveira Damasceno, V., da Silva, V. Z., & Silva, M. S. (2013). Elastic resistance training to increase muscle strength in elderly: a systematic review with meta-analysis. Archives of gerontology and geriatrics, 57(1), 8–15. https://doi.org/10.1016/j.archger.2013.03.002
McMaster, D. T., Cronin, J., & McGuigan, M. (2009). Forms of variable resistance training. Strength & conditioning journal, 31(1), 50-64.
Mina, M. A., Blazevich, A. J., Giakas, G., & Kay, A. D. (2014). Influence of variable resistance loading on subsequent free weight maximal back squat performance. Journal of strength and conditioning research, 28(10), 2988–2995. https://doi.org/10.1519/JSC.0000000000000471
Page P. (2011). Effectiveness of elastic resistance in rehabilitation of patients with patellofemoral pain syndrome: what is the evidence?. Sports health, 3(2), 190–194. https://doi.org/10.1177/1941738111398595
Ribeiro, C. C., Gómez-Conesa, A., & Montesinos, M. H. (2010). Metodología para la adaptación de instrumentos de evaluación. Fisioterapia, 32(6), 264-270.
Rivière, M., Louit, L., Strokosch, A., & Seitz, L. B. (2017). Variable Resistance Training Promotes Greater Strength and Power Adaptations Than Traditional Resistance Training in Elite Youth Rugby League Players. Journal of strength and conditioning research, 31(4), 947–955. https://doi.org/10.1519/JSC.0000000000001574
Sáez-Michea , E. ., Alarcón-Rivera, M. ., Valdés-Badilla, P. ., & Guzman Muñoz, E. (2023). Efectos de seis semanas de entrenamiento isoinercial sobre la capacidad de salto, velocidad de carrera y equilibrio postural dinámico (Effects of six weeks of isoinertial training on vertical jump performance, running velocity, and dynamic postural balance). Retos, 48, 291–297. https://doi.org/10.47197/retos.v48.95284
Siegel, J. A., Gilders, R. M., Staron, R. S., & Hagerman, F. C. (2002). Human muscle power output during upper-and lower-body exercises. Journal of Strength and Conditioning Research / National Strength & Conditioning Association, 16(2), 173–178.
Smith, C. M., Housh, T. J., Hill, E. C., Keller, J. L., Anders, J. P. V., Johnson, G. O., & Schmidt, R. J. (2019). Variable resistance training versus traditional weight training on the reflex pathway following four weeks of leg press training. Somatosensory & motor research, 36(3), 223–229. https://doi.org/10.1080/08990220.2019.1659238
Sundstrup, E., Jakobsen, M. D., Andersen, C. H., Bandholm, T., Thorborg, K., Zebis, M. K., & Andersen, L. L. (2014). Evaluation of elastic bands for lower extremity resistance training in adults with and without musculo-skeletal pain. Scandinavian journal of medicine & science in sports, 24(5), e353–e359. https://doi.org/10.1111/sms.12187
Van den Tillaar, R., Andersen, V., & Saeterbakken, A. H. (2014). The existence of a sticking region in free weight squats. Journal of human kinetics, 42, 63–71. https://doi.org/10.2478/hukin-2014-0061
Xiao, C. M., Kang, Y., & Zhuang, Y. C. (2016). Effects of Elastic Resistance Band Exercise on Postural Balance, Estrogen, Bone Metabolism Index, and Muscle Strength of Perimenopausal Period Women. Journal of the American Geriatrics Society, 64(6), 1368–1370. https://doi.org/10.1111/jgs.14172
Walker, S., Hulmi, J. J., Wernbom, M., Nyman, K., Kraemer, W. J., Ahtiainen, J. P., & Häkkinen, K. (2013). Variable resistance training promotes greater fatigue resistance but not hypertrophy versus constant resistance training. European journal of applied physiology, 113(9), 2233–2244. https://doi.org/10.1007/s00421-013-2653-4
Wallace, B. J., Bergstrom, H. C., & Butterfield, T. A. (2018). Muscular bases and mechanisms of variable resistance training efficacy. International Journal of Sports Science & Coaching. https://doi.org/10.1177/1747954118810240
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