<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1137-6627</journal-id>
<journal-title><![CDATA[Anales del Sistema Sanitario de Navarra]]></journal-title>
<abbrev-journal-title><![CDATA[Anales Sis San Navarra]]></abbrev-journal-title>
<issn>1137-6627</issn>
<publisher>
<publisher-name><![CDATA[Gobierno de Navarra. Departamento de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1137-66272021000200009</article-id>
<article-id pub-id-type="doi">10.23938/assn.0963</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia de la hidroterapia frente al tratamiento en gimnasio en prótesis total primaria de rodilla por osteoartritis: ensayo controlado y aleatorizado]]></article-title>
<article-title xml:lang="en"><![CDATA[Efficacy of hydrotherapy versus gym treatment in primary total knee prosthesis due to osteoarthritis: a randomized controlled trial]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alonso-Rodríguez]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Herrero]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nunes-Hernández]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Criado-Fernández]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-López]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solís-Muñoz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Puerta de Hierro Majadahonda Servicio de Rehabilitación ]]></institution>
<addr-line><![CDATA[Majadahonda Madrid]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Investigación Sanitaria Puerta de Hierro - Segovia de Arana (IDIPHISA) Grupo de Investigación en Enfermería y Cuidados de Salud ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Puerta de Hierro Majadahonda Unidad de Investigación en Cuidados ]]></institution>
<addr-line><![CDATA[Majadahonda Madrid]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>225</fpage>
<lpage>241</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1137-66272021000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1137-66272021000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1137-66272021000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Fundamento La fisioterapia se postula como un tratamiento eficaz tras la intervención de prótesis total de rodilla (PTR) por osteoartritis. El objetivo fue valorar la eficacia de la hidroterapia frente a la cinesiterapia en gimnasio durante la segunda fase de la rehabilitación de pacientes intervenidos de PTR en relación a la mejora del test de la marcha, el dolor, la rigidez, el balance articular, la fuerza muscular y la inflamación.  Método Se realizó un ensayo controlado y aleatorizado. Los pacientes intervenidos de PTR recibieron una primera fase rehabilitadora (15 sesiones de 60 minutos) en el gimnasio. En la segunda fase (15 sesiones de 40 minutos), un grupo realizó fisioterapia en gimnasio y otro en piscina. Se valoraron (basal, tras 15 y tras 30 sesiones): capacidad funcional, dolor y rigidez con índice WOMAC, balance articular con goniómetro, fuerza muscular con escala Lovett, y test de la marcha de 6 minutos.  Resultados Participaron 115 pacientes, 59 (51,3 %) en grupo sala y 56 (48,7 %) en grupo piscina. Tras la segunda fase de rehabilitación se observaron mejoras clínicas superiores en el grupo piscina, siendo las diferencias estadísticamente significativas respecto al dolor (p = 0,005), rigidez (p = 0,010), balance articular flexión (p = 0,027) y fuerza muscular (p = 0,049) en la rodilla intervenida, y en el test de la marcha de 6 minutos (p = 0,002).  Conclusiones En pacientes intervenidos de PTR, la hidroterapia durante la segunda fase del tratamiento rehabilitador fue más eficaz que la fisioterapia en gimnasio en relación a la mejora del dolor, rigidez, balance articular, fuerza muscular y resultado del test de la marcha.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background Physiotherapy is postulated as an effective treatment after total knee arthroplasty (TKA) due to osteoarthritis. The aim was to assess the efficacy of hydrotherapy versus gym kinesitherapy during the second phase of treatment in TKA patients, with regard to the improved gait test, pain, stiffness, joint balance, muscle strength and inflammation.  Methods A controlled and randomized trial was carried out. TKA patients received a first rehabilitative phase (15 60-minutes sessions) at the gym. In the second phase (15 40-minute sessions), one group performed physiotherapy in a gym and another in a swimming pool. Different variables were assessed (basal, after 15 and after 30 sessions): functional capacity, pain and stiffness with WOMAC index, joint balance with goniometer; muscle strength with Lovett scale, and result of 6-minute gait test.  Results A total of 115 patients participated, 59 (51.3%) in the gym group and 56 (48.7 %) in the pool group. After the second phase of rehabilitation, higher clinical improvements were observed in the pool group, with statistically significant differences in pain (p = 0.005), stiffness (p = 0.010), joint balance (p = 0.027) and muscle strength (p = 0.049) in the operated knee, and in the result of the 6-minute gait test (p = 0.002).  Conclusions In TKA patients, hydrotherapy during the second phase of rehabilitative treatment was more effective than gym physiotherapy in terms of improved pain, stiffness, joint balance, muscle strength and gait testing.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hidroterapia]]></kwd>
<kwd lng="es"><![CDATA[Osteoartritis]]></kwd>
<kwd lng="es"><![CDATA[Artroplastia total de rodilla]]></kwd>
<kwd lng="es"><![CDATA[Rehabilitación]]></kwd>
<kwd lng="es"><![CDATA[Fisioterapia]]></kwd>
<kwd lng="en"><![CDATA[Hydrotherapy]]></kwd>
<kwd lng="en"><![CDATA[Osteoarthritis]]></kwd>
<kwd lng="en"><![CDATA[Total knee arthroplasty]]></kwd>
<kwd lng="en"><![CDATA[Rehabilitation]]></kwd>
<kwd lng="en"><![CDATA[Physical therapy specialty]]></kwd>
</kwd-group>
</article-meta>
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