Resynchronization and Functionality in Older Adults with gonarthrosis
Keywords:
resynchronization, osteoarthritis, gonarthrosis, biotensegrity, circadian rhythms, older adultsAbstract
Introduction: By 2050, adults over 60 years of age will exceed 30% of the world's population. Osteoarthritis is a common musculoskeletal disorder for which there is no cure. The circadian clock is a signaling pathway present in chondrocytes and regulates key pathways involved in osteoarthritis.
Objective: To evaluate the influence of spatiotemporal resynchronization on the functioning of older adults with gonarthrosis.
Methods: A quantitative, quasi-experimental study with an explanatory and correlational scope was conducted between the Center for Neurological Restoration and Cristóbal Labra Polyclinic. Forty-one patients who attended the polyclinic's rehabilitation service from July 2023 to August 2024 were studied. A structured interview was conducted, and each patient underwent an examination using a visual analog scale, the Daniels test, goniometry, the Western Ontario and McMaster Universities Osteoarthritis Index questionnaire, bilateral lower limb measurements, and the Horne and Ostberg chronotype questionnaire. Assessments were performed at baseline and after the intervention that lasted 12 weeks.
Results: Positive changes were observed in the response variables studied, such as pain reduction and improved mobility.
Conclusions: The strategy aimed at resynchronization in older adults through the regulation of daily living activities (chronobiology) and systematic physical activity (spatial reconditioning) positively influenced the functionality of older adults with gonarthrosis.
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Copyright (c) 2026 Marisa Hernández Hernández, Jorge Enrique Martín Cordero, Yuneisys Coronados Valladares, Argelia Calderín Rodríguez
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