Osteoarthritis Year In Review 2024: Rehabilitation and outcomes.

Autor: Lawford BJ; Centre for Health, Exercise and Sports Medicine, The University of Melbourne, Victoria, Australia. Electronic address: belinda.lawford@unimelb.edu.au., Bennell KL; Centre for Health, Exercise and Sports Medicine, The University of Melbourne, Victoria, Australia., Haber T; Centre for Health, Exercise and Sports Medicine, The University of Melbourne, Victoria, Australia., Hall M; Sydney Musculoskeletal Health, The Kolling Institute, School of Health Sciences, University of Sydney, New South Wales, Australia., Hinman RS; Centre for Health, Exercise and Sports Medicine, The University of Melbourne, Victoria, Australia., Recenti F; Department of Clinical Sciences Lund, Clinical Epidemiology Unit, Orthopaedics, Lund University, Lund, Sweden; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Genoa, Italy., Dell'isola A; Department of Clinical Sciences Lund, Clinical Epidemiology Unit, Orthopaedics, Lund University, Lund, Sweden.
Jazyk: angličtina
Zdroj: Osteoarthritis and cartilage [Osteoarthritis Cartilage] 2024 Nov; Vol. 32 (11), pp. 1405-1412. Date of Electronic Publication: 2024 Aug 06.
DOI: 10.1016/j.joca.2024.08.001
Abstrakt: This Year in Review presents key highlights from recent research relating to osteoarthritis rehabilitation and its outcomes, defined as any non-pharmacological and non-surgical treatment that aims to improve osteoarthritis symptoms at any joint. Three databases (Medline, Embase, and CINAHL Plus) were searched between 1 March 2023 to 12 March 2024. Relevant studies were chosen based on the predefined inclusion/exclusion criteria, perceived clinical importance, quality, controversy in the field, or personal interest, and organised into four overarching themes (with 1-5 sub-themes each). The first theme related to uncertainties regarding exercise benefits. New work has challenged the clinical effectiveness of exercise on symptoms, as well as highlighted uncertainty around our understanding of both mechanisms of effects, how to enhance effectiveness and adherence, and which subgroups of people are more or less likely to improve with exercise. However, we also highlight new work confirming the role of exercise as a first-line management strategy. The second theme related to digital modes of service delivery. There was new evidence to support its effectiveness in improving symptoms and clear potential for creating and evaluating new mobile apps. New work also highlighted the potential future role artificial intelligence can have in providing treatment information and recommendations. The third theme related to patient education, and the call for change to the impairment-based narrative that prevails in osteoarthritis information. The fourth theme is related to weight loss. New work compared the effectiveness of different weight loss diets and explored alternative models of weight loss delivery.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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