Physical Exercise and Weight Loss for Hip and Knee Osteoarthritis in Very Old Patients: A Systematic Review of the Literature
| Autor: | Philippe Bréville, Jean M Vetel, B. Verlhac, Christian Cadet, Jean Bernard Gauvain, Jean-Laurent Le Quintrec, Emmanuel Maheu, Claude Jeandel |
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| Rok vydání: | 2014 |
| Předmět: |
Old patients
medicine.medical_specialty business.industry Alternative medicine MEDLINE knee Physical exercise Mean age Osteoarthritis medicine.disease Article Clinical trial systematic review Rheumatology physical exercise Weight loss very old medicine Physical therapy Hip osteoarthritis weight loss medicine.symptom business |
| Zdroj: | The Open Rheumatology Journal |
| ISSN: | 1874-3129 |
| Popis: | Background : Rheumatologic and geriatric scholarly organisations recommendations for the management of hip and knee osteoarthritis, which emphasise the usefulness of non-pharmacological therapies, are not scaled according to patient’s age and physical condition. We conducted a systematic review of clinical trials on exercise and weight loss in hip and knee osteoarthritis in very old patients. Methods : Electronic search in MEDLINE, EMBASE, PASCAL database, systematic search of the Cochrane Reviews, manual search in guidelines, meta-analyses and identified relevant articles. Results : We identified 83 trials, with only 2 on patients aged ≥ 75 years; we therefore lowered the mean age threshold to 70 years and found 15 trials, mainly performed in knee osteoarthritis and outpatients. Physical exercise (8 trials): was effective on pain and function (4 controlled trials), with a persistent effect only in case of self-rehabilitation. Aquatic exercise (5 trials): was as effective as land-based exercise. Weight loss (2 trials): only patients under diet + exercise had significant improvement on symptoms. Conclusion : Our systematic review confirms that international recommendations on exercise for knee osteoarthritis also apply to subjects aged 70-80 years. Long-term effectiveness requires a maintenance strategy. Specific trials on very old patients with various comorbidities are mandatory, given that these subjects are more exposed to drug-related iatrogenesis. |
| Databáze: | OpenAIRE |
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