The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part two: strengthening exercise programs
| Autor: | Gail Paterson, Ala' S Aburub, Sabrina Cavallo, Lucie Laferrière, Milena Simic, Kim L Bennell, George A. Wells, Jean-Philippe Regnaux, Martin van der Esch, Laurianne Loew, Lucie Brosseau, Odette Thevenot, Marlene Fransen, Shirin M. Shallwani, Prinon Rahman, Wendy Gifford, Sara McConnell, Inmaculada C Álvarez Gallardo, Jade Taki, Glen P. Kenny, Aline Mizusaki Imoto, Marie-Martine Lefèvre-Colau, Linda McLean, Marie D. Westby, Brigit Desjardins, Gino De Angelis, Alison R. Harmer, Karine Toupin-April |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Alternative medicine Physical Therapy Sports Therapy and Rehabilitation Osteoarthritis law.invention 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Quality of life (healthcare) Randomized controlled trial law Muscle Stretching Exercises medicine Humans Pain Management Aerobic exercise 030212 general & internal medicine Evidence-Based Medicine Rehabilitation Self-management business.industry Resistance Training Evidence-based medicine Osteoarthritis Knee medicine.disease Exercise Therapy Practice Guidelines as Topic Physical therapy business 030217 neurology & neurosurgery |
| Zdroj: | Clinical Rehabilitation. 31:596-611 |
| ISSN: | 1477-0873 0269-2155 |
| DOI: | 10.1177/0269215517691084 |
| Popis: | Objective: To identify effective strengthening exercise programs and provide rehabilitation teams and patients with updated, high-quality recommendations concerning traditional land-based exercises for knee osteoarthritis. Methods: A systematic search and adapted selection criteria included comparative controlled trials with strengthening exercise programs for patients with knee osteoarthritis. A panel of experts reached consensus on the recommendations using a Delphi survey. A hierarchical alphabetical grading system (A, B, C+, C, D, D+ or D-) was based on statistical significance ( p Results: The 26 high-quality studies identified demonstrated that various strengthening exercise programs with/without other types of therapeutic exercises are generally effective for improving knee osteoarthritis management within a six-month period. Strengthening exercise programs demonstrated a significant improvement for pain relief (four Grade A, ten Grade B, two Grade C+), physical function (four Grade A, eight Grade B) and quality of life (three Grade B). Strengthening in combination with other types of exercises (coordination, balance, functional) showed a significant improvement in pain relief (three Grade A, 11 Grade B, eight Grade C+), physical function (two Grade A, four Grade B, three Grade C+) and quality of life (one Grade A, one Grade C+). Conclusion: There are a variety of choices for strengthening exercise programs with positive recommendations for healthcare professionals and knee osteoarthritis patients. There is a need to develop combined behavioral and muscle-strengthening strategies to improve long-term maintenance of regular strengthening exercise programs. |
| Databáze: | OpenAIRE |
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