The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part three: aerobic exercise programs
| Autor: | Laurianne Loew, Marie D. Westby, Lucie Brosseau, Shirin M. Shallwani, Wendy Gifford, Marlene Fransen, Prinon Rahman, Martin van der Esch, Odette Thevenot, Marie-Martine Lefèvre-Colau, Jean-Philippe Regnaux, Sara McConnell, Karine Toupin-April, Aline Mizusaki Imoto, Kim L Bennell, Sabrina Cavallo, George A. Wells, Gail Paterson, Gino De Angelis, Alison R. Harmer, Jade Taki, Ala' S Aburub, Milena Simic, Brigit Desjardins, Glen P. Kenny, Inmaculada C Álvarez Gallardo, Linda McLean, Lucie Laferrière |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Delphi method Physical Therapy Sports Therapy and Rehabilitation Osteoarthritis 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Quality of life Statistical significance medicine Humans Pain Management Aerobic exercise 030212 general & internal medicine Exercise 030203 arthritis & rheumatology Evidence-Based Medicine Rehabilitation business.industry Evidence-based medicine Osteoarthritis Knee medicine.disease Exercise Therapy Clinical Practice Practice Guidelines as Topic Physical therapy business |
| Zdroj: | Clinical Rehabilitation. 31:612-624 |
| ISSN: | 1477-0873 0269-2155 |
| DOI: | 10.1177/0269215517691085 |
| Popis: | Objectives: To identify effective aerobic exercise programs and provide clinicians 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 used, based on statistical significance ( P < 0.5) and clinical importance (⩾15% improvement). Results: The five high-quality studies included demonstrated that various aerobic training exercises are generally effective for improving knee osteoarthritis within a 12-week period. An aerobic exercise program demonstrated significant improvement for pain relief (Grade B), physical function (Grade B) and quality of life (Grade C+). Aerobic exercise in combination with strengthening exercises showed significant improvement for pain relief (3 Grade A) and physical function (2 Grade A, 2 Grade B). Conclusion: A short-term aerobic exercise program with/without muscle strengthening exercises is promising for reducing pain, improving physical function and quality of life for individuals with knee osteoarthritis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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