The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part one: introduction, and mind-body exercise programs

Author:

Brosseau Lucie1,Taki Jade2,Desjardins Brigit3,Thevenot Odette3,Fransen Marlene4,Wells George A5,Imoto Aline Mizusaki6,Toupin-April Karine7,Westby Marie8,Gallardo Inmaculada C Álvarez9,Gifford Wendy10,Laferrière Lucie11,Rahman Prinon12,Loew Laurianne13,Angelis Gino De13,Cavallo Sabrina13,Shallwani Shirin Mehdi13,Aburub Ala’13,Bennell Kim L14,Van der Esch Martin15,Simic Milena16,McConnell Sara17,Harmer Alison18,Kenny Glen P3,Paterson Gail19,Regnaux Jean-Philippe20,Lefevre-Colau Marie-Martine21,McLean Linda1

Affiliation:

1. Physiotherapy Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada

2. Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada

3. School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada

4. Faculty of Health Sciences, University of Sydney, Sydney, Australia

5. School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada

6. UNIFESP, Internal Medicine, Brasilia, Brazil

7. Children’s Hospital of Eastern Ontario Research Institute, Department of Pediatrics, Faculty of Medicine and School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada

8. Mary Pack Arthritis Program, Vancouver Coastal Health, Department of Physical Therapy, University of British Columbia, Centre for Hip Health and Mobility, Vancouver, British Columbia, Canada

9. Department of Physical Education and Sport, University of Granada, Granada, Spain

10. School of Nursing, University of Ottawa, Ottawa, Ontario, Canada

11. Canadian Forces Health Services Group Headquarters, National Defense, Ottawa, Ontario, Canada

12. Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada

13. School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada

14. Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Australia

15. Department of Rehabilitation, Reade Centre for Rehabilitation and Rheumatology, Amsterdam, Netherlands, Faculty of Health. ACHIEVE, Centre of Applied Research and School of Physiotherapy, University of Applied Sciences, Amsterdam, Netherlands

16. Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Lidcombe, Australia

17. Department of Medicine, St. Joseph’s Health Care Centre, Toronto, Ontario, Canada

18. Faculty of Health Sciences, Clinical and Rehabilitation Sciences Research Group, University of Sydney, Sydney, Australia

19. The Arthritis Society, Ottawa Office, Ontario Division, Ottawa, Ontario, Canada

20. Centre de recherche Epidémiologie et Biostatistique, Hôpital Hôtel-Dieu, Paris, France

21. Institute of Rheumatology, Department of Medicine and Rehabilitation, Cochin Hospital, Paris, France

Abstract

Objective: To identify effective mind-body exercise programs and provide clinicians and patients with updated, high-quality recommendations concerning non-traditional land-based exercises for knee osteoarthritis. Methods: A systematic search and adapted selection criteria included comparative controlled trials with mind-body 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+, D-) was used, based on statistical significance ( P < 0.5) and clinical importance (⩾15% improvement). Results: The four high-quality studies identified demonstrated that various mind-body exercise programs are promising for improving the management of knee osteoarthritis. Hatha Yoga demonstrated significant improvement for pain relief (Grade B) and physical function (Grade C+). Tai Chi Qigong demonstrated significant improvement for quality of life (Grade B), pain relief (Grade C+) and physical function (Grade C+). Sun style Tai Chi gave significant improvement for pain relief (Grade B) and physical function (Grade B). Conclusion: Mind-body exercises are promising approaches to reduce pain, as well as to improve physical function and quality of life for individuals with knee osteoarthritis.

Funder

University of Ottawa Research Chair

Publisher

SAGE Publications

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

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