The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part two: strengthening exercise programs-Reference-Cited by-同舟云学术

The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part two: strengthening exercise programs

Published:2017-02-01 Issue:5 Volume:31 Page:596-611
ISSN:0269-2155
Container-title:Clinical Rehabilitation
language:en
Short-container-title:Clin Rehabil

Author:

Brosseau Lucie¹,Taki Jade²,Desjardins Brigit³,Thevenot Odette³,Fransen Marlene⁴,Wells George A⁵,Mizusaki Imoto Aline⁶,Toupin-April Karine⁷,Westby Marie⁸,Álvarez Gallardo Inmaculada C⁹,Gifford Wendy¹⁰,Laferrière Lucie¹¹,Rahman Prinon¹²,Loew Laurianne¹³,De Angelis Gino¹³,Cavallo Sabrina¹³,Shallwani Shirin Mehdi¹³,Aburub Ala’¹³,Bennell Kim L¹⁴,Van der Esch Martin¹⁵,Simic Milena¹⁶,McConnell Sara¹⁷,Harmer Alison¹⁸,Kenny Glen P¹⁹,Paterson Gail²⁰,Regnaux Jean-Philippe²¹,Lefevre-Colau Marie-Martine²²,McLean Linda²³

Affiliation:

1. Physiotherapy Program, 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, University of Ottawa, Ottawa, Ontario, Canada

6. UNIFESP, Internal Medicine, Brasilia, Brazil

7. Children’s Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, Ontario, Canada

8. Physical Therapy Teaching Supervisor, University of British Columbia, 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. School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada

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

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

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

23. Full Professor, Physiotherapy Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada

Abstract

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 < 0.5) and clinical importance (⩾15% improvement). 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.

Funder

University of Ottawa Research Chair

Publisher

SAGE Publications

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

Link

http://journals.sagepub.com/doi/pdf/10.1177/0269215517691084

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