Dose‐Response Effects of Tai Chi and Physical Therapy Exercise Interventions in Symptomatic Knee Osteoarthritis

Lee, Augustine; Harvey, William F.; Price, Lori Lyn; Han, Xingyi; Driban, Jeffrey B.; Iversen, Maura D.; Desai, Sima A.; Knopp, Hans E.; Wang, Chenchen

doi:10.1016/j.pmrj.2018.01.003

Cited by 21 publications

(22 citation statements)

References 65 publications

(96 reference statements)

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“…[14] Studies have shown that Tai Chi has produced beneficial effects for treating KOA, such as reducing pain, improving physical function, reducing depressed mood and improving quality of life. [8,[15][16][17] The analgesic effect of Tai Chi on CPKOA has been confirmed by an increasing number of reports. The analgesic effect of Tai Chi on CPKOA has been confirmed by more and more reports, [14,18] thus showing the application prospect of Tai Chi in the clinical practice of CPKOA.…”

Section: Introductionmentioning

confidence: 81%

Effectiveness and safety of Tai Chi for chronic pain of knee osteoarthritis

Guo

Xie

et al. 2022

Medicine

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Background: Chronic pain (CP) has been a major area of interest in the field of knee osteoarthritis (KOA), further aggravating the dysthymia, stiffness, and dysfunction of KOA patients. As an important part of complementary and alternative medicine, Tai Chi has a positive effect on KOA patients. The systematic review is to evaluate the effectiveness and safety of Tai Chi for KOA patients with CP. Methods: A systematic search will be performed in the following electronic databases for randomized controlled trials to evaluate the effectiveness and safety of Tai Chi in treating chronic pain of knee osteoarthritis: the Cochrane Library, PubMed, EMBASE, OVID-MEDLINE, and four Chinese databases (Wan Fang, CNKI, CBMdisc and VIP). Each database will be searched from inception to Dec. 2021. The process will include study selection, data extraction, risk of bias assessment and meta-analysis. Results: This proposed study will evaluate the effectiveness and safety of Tai Chi for KOA patients with CP. Improvement in pain and adverse effects of KOA will be included in our measure. Conclusions: This proposed systematic review and meta-analysis will evaluate the existing evidence on the effectiveness and safety of Tai Chi for KOA patients with CP. Dissemination and ethics: The results of this review will be disseminated through peer-reviewed publication. This review does not require ethical approval because all of the data used in this systematic review and meta-analysis have already been published. Furthermore, all of these data will be analyzed anonymously during the review process. INPLASY registration number: INPLASY2021120020.

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Section: Introductionmentioning

confidence: 81%

Effectiveness and safety of Tai Chi for chronic pain of knee osteoarthritis

Guo

Xie

et al. 2022

Medicine

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“…Notably, the Tai Chi group demonstrated superiority in terms of depression and the physical component in quality of life. Secondary analysis of the same trial concluded that patients begin to notice the improvements after 2-5 wk[ 8 ]. Other studies have also supported the effectiveness of yoga in KOA.…”

Section: Exercisementioning

confidence: 99%

Conservative treatment of knee osteoarthritis: A review of the literature

Lim¹,

Al‐Dadah²

2022

WJO

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Knee osteoarthritis (KOA) is a common chronic debilitating disease with an estimated prevalence of 23.9% in the general adult population. The condition is characterised by joint pain, functional impairment and significant reduction in quality of life. Management for KOA can generally be divided into conservative (non-operative) and surgical (operative) measures. Conservative management broadly compromises pharmacological and non-pharmacological options and is conventionally the first line treatment to avoid or delay the need for surgical management. The aim of this study is to provide an overview of the current recommendations, efficacy and safety profile of different conservative treatments through a review of the literature.

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“…Compared with other conventional physical therapy, Tai Chi has a better treatment effect on reducing depression ( Li et al, 2020 ). The shortest adequate treatment time of Tai Chi for patients with KOA is 2–5 weeks ( Lee et al, 2018 ). A clinical experiment showed that Tai Chi can change KOA patients’ gait and plantar pressure load pattern during walking ( Zhang et al, 2020 ).…”

Section: Exercise Training and Koamentioning

confidence: 99%

Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis

et al. 2021

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Knee osteoarthritis is a chronic degenerative disease. Cartilage and subchondral bone degeneration, as well as synovitis, are the main pathological changes associated with knee osteoarthritis. Mechanical overload, inflammation, metabolic factors, hormonal changes, and aging play a vital role in aggravating the progression of knee osteoarthritis. The main treatments for knee osteoarthritis include pharmacotherapy, physiotherapy, and surgery. However, pharmacotherapy has many side effects, and surgery is only suitable for patients with end-stage knee osteoarthritis. Exercise training, as a complementary and adjunctive physiotherapy, can prevent cartilage degeneration, inhibit inflammation, and prevent loss of the subchondral bone and metaphyseal bone trabeculae. Increasing evidence indicates that exercise training can improve pain, stiffness, joint dysfunction, and muscle weakness in patients with knee osteoarthritis. There are several exercise trainings options for the treatment of knee osteoarthritis, including aerobic exercise, strength training, neuromuscular exercise, balance training, proprioception training, aquatic exercise, and traditional exercise. For Knee osteoarthritis (KOA) experimental animals, those exercise trainings can reduce inflammation, delay cartilage and bone degeneration, change tendon, and muscle structure. In this review, we summarize the main symptoms of knee osteoarthritis, the mechanisms of exercise training, and the therapeutic effects of different exercise training methods on patients with knee osteoarthritis. We hope this review will allow patients in different situations to receive appropriate exercise therapy for knee osteoarthritis, and provide a reference for further research and clinical application of exercise training for knee osteoarthritis.

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Dose‐Response Effects of Tai Chi and Physical Therapy Exercise Interventions in Symptomatic Knee Osteoarthritis

Abstract: II.

Cited by 21 publications

References 65 publications

Effectiveness and safety of Tai Chi for chronic pain of knee osteoarthritis

Effectiveness and safety of Tai Chi for chronic pain of knee osteoarthritis

Conservative treatment of knee osteoarthritis: A review of the literature

Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis

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