Exercise for osteoarthritis of the hip or knee

Fransen, Marlene; McConnell, Sara; Bell, Mary

doi:10.1002/14651858.cd004376

Cited by 83 publications

(86 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, few studies have specifically focused on this topic. Most studies have included a mixed population of patients with hip and/or knee OA, and the majority of participants in these studies only have knee OA [11]. A small study focusing on hip OA in older patients revealed that an 8-week exercise program was associated with less pain and improved function [12].…”

Section: Exercise and Physiotherapymentioning

confidence: 99%

The benefit of nonpharmacologic therapy to treat symptomatic osteoarthritis

Lee¹,

Shmerling²

2008

Curr Rheumatol Rep

View full text Add to dashboard Cite

Osteoarthritis affects a large proportion of the population, especially the elderly, leading to pain and disability. To relieve pain, many patients are turning toward nonpharmacologic therapies. Conventional nonpharmacologic treatments such as weight loss and exercise are well accepted by the medical community, and some randomized controlled trials support the use of these treatments in patients with knee osteoarthritis. However, little information exists regarding the efficacy of these treatments for osteoarthritis at other sites. Less conventional treatments such as acupuncture and massage are emerging as promising options for osteoarthritis treatment, but the magnitude of benefit has varied between studies. More investigation is necessary to reach a conclusion regarding the efficacy of these treatments.

show abstract

Section: Exercise and Physiotherapymentioning

confidence: 99%

The benefit of nonpharmacologic therapy to treat symptomatic osteoarthritis

Lee¹,

Shmerling²

2008

Curr Rheumatol Rep

View full text Add to dashboard Cite

show abstract

“…Prior observations that patients with knee OA have weak quadriceps muscles [58,59], and that strengthening regimens directed at knee muscles provide substantial pain palliation [60,61], support the importance of the musculature in OA pathophysiology and therapy. The conventional approach to muscle training in knee OA has been to focus on the quadriceps and hamstrings; however, despite the pain relief associated with such training, there is little biomechanical evidence to suggest that strengthening of these muscle groups actually affects knee loading in OA.…”

Section: Muscle Strengtheningmentioning

confidence: 89%

The biomechanics of osteoarthritis: Implications for therapy

Block

Shakoor²

2009

Curr Rheumatol Rep

View full text Add to dashboard Cite

The pathophysiology of osteoarthritis (OA) has been extensively studied. However, the basic approach to therapy, which consists of pain relief and maintenance of function, has not changed for decades. At present, there are no nonsurgical methods that clearly interfere with the natural history of OA or provide prolonged pain palliation. Much of OA disease progression is mediated by aberrant biomechanical forces or through pathologic responses to those forces. As understanding of these mechanisms improves, novel therapeutic approaches are being studied that may provide prolonged reductions in loading of OA joints. These new therapies may ultimately be shown to retard disease progression and palliate pain. This article reviews some of these strategies.

show abstract

“…Firstly, many physical therapy centers use exercise therapy to manage knee osteoarthritic pain, and it was shown in the Cochrane database review that although there seemed to be some benefit of land-based exercise, there was insufficient data to provide useful guidelines on optimal exercise type or dosage [7]. Another commonly used physical therapy modality is therapeutic ultrasound; again, it was reported in the Cochrane database review that ultrasound therapy appears to have no benefit over placebo or short-wave diathermy for patients with knee osteoarthritis [8].…”

Section: Discussionmentioning

confidence: 99%

Does addition of low-level laser therapy (LLLT) in conservative care of knee arthritis successfully postpone the need for joint replacement?

Ip¹

2015

Lasers Med Sci

View full text Add to dashboard Cite

The current study evaluates whether the addition of low-level laser therapy into standard conventional physical therapy in elderly with bilateral symptomatic tri-compartmental knee arthritis can successfully postpone the need for joint replacement surgery. A prospective randomized cohort study of 100 consecutive unselected elderly patients with bilateral symptomatic knee arthritis with each knee randomized to receive either treatment protocol A consisting of conventional physical therapy or protocol B which is the same as protocol A with added low-level laser therapy. The mean follow-up was 6 years. Treatment failure was defined as breakthrough pain which necessitated joint replacement surgery. After a follow-up of 6 years, patients clearly benefited from treatment with protocol B as only one knee needed joint replacement surgery, while nine patients treated with protocol A needed surgery (p < 0.05). We conclude low-level laser therapy should be incorporated into standard conservative treatment protocol for symptomatic knee arthritis.

show abstract

Exercise for osteoarthritis of the hip or knee

Cited by 83 publications

References 46 publications

The benefit of nonpharmacologic therapy to treat symptomatic osteoarthritis

The benefit of nonpharmacologic therapy to treat symptomatic osteoarthritis

The biomechanics of osteoarthritis: Implications for therapy

Does addition of low-level laser therapy (LLLT) in conservative care of knee arthritis successfully postpone the need for joint replacement?

Contact Info

Product

Resources

About