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The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part two: strengthening exercise programs.
Brosseau, Lucie; Taki, Jade; Desjardins, Brigit; Thevenot, Odette; Fransen, Marlene; Wells, George A; Mizusaki Imoto, Aline; Toupin-April, Karine; Westby, Marie; Álvarez Gallardo, Inmaculada C; Gifford, Wendy; Laferrière, Lucie; Rahman, Prinon; Loew, Laurianne; De Angelis, Gino; Cavallo, Sabrina; Shallwani, Shirin Mehdi; Aburub, Ala'; Bennell, Kim L; Van der Esch, Martin; Simic, Milena; McConnell, Sara; Harmer, Alison; Kenny, Glen P; Paterson, Gail; Regnaux, Jean-Philippe; Lefevre-Colau, Marie-Martine; McLean, Linda.
Afiliação
  • Brosseau L; 1 Physiotherapy Program, University of Ottawa, Ottawa, Ontario, Canada.
  • Taki J; 2 Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
  • Desjardins B; 3 School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.
  • Thevenot O; 3 School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.
  • Fransen M; 4 Faculty of Health Sciences, University of Sydney, Sydney, Australia.
  • Wells GA; 5 School of Epidemiology, University of Ottawa, Ottawa, Ontario, Canada.
  • Mizusaki Imoto A; 6 UNIFESP, Internal Medicine, Brasilia, Brazil.
  • Toupin-April K; 7 Children's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
  • Westby M; 8 Physical Therapy Teaching Supervisor, University of British Columbia, Vancouver, British Columbia, Canada.
  • Álvarez Gallardo IC; 9 Department of Physical Education and Sport, University of Granada, Granada, Spain.
  • Gifford W; 10 School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
  • Laferrière L; 11 Canadian Forces Health Services Group Headquarters, National Defense, Ottawa, Ontario, Canada.
  • Rahman P; 12 Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
  • Loew L; 13 School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada.
  • De Angelis G; 13 School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada.
  • Cavallo S; 13 School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada.
  • Shallwani SM; 13 School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada.
  • Aburub A; 13 School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada.
  • Bennell KL; 14 Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Australia.
  • Van der Esch M; 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.
  • Simic M; 16 Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Lidcombe, Australia.
  • McConnell S; 17 Department of Medicine, St. Joseph's Health Care Centre, Toronto, Ontario, Canada.
  • Harmer A; 18 Faculty of Health Sciences, Clinical and Rehabilitation Sciences Research Group, University of Sydney, Sydney, Australia.
  • Kenny GP; 19 School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
  • Paterson G; 20 The Arthritis Society, Ottawa Office, Ontario Division, Ottawa, Ontario, Canada.
  • Regnaux JP; 21 Centre de recherche Epidémiologie et Biostatistique, Hôpital Hôtel-Dieu, Paris, France.
  • Lefevre-Colau MM; 22 Institute of Rheumatology, Department of Medicine and Rehabilitation, Cochin Hospital, Paris, France.
  • McLean L; 23 Full Professor, Physiotherapy Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Clin Rehabil ; 31(5): 596-611, 2017 May.
Article em En | MEDLINE | ID: mdl-28183213
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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Medicina Baseada em Evidências / Osteoartrite do Joelho / Exercícios de Alongamento Muscular / Treinamento Resistido / Manejo da Dor Idioma: En Ano de publicação: 2017 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Medicina Baseada em Evidências / Osteoartrite do Joelho / Exercícios de Alongamento Muscular / Treinamento Resistido / Manejo da Dor Idioma: En Ano de publicação: 2017 Tipo de documento: Article