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

To identify effective aerobic exercise programs and provide clinicians and patients with updated, high-quality recommendations concerning traditional land-based exercises for knee osteoarthritis. A systematic search and adapted selection criteria included comparative controlled trials with strengthe...

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Bibliographic Details
Published in:	Clinical rehabilitation Vol. 31; no. 5; pp. 612 - 624
Main Authors:	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
Format:	Journal Article
Language:	English
Published:	England 01.05.2017
Subjects:	Evidence-Based Medicine Exercise - physiology Exercise Therapy - methods Exercise Therapy - standards Humans Osteoarthritis, Knee - rehabilitation Pain Management - methods Practice Guidelines as Topic clinical practice guideline aerobic exercises systematic review knee osteoarthritis Therapeutic exercise
ISSN:	1477-0873
Online Access:	Get more information
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Summary:	To identify effective aerobic exercise programs and provide clinicians and patients with updated, high-quality recommendations concerning traditional land-based exercises for knee osteoarthritis. 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 used, based on statistical significance ( P < 0.5) and clinical importance (⩾15% improvement). The five high-quality studies included demonstrated that various aerobic training exercises are generally effective for improving knee osteoarthritis within a 12-week period. An aerobic exercise program demonstrated significant improvement for pain relief (Grade B), physical function (Grade B) and quality of life (Grade C+). Aerobic exercise in combination with strengthening exercises showed significant improvement for pain relief (3 Grade A) and physical function (2 Grade A, 2 Grade B). A short-term aerobic exercise program with/without muscle strengthening exercises is promising for reducing pain, improving physical function and quality of life for individuals with knee osteoarthritis.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 ObjectType-Undefined-4
ISSN:	1477-0873
DOI:	10.1177/0269215517691085