Document Detail

Physical exercise and reduction of pain in adults with lower limb osteoarthritis: a systematic review.
MedLine Citation:
PMID:  21079296     Owner:  NLM     Status:  MEDLINE    
Osteoarthritis is a degenerative joint disease. The knee and hip joints are the most frequently affected. Treatments fall into three main categories: pharmacological, non-pharmacological, and surgical. Treatments can be applied alone or in combination. In the last few years, within the non-pharmacological category have been a growing importance of physical exercise programs aimed to reduce pain in knee and hip joints. The purpose of this review was to summarize evidence for the effectiveness and structure of exercise programs on pain in patients with hip and knee osteoarthritis. To that end, several databases were searched, retrieving 33 studies that evaluated the influence of different exercise programs on pain. These studies were grouped according to the characteristics of the exercise program: land-based intervention (strength program, Tai Chi, aerobic program), aquatic intervention (hydrotherapy), and mixed exercise programs. The main conclusions drawn were: (i) despite recommendations for the use of exercise programs as pain therapy in patients with hip and knee osteoarthritis, very few randomized clinical studies were conducted; (ii) the structure of the exercise programs (content, duration, frequency and duration of the session) is very heterogeneous; (iii) on overall, exercise programs based on Tai Chi have better results than mixed exercise programs, but without clear differences.
Yolanda Escalante; Jose M Saavedra; Antonio García-Hermoso; Antonio J Silva; Tiago M Barbosa
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Journal of back and musculoskeletal rehabilitation     Volume:  23     ISSN:  1878-6324     ISO Abbreviation:  J Back Musculoskelet Rehabil     Publication Date:  2010  
Date Detail:
Created Date:  2010-11-16     Completed Date:  2011-03-03     Revised Date:  2011-04-25    
Medline Journal Info:
Nlm Unique ID:  9201340     Medline TA:  J Back Musculoskelet Rehabil     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  175-86     Citation Subset:  IM    
Facultad de Ciencias del Deporte, AFIDES Research Group, Universidad de Extremadura, Cáceres, Spain.
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MeSH Terms
Arthralgia / rehabilitation,  therapy
Exercise Therapy* / methods
Osteoarthritis, Hip / rehabilitation,  therapy*
Osteoarthritis, Knee / rehabilitation,  therapy*
Tai Ji

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