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

著者: Lucie Brosseau, Jade Taki, Brigit Desjardins, Odette Thevenot, Marlene Fransen, George A. Wells, Aline Mizusaki Imoto, Karine Toupin‐April, Marie Westby, Inmaculada C. Álvarez‐Gallardo, Wendy Gifford, Lucie Laferrière, Prinon Rahman, Laurianne Loew, Gino De Angelis, Sabrina Cavallo, Shirin M. Shallwani, Ala’ S. Aburub, Kim L. Bennell, M. van der Esch, Milena Simić, Sara McConnell, Alison R. Harmer, Glen P. Kenny, Gail Paterson, Jean-Philippe Régnaux, Marie‐Martine Lefèvre‐Colau, Linda McLean - Clinical Rehabilitation 2017 被引用: 145

OBJECTIVES: To identify effective aerobic exercise programs and provide clinicians 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 used, based on statistical significance ( P < 0.5) and clinical importance (⩾15% improvement). RESULTS: 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). CONCLUSION: 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.