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Rehabilitation (exercise and strength training) and osteoarthritis

NGUYEN C; LEFEVRE COLAU MM; POIRAUDEAU S; RANNOU F
ANN PHYS REHABIL MED , 2016, vol. 59, n° 3, p. 190-195
Doc n°: 178918
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2016.02.010
Descripteurs : DA52 - MALADIES RHUMATISMALES

Rehabilitation is widely recommended in national and international guidelines for
managing osteoarthritis (OA) in primary care settings. According to the 2014 OA
Research Society International (OARSI) recommendations, rehabilitation is even
considered the core treatment of OA and is recommended for all patients.
Rehabilitation for OA widely includes land- and water-based exercise, strength
training, weight management, self-management and education, biomechanical
interventions, and physically active lifestyle. We performed a critical narrative
review of the efficacy and safety of rehabilitation for managing OA and discuss
evidence-based international recommendations. The process of article selection
was unsystematic. Articles were selected based on authors' expertise,
self-knowledge, and reflective practice. For the purpose of the review, we
focused on land- and water-based exercise and strength training for knee, hip and
hand OA. Other aspects of rehabilitation in OA are treated elsewhere in this
special issue. Exercise therapy is widely recommended for managing knee, hip and
hand OA. However, the level of evidence varies according to OA location. Overall,
consistent evidence suggests that exercise therapy and specific strengthening
exercise or strength training for the lower limb reduce pain and improve physical
function in knee OA. Evidence for other OA sites are less consistent. Therefore,
because of the lack of specific studies, recommendations for hip and hand OA are
mainly derived from studies of knee OA. In addition, no recommendations have been
established regarding the exercise regimen. The efficacy and safety of exercise
therapy and strength training need to be further evaluated in randomized
controlled trials of patients with hip and hand OA. The optimal delivery of
exercise programs also has to be more clearly defined.
CI - Copyright (c) 2016 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS

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