Article

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.

Langue : ANGLAIS