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The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis - Part 1 : Introduction, and mind-body exercise programs

OBJECTIVE: To identify effective mind-body exercise programs and provide
clinicians and patients with updated, high-quality recommendations concerning
non-traditional land-based exercises for knee osteoarthritis. METHODS: A systematic search and adapted selection criteria included comparative controlled
trials with mind-body 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+, D-) was used,
based on statistical significance ( P < 0.5) and clinical importance (15%
improvement). RESULTS: The four high-quality studies identified demonstrated that
various mind-body exercise programs are promising for improving the management of
knee osteoarthritis. Hatha Yoga demonstrated significant improvement for pain
relief (Grade B) and physical function (Grade C+). Tai Chi Qigong demonstrated
significant improvement for quality of life (Grade B), pain relief (Grade C+) and
physical function (Grade C+). Sun style Tai Chi gave significant improvement for
pain relief (Grade B) and physical function (Grade B). CONCLUSION: Mind-body
exercises are promising approaches to reduce pain,
as well as to improve physical
function and quality of life for individuals with knee osteoarthritis.

Langue : ANGLAIS

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