. 2017 May;31(5):612-624.

doi: 10.1177/0269215517691085. Epub 2017 Feb 9.

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

Lucie Brosseau¹, Jade Taki², Brigit Desjardins³, Odette Thevenot³, Marlene Fransen⁴, George A Wells⁵, Aline Mizusaki Imoto⁶, Karine Toupin-April⁷, Marie Westby⁸, Inmaculada C Álvarez Gallardo⁹, Wendy Gifford¹⁰, Lucie Laferrière¹¹, Prinon Rahman¹², Laurianne Loew¹³, Gino De Angelis¹³, Sabrina Cavallo¹³, Shirin Mehdi Shallwani¹³, Ala' Aburub¹³, Kim L Bennell¹⁴, Martin Van der Esch¹⁵, Milena Simic¹⁶, Sara McConnell¹⁷, Alison Harmer¹, Glen P Kenny³, Gail Paterson¹⁸, Jean-Philippe Regnaux¹⁹, Marie-Martine Lefevre-Colau²⁰, Linda McLean¹

Affiliations

¹ 1 Physiotherapy Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
² 2 Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
³ 3 School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.
⁴ 4 Faculty of Health Sciences, University of Sydney, Sydney, Australia.
⁵ 5 School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.
⁶ 6 UNIFESP, Internal Medicine, Brasilia, Brazil.
⁷ 7 Children's Hospital of Eastern Ontario Research Institute, Department of Pediatrics, Faculty of Medicine and School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
⁸ 8 Mary Pack Arthritis Program, Vancouver Coastal Health, Department of Physical Therapy, University of British Columbia, Centre for Hip Health and Mobility, Vancouver, British Columbia, Canada.
⁹ 9 Department of Physical Education and Sport, University of Granada, Granada, Spain.
¹⁰ 10 School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
¹¹ 11 Canadian Forces Health Services Group Headquarters, National Defense, Ottawa, Ontario, Canada.
¹² 12 Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
¹³ 13 School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada.
¹⁴ 14 Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Australia.
¹⁵ 15 Department of Rehabilitation, Reade Centre for Rehabilitation and Rheumatology, Amsterdam, Netherlands, Faculty of Health. ACHIEVE, Centre of Applied Research and School of Physiotherapy, University of Applied Sciences, Amsterdam, Netherlands.
¹⁶ 16 Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Lidcombe, Australia.
¹⁷ 17 Department of Medicine, St. Joseph's Health Care Centre, Toronto, Ontario, Canada.
¹⁸ 18 The Arthritis Society, Ottawa Office, Ontario Division, Ottawa, Ontario, Canada.
¹⁹ 19 Centre de recherche Epidémiologie et Biostatistique, Hôpital Hôtel-Dieu, Paris, France.
²⁰ 20 Institute of Rheumatology, Department of Medicine and Rehabilitation, Cochin Hospital, Paris, France.

PMID: 28183194
DOI: 10.1177/0269215517691085

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

Lucie Brosseau et al. Clin Rehabil. 2017 May.

. 2017 May;31(5):612-624.

doi: 10.1177/0269215517691085. Epub 2017 Feb 9.

Authors

Affiliations

¹ 1 Physiotherapy Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
² 2 Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
³ 3 School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.
⁴ 4 Faculty of Health Sciences, University of Sydney, Sydney, Australia.
⁵ 5 School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.
⁶ 6 UNIFESP, Internal Medicine, Brasilia, Brazil.
⁷ 7 Children's Hospital of Eastern Ontario Research Institute, Department of Pediatrics, Faculty of Medicine and School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
⁸ 8 Mary Pack Arthritis Program, Vancouver Coastal Health, Department of Physical Therapy, University of British Columbia, Centre for Hip Health and Mobility, Vancouver, British Columbia, Canada.
⁹ 9 Department of Physical Education and Sport, University of Granada, Granada, Spain.
¹⁰ 10 School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
¹¹ 11 Canadian Forces Health Services Group Headquarters, National Defense, Ottawa, Ontario, Canada.
¹² 12 Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
¹³ 13 School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada.
¹⁴ 14 Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Australia.
¹⁵ 15 Department of Rehabilitation, Reade Centre for Rehabilitation and Rheumatology, Amsterdam, Netherlands, Faculty of Health. ACHIEVE, Centre of Applied Research and School of Physiotherapy, University of Applied Sciences, Amsterdam, Netherlands.
¹⁶ 16 Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Lidcombe, Australia.
¹⁷ 17 Department of Medicine, St. Joseph's Health Care Centre, Toronto, Ontario, Canada.
¹⁸ 18 The Arthritis Society, Ottawa Office, Ontario Division, Ottawa, Ontario, Canada.
¹⁹ 19 Centre de recherche Epidémiologie et Biostatistique, Hôpital Hôtel-Dieu, Paris, France.
²⁰ 20 Institute of Rheumatology, Department of Medicine and Rehabilitation, Cochin Hospital, Paris, France.

PMID: 28183194
DOI: 10.1177/0269215517691085

Abstract

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.

Keywords: Therapeutic exercise; aerobic exercises; clinical practice guideline; knee osteoarthritis; systematic review.

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

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

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