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

被引：75

作者：

Brosseau, Lucie ^{[1
]}

Taki, Jade ^{[2
]}

Desjardins, Brigit ^{[3
]}

Thevenot, Odette ^{[3
]}

Fransen, Marlene ^{[4
]}

Wells, George A. ^{[5
]}

Imoto, Aline Mizusaki ^{[6
]}

Toupin-April, Karine ^{[7
,8
]}

Westby, Marie ^{[9
]}

Alvarez Gallardo, Inmaculada C. ^{[10
]}

Gifford, Wendy ^{[11
]}

Laferriere, Lucie ^{[12
]}

Rahman, Prinon ^{[13
]}

Loew, Laurianne ^{[14
]}

De Angelis, Gino ^{[14
]}

Cavallo, Sabrina ^{[14
]}

Shallwani, Shirin Mehdi ^{[14
]}

Aburub, Ala' ^{[14
]}

Bennell, Kim L. ^{[15
]}

Van der Esch, Martin ^{[16
,17
,18
]}

Simic, Milena ^{[19
]}

McConnell, Sara ^{[20
]}

Harmer, Alison ^{[21
]}

Kenny, Glen P. ^{[3
]}

Paterson, Gail ^{[22
]}

Regnaux, Jean-Philippe ^{[23
]}

Lefevre-Colau, Marie-Martine ^{[24
]}

McLean, Linda ^{[1
]}

机构：

[1] Univ Ottawa, Sch Rehabil Sci, Physiotherapy Program, Fac Hlth Sci, Ottawa, ON, Canada

[2] Univ Ottawa, Interdisciplinary Sch Hlth Sci, Ottawa, ON, Canada

[3] Univ Ottawa, Sch Human Kinet, Ottawa, ON, Canada

[4] Univ Sydney, Fac Hlth Sci, Sydney, NSW, Australia

[5] Univ Ottawa, Sch Epidemiol Publ Hlth & Prevent Med, Ottawa, ON, Canada

[6] UNIFESP, Internal Med, Brasilia, DF, Brazil

[7] Univ Ottawa, Childrens Hosp Eastern Ontario, Fac Med, Dept Pediat,Res Inst, Ottawa, ON, Canada

[8] Univ Ottawa, Fac Hlth Sci, Sch Rehabil Sci, 451 Smyth Rd,Room RGN3060, Ottawa, ON K1H 8M5, Canada

[9] Univ British Columbia, Mary Pack Arthrit Program, Ctr Hip Hlth & Mobil, Vancouver Coastal Hlth Dept Phys Therapy, Vancouver, BC, Canada

[10] Univ Granada, Dept Phys Educ & Sport, Granada, Spain

[11] Univ Ottawa, Sch Nursing, Ottawa, ON, Canada

[12] Canadian Forces Hlth Serv Grp Headquarters, Natl Def, Ottawa, ON, Canada

[13] Dalhousie Univ, Dept Community Hlth & Epidemiol, Halifax, NS, Canada

[14] Univ Ottawa, Sch Rehabil Sci, Ottawa, ON, Canada

[15] Univ Melbourne, Sch Hlth Sci, Dept Physiotherapy, Melbourne, Vic, Australia

[16] Reade Ctr Rehabil & Rheumatol, Dept Rehabil, Amsterdam, Netherlands

[17] Univ Appl Sci, Ctr Appl Res, ACHIEVE, Fac Hlth, Amsterdam, Netherlands

[18] Univ Appl Sci, Sch Physiotherapy, Amsterdam, Netherlands

[19] Univ Sydney, Discipline Physiotherapy, Fac Hlth Sci, Lidcombe, Australia

[20] St Josephs Hlth Care Ctr, Dept Med, Toronto, ON, Canada

[21] Univ Sydney, Clin & Rehabil Sci Res Grp, Fac Hlth Sci, Sydney, NSW, Australia

[22] Arthrit Soc, Ottawa Off, Ontario Div, Ottawa, ON, Canada

[23] Hop Hotel Dieu, Ctr Rech Epidemiol & Biostat, Paris, France

[24] Cochin Hosp, Dept Med & Rehabil, Inst Rheumatol, Paris, France

来源：

CLINICAL REHABILITATION | 2017年 / 31卷 / 05期

关键词：

Therapeutic exercise; mind-body exercises; knee osteoarthritis; clinical practice guideline; recommendations; rehabilitation; rheumatology; management; systematic review; RANDOMIZED CONTROLLED-TRIAL; TAI-CHI; PHYSICAL-THERAPY; OLDER-ADULTS; MANUAL-THERAPY; HOME EXERCISE; PAIN; YOGA; WOMEN; HIP;

D O I：

10.1177/0269215517691083

中图分类号：

R49 [康复医学];

学科分类号：

100232 [康复医学];

摘要：

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.

引用

页码：582 / 595

页数：14

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