Article

OBJECTIVE: To undertake a systematic critical appraisal of guidelines to provide
a summary of recommendations for the physical management of osteoarthritis (OA).
DATA SOURCES: The Cochrane Library, MEDLINE, CINAHL, SPORTDiscus with Full Text,
Scopus, ScienceDirect, PEDro, and Google Scholar databases were searched
(2000-2013) to identify all guidelines, protocols, and recommendations for the
management or treatment of OA. In addition, Internet searches of all relevant
arthritis organizations were undertaken. All searches were performed between July
2012 and end of April 2013. Guidelines that included only pharmacological,
injection therapy, or surgical interventions were excluded. Guidelines published
only in English were retrieved. STUDY SELECTION: OA guidelines developed from
evidence-based research, consensus, and/or expert opinion were retrieved. There
were no restrictions on severity or site of OA, sex, or age. Nineteen guidelines
were identified for evaluation. DATA EXTRACTION: The quality of all guidelines
was critically appraised using the Appraisal of Guidelines for REsearch and
Evaluation II instrument. Each guideline was independently reviewed. All relevant
recommendations for the physical management of OA were synthesized, graded, and
ranked according to available evidence. DATA SYNTHESIS: Seventeen guidelines with
recommendations on the physical management of OA met the inclusion criteria and
underwent a full critical appraisal. There were variations in the interventions,
levels of evidence, and strength of recommendations across the guidelines. Forty
different interventions were identified. Recommendations were graded from
"strongly recommended" to "unsupported." Exercise and education were found to be
strongly recommended by most guidelines. CONCLUSIONS: Exercise and education were
key recommendations supporting the importance of rehabilitation in the physical
management of OA. This critical appraisal can assist health care providers who
are involved in the management of people with OA.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS