Article

OBJECTIVE: To identify effective strengthening exercise programs and provide
rehabilitation teams 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 based on statistical significance ( p < 0.5) and clinical importance
(15% improvement). RESULTS: The 26 high-quality studies identified demonstrated
that various strengthening exercise programs with/without other types of
therapeutic exercises are generally effective for improving knee osteoarthritis
management within a six-month period. Strengthening exercise programs
demonstrated a significant improvement for pain relief (four Grade A, ten Grade
B, two Grade C+), physical function (four Grade A, eight Grade B) and quality of
life (three Grade B). Strengthening in combination with other types of exercises
(coordination, balance, functional) showed a significant improvement in pain
relief (three Grade A, 11 Grade B, eight Grade C+), physical function (two Grade
A, four Grade B, three Grade C+) and quality of life (one Grade A, one Grade C+).
CONCLUSION: There are a variety of choices for strengthening exercise programs
with positive recommendations for healthcare professionals and knee
osteoarthritis patients. There is a need to develop combined behavioral and
muscle-strengthening strategies to improve long-term maintenance of regular
strengthening exercise programs.

Langue : ANGLAIS