Article

The aim of this study was to evaluate the effects of land-based
generic physical activity interventions on pain, physical function, and physical
performance in individuals with hip/knee osteoarthritis, when compared with a
control group that received no intervention, minimal intervention, or usual care.
METHODS: A systematic search for randomized controlled trials on 11 electronic
databases (from their inception up until April 30, 2016) identified 27 relevant
articles. According to the compendium of physical activities, interventions were
categorized into: recreational activities (tai chi/Baduajin-6 articles), walking
(9 articles), and conditioning exercise (12 articles). RESULTS: Meta-analysis for
recreational activity (n = 3) demonstrated significant mean difference (MD) of
-9.56 (95% confidence interval [CI], -13.95 to -5.17) for physical function
(Western Ontario and McMaster Universities Arthritis Index) at 3 mos from
randomization. Pooled estimate for walking intervention was not significant for
pain intensity and physical performance but was significant for physical function
(n = 2) with a MD of -10.38 (95% CI, -12.27 to -8.48) at 6 mos. Meta-analysis for
conditioning exercise was significant for physical function (n = 3) with a MD of
-3.74 (95% CI, -5.70 to -1.78) and physical performance (6-minute walk test) with
a MD of 42.72 m (95% CI, 27.78, 57.66) at 6 mos. The timed stair-climbing test (n
= 2) demonstrated a significant effect at 18 mos with a MD of -0.49 secs (95% CI,
-0.75 to -0.23). CONCLUSION: Very limited evidence to support recreational
activity and walking intervention was found for knee osteoarthritis, in the
short-term on pain and physical function, respectively.

Langue : ANGLAIS