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Considerations of the Principles of Resistance Training in Exercise Studies for the Management of Knee Osteoarthritis

MINSHULL C; GLEESON N
ARCH PHYS MED REHABIL , 2017, vol. 98, n° 9, p. 1842-1851
Doc n°: 186041
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2017.02.026
Descripteurs : DE562 - TRAITEMENT DE REEDUCATION - GENOU, DA5 - PATHOLOGIE OSTEOARTICULAIRE
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To evaluate the methodologic quality of resistance training
interventions for the management of knee osteoarthritis.
DATA SOURCES: A search
of the literature for studies published up to August 10, 2015, was performed on
MEDLINE (OVID platform), PubMed, Embase, and Physiotherapy Evidence Database
databases. Search terms associated with osteoarthritis, knee, and muscle
resistance exercise were used. STUDY SELECTION: Studies were included in the
review if they were published in the English language and met the following
criteria: (1) muscle resistance training was the primary intervention; (2)
randomized controlled trial design; (3) treatment arms included at least a muscle
conditioning intervention and a nonexercise group; and (4) participants had
osteoarthritis of the knee. Studies using preoperative (joint replacement)
interventions with only postoperative outcomes were excluded. The search yielded
1574 results. The inclusion criteria were met by 34 studies. DATA EXTRACTION: Two
reviewers independently screened the articles for eligibility. Critical appraisal
of the methodology was assessed according to the principles of resistance
training and separately for the reporting of adherence using a specially designed
scoring system. A rating for each article was assigned. DATA SYNTHESIS: There
were 34 studies that described a strength training focus of the intervention;
however, the principles of resistance training were inconsistently applied and
inadequately reported across all. Methods for adherence monitoring were
incorporated into the design of 28 of the studies, but only 13 reported
sufficient detail to estimate average dose of exercise. CONCLUSIONS: These
findings affect the interpretation of the efficacy of muscle resistance exercise
in the management of knee osteoarthritis. Clinicians and health care
professionals cannot be confident whether nonsignificant findings are because of
the lack of efficacy of muscle resistance interventions, or occur through
limitations in treatment prescription and patient adherence. Future research that
seeks to evaluate the effects of muscle strength training interventions on
symptoms of osteoarthritis should be properly designed and adherence diligently
reported.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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