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Osteoarthritis

Strength training, self-management or both for early knee OA

Physical and behavioral interventions have been shown to improve symptoms of advanced knee osteoarthritis, but do middle-aged, sedentary individuals with early-stage disease also benefit from these approaches, either alone or in combination?

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References

  1. Fransen, M. & McConnell, S. Exercise for osteoarthritis of the knee. Cochrane Database of Systematic Reviews, Issue 4, Art. No.:CD004376. doi:10.1002/14651858.CD004376.pub2 (2008).

    Google Scholar 

  2. Zhang, W. et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage 16, 137–162 (2008).

    Article  CAS  Google Scholar 

  3. March, L., Amatya, B., Osborne, R. H. & Brand, C. Developing a minimum standard of care for treating people with osteoarthritis of the hip and knee. Best Pract. Res. Clin. Rheumatol. 24, 121–145 (2010).

    Article  Google Scholar 

  4. Warsi, A., LaValley, M. P., Wang, P. S., Avorn, J. & Solomon, D. H. Arthritis self-management education programs: a meta-analysis of the effect on pain and disability. Arthritis Rheum. 48, 2207–2213 (2003).

    Article  Google Scholar 

  5. May, S. Self-management of chronic low back pain and osteoarthritis. Nat. Rev. Rheumatol. 6, 199–209 (2010).

    Article  Google Scholar 

  6. McKnight, P. E. et al. A comparison of strength training, self-management, and the combination for early osteoarthritis of the knee. Arthritis Care Res. (Hoboken) 62, 45–53 (2010).

    Article  Google Scholar 

  7. Jan, M. H., Lin, J. J., Liau, J. J., Lin, Y. F. & Lin, D. H. Investigation of clinical effects of high- and low-resistance training for patients with knee osteoarthritis: a randomized controlled trial. Phys. Ther. 88, 427–436 (2008).

    Article  Google Scholar 

  8. Jordan, J. L., Holden M. A., Mason, E. E. J. & Foster, N. E. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD005956. doi:10.1002/14651858.CD005956.pub2 (2010).

    Google Scholar 

  9. Mazières, B. et al. Adherence to, and results of, physical therapy programs in patients with hip or knee osteoarthritis. Development of French clinical practice guidelines. Joint Bone Spine 75, 589–596 (2008).

    Article  Google Scholar 

Download references

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Correspondence to Kim L. Bennell.

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Bennell, K., Messier, S. Strength training, self-management or both for early knee OA. Nat Rev Rheumatol 6, 313–314 (2010). https://doi.org/10.1038/nrrheum.2010.49

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