Role of physical therapy in management of knee osteoarthritis

Current Opinion in Rheumatology

Volumn 16, Issue 2, 2004, Pages 143-147

  Fitzgerald, G Kelley ^a   Oatis, Carol ^b  

^a UNIVERSITY OF PITTSBURGH   (United States)

^b NONE

Author keywords

Exercise therapy; Knee; Osteoarthritis; Physical therapy

Indexed keywords

COORDINATION; EXERCISE; HUMAN; JOINT LAXITY; KNEE OSTEOARTHRITIS; MANIPULATIVE MEDICINE; ORTHOSIS; PATIENT COMPLIANCE; PHYSICAL ACTIVITY; PHYSIOTHERAPY; PRIORITY JOURNAL; RADIOGRAPHY; REVIEW; TRAINING; TRANSCUTANEOUS NERVE STIMULATION; TREATMENT OUTCOME;

DELIVERY OF HEALTH CARE; HUMANS; OSTEOARTHRITIS, KNEE; PHYSICAL THERAPY MODALITIES; RECOVERY OF FUNCTION; RESEARCH;

EID: 1442274701     PISSN: 10408711     EISSN: None     Source Type: Journal    
DOI: 10.1097/00002281-200403000-00013     Document Type: Review

References (28)

1. Hochberg MC, Altman RD, Brandt KD, et al.: Guidelines for the medical management of osteoarthritis: Part II. Osteoarthritis of the knee. Arthritis Rheum 1995, 38:1541-1546.
2. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines: Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. Arthritis Rheum 2000, 43:1905-1915.
3. Hurley MV: Muscle dysfunction and effective rehabilitation of knee osteoarthritis: What we know and what we need to find out. Arthritis Care and Research 2003, 49:444-452. A review of the scientific literature primarily focusing on strength training for individuals with knee OA. The author raises some excellent questions to consider for improving the effectiveness of strengthening programs. Some of these considerations include adding balance and functional retraining activities to programs and considerations for improving compliance and cost effectiveness of programs.
4. van Baar ME, Dekker J, Oostendorp RAB, et al.: The effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee; a randomized clinical trial. J Rheumatol 1998, 25:2432-2439.
5. van Baar ME, Assendelft WJJ, Dekker J, et al.: Effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: A systematic review of randomized clinical trials. Arthritis Rheum 1999, 42:1361-1369.
6. Rogind H, Bibow-Nielsen B, Jensen B, et al.: The effects of a physical training program on patients with osteoarthritis of the knees. Arch Phys Med Rehabil 1998, 79:1421-1427.
7. Ettinger WH Jr, Burns R, Messier SP, et al.: A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). JAMA 1997, 277:25-31.
8. O'Reilly SC, Muir KR, Doherty M: Effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomized clinical trial. Ann Rheum Dis 1999, 58:15-19.
9. Fisher NM, Pendergast DR: Reduced muscle function in patients with osteoarthritis. Scand J Rehabil Med 1997, 29:213-221.
10. Schilke JM, Johnson GO, Housh TJ, et al.: Effects of muscle strength training on the functional status of patients with osteoarthritis of the knee joint. Nurs Res 1996, 45:68-72.
11. Maurer BT, Stern AG, Kinossian B, et al.: Osteoarthritis of the knee: isokinetic quadriceps exercise versus an educational intervention. Arch Phys Med Rehabil 1991, 80:1293-1299.
12. Deyle GD, Henderson NE, Matekel RL, et al.: Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee. Ann Intern Med 2000, 132:173-181.
13. Fransen M, Crosbie J, Edmonds J: Physical therapy is effective for patients with osteoarthritis of the knee: a randomized controlled clinical trial. J Rheumatol 2001, 28:156-164.
14. Fitzgerald GK, Childs JD, Ridge TM, et al.: Agility and perturbation training for a physically active individual with knee osteoarthritis. Phys Ther 2002, 82:372-382. A case report providing the rationale and a thorough description of interventions used to improve dynamic knee stability in a 73-year-old active female with bilateral knee OA. The case illustrates how interventions traditionally used for young, physically active individuals can be modified for use in older individuals with knee OA who also wish to remain physically active.
15. Hurley MV, Scott DL: Improvements in quadriceps sensori-motor function and disability of patients with knee osteoarthritis following a clinically practicable exercise regime. Br J Rheumatol 1998, 37:1181-1187.
16. Hinman RS, Crossley KM, McConnell J, et al.: Efficacy of knee tape in the management of osteoarthritis of the knee: blinded randomised controlled trial. Br Med J 2003, 327:135-140. A single-blind randomized trial examining the use of patellofemoral taping for improving knee pain in individuals with knee osteoarthritis. The study included both a placebo tape and nontreatment control group for comparison with the taping group.
17. Cheing GL, Hui-Chan CW: Does four weeks of TENS and/or isometric exercise produce cumulative reduction of osteoarthritic knee pain? Clin Rehabil 2002, 16:749-760.
18. Osiri M, Welch V, Brosseau L, et al.: Transcutaneous electrical nerve stimulation for knee osteoarthritis. In The Cochrane Library. The Cochrane Data-base of Systematic Reviews 2003; 1. A systematic review of recent clinical trials examining the effectiveness of transcutaneous electrical nerve stimulation for patients with knee pain, secondary to knee osteoarthritis.
19. Sasaki T, Yasuda K: Clinical evaluation of the treatment of osteoarthritic knees using a newly developed designed wedged insole. Clin Orthop 1987, 221:181-187.
20. Keating EM, Faris PM, Ritter MA, et al.: Use of lateral heel and sole wedges in the treatment of medial osteoarthritis of the knee. Orthopaedic Review 1993, 22:921-924.
21. Kerrigan DC, Lelas JL, Goggins J, et al.: Effectiveness of a lateral-wedge insole on knee varus torque in patients with knee osteoarthritis. Arch Phys Med Rehabil 2002, 83:889-893. A pretreatment, posttreatment examination of the effects of placing a 5° and 10° lateral wedge in the shoe on knee adduction moments in patients with medial compartment knee OA. The wedges reduced the adduction moment at the knee, possibly reducing stress on the medial compartment.
22. Evcik D, Sonel B: Effectiveness of a home-based exercise therapy and walking program on osteoarthritis of the knee. Rheumatol Int 2002, 22:103-106.
23. Baker KR, Nelson ME, Felson DT, et al.: The efficacy of home based progressive strength training in older adults with knee osteoarthritis: A randomized controlled trial. J Rheumatol 2001, 28:1655-1665.
24. Hopman-Rock M, Westhoff MH: The effects of health education and exercise program for older adults with osteoarthritis of the hip or knee. J Rheumatol 2000, 27:1947-1954.
25. van Baar ME, Dekker J, Oostendorp RAB, et al.: Effectiveness of exercise in patients with osteoarthritis of hip or knee: nine months follow up. Ann Rheum Dis 2001, 60:1123-1130.
26. Campbell R, Evans M, Tucker M, et al.: Why don't patients do their exercises? Understanding non-compliance with physiotherapy in patients with osteoarthritis of the knee. J Epidemiol Community Health 2001, 55:132-138.
27. Sharma L, Dunlop DD, Song J, et al.: Quadriceps strength and osteoarthritis progression in maligned and lax knees. Ann Intern Med 2003, 138:613-619. Study that examines the relationship between baseline measures of quadriceps strength, passive varus/valgus knee laxity, and knee alignment on the progression of radiographic knee OA. The authors conclude that strong quadriceps may be harmful in individuals with higher degrees of laxity and knee malalignment.
28. Brandt KD: Is a strong quadriceps muscle bad for a patient with knee osteoarthritis? Ann Intern Med 2003, 138:678-679. A commentary to the previous reference [27]. The author does an elegant job of pointing out limitations with the conclusions drawn in the article by Sharma et al. and raises good questions for future study on this topic.