Physical exercise and reduction of pain in adults with lower limb osteoarthritis: A systematic review

Journal of Back and Musculoskeletal Rehabilitation

Volumn 23, Issue 4, 2010, Pages 175-186

  Escalante, Yolanda ^a   Saavedra, Jose M ^a   García Hermoso, Antonio ^a   Silva, Antonio J ^b   Barbosa, Tiago M ^c  

^a UNIVERSITY OF EXTREMADURA   (Spain)

^b RESEARCH CENTER IN SPORTS SCIENCES   (Portugal)

^c INSTITUTO POLITÉCNICO DE BRAGANÇA   (Portugal)

Author keywords

aerobic; hydrotherapy; strength; tai chi; WOMAC

Indexed keywords

AEROBIC EXERCISE; CLINICAL TRIAL; EXERCISE; HEALTH PROGRAM; HIP OSTEOARTHRITIS; HIP PAIN; HUMAN; HYDROTHERAPY; KNEE OSTEOARTHRITIS; KNEE PAIN; LEG; PRIORITY JOURNAL; REVIEW; STRENGTH; SYSTEMATIC REVIEW; TAI CHI; TREATMENT DURATION;

ARTHRALGIA; EXERCISE; EXERCISE THERAPY; HUMANS; HYDROTHERAPY; OSTEOARTHRITIS, HIP; OSTEOARTHRITIS, KNEE; TAI JI;

EID: 78649669536     PISSN: 10538127     EISSN: None     Source Type: Journal    
DOI: 10.3233/BMR-2010-0267     Document Type: Review

References (102)

1. P.A. Adler, The effects of tai chi on pain and function in older adults with osteoarthritis, Ph.D. Dissertation, University of Ohio, 2007.
2. B. Aglamis, N.F. Toramanb and H. Yamanc, Change of quality of life due to exercise training in knee osteoarthritis: SF36 and WOMAC, Journal of Back and Musculoskeletal Rehabilitation 22 (2009), 43-48.
3. R. Altman, E. Asch, D. Bloch, G. Bole, D. Borenstein, K. Brandt,W. Christy, T.D. Cooke, R.Greenwald,M.Hochberg, D. Howell, D. Kaplan, W. Koopman, S. Longley, H.Mankin, J. McShane, T. Medsger, R. Meenan, W. Mikkelsen, R. Moskowitz,W.Murphy, B. Rothschild, M. Segal, L. Sokoloff and F. Wolfe, Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association, Arthritis and Rheumatism 29(8) (1986), 1039-1049.
4. R.D. Altman, M.C. Hochberg, R.W. Moskowitz and T.J. Schnitzer, Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines, Arthritis and Rheumatism 43(9) (2000), 1905-1915.
5. American Geriatrics Society Panel on Exercise and Osteoarthritis, Exercise prescription for older adults with osteoarthritis pain: Consensus practice recommendations. A supplement to the AGS Clinical Practice Guidelines on the management of chronic pain in older adults, Journal of the American Geriatrics Society 49 (2001), 808-823.
6. B. An, K. Dai, Z. Zhu, Y.Wang, Y. Hao, T. Tang and H. Yan, Baduanjin alleviates the symptoms of knee osteoarthritis, Journal of Alternative and Complementary Medicine 14(2) (2008), 167-174.
7. K.R. Baker, M.E. Nelson, D.T. Felson, J.E. Layne, R. Sarno and R. Roubenoff, The efficacy of home based progressive strength training in older adults with knee osteoarthritis: A randomized controlled trial, The Journal of Rheumatology 28(7) (2001), 1655-1665.
8. T.M. Barbosa, D.A. Marinho, V.M. Reis, A.J. Silva and J.A. Bragada, Physiological assessment of headout aquatic exercises in healthy subjects: A qualitative review, Journal of Sports Science and Medicine 8 (2009), 179-189.
9. E.M. Bartels, H. Lund, K.B. Hagen, H. Dagfinrud, R. Christensen and B. DanneskioldSamsoe, Aquatic exercise for the treatment of knee and hip osteoarthritis, Cochrane Database of Systematic Reviews 4 (2007).
10. C.A. Beals, R.M. Lampman, B.F. Banwell, E.M. Braunstein, J.W. Albers and C.W. Castor, Measurement of exercise tolerance in patients with rheumatoid arthritis and osteoarthritis, The Journal of Rheumatology 12(3) (1985), 458-461.
11. N. Bellamy, W.W. Buchanan, C.H. Goldsmith, J. Campbell and L.W. Stitt, Validation study of WOMAC: A health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee, The Journal of Rheumatology 15(12) (1988), 1833-1840.
12. T. Bender, Z. Karagulle, G.P. Balint, C. Gutenbrunner, P.V. Balint and S. Sukenik, Hydrotherapy, balneotherapy, and spa treatment in pain management, Rheumatology International 25(3) (2005), 220-224.
13. K.L. Bennell, R.S. Hinman, B.R. Metcalf, R. Buchbinder, J. McConnell, G. McColl, S. Green and K.M. Crossley, Efficacy of physiotherapy management of knee joint osteoarthritis: A randomised, double blind, placebo controlled trial, Annals of the Rheumatic Diseases 64(6) (2005), 906-912.
14. J.M. Brismee, R.L. Paige, M.C. Chyu, J.D. Boatright, J.M. Hagar, J.A. McCaleb, M.M. Quintela, D. Feng, K.T. Xu and C. Sen, Group and homebased tai chi in elderly subjects with knee osteoarthritis: A randomized controlled trial, Clinical Rehabilitation 21(2) (2007), 99-111.
15. A. Christie and R.H. Moe, Aerobic walking and strengthening exercises have similar effectiveness for knee osteoarthritis, Australian Journal of Physiotherapy 51(3) (2005), 193.
16. T. Cochrane, R.C. Davey and S.M. Matthes Edwards, Randomised controlled trial of the costeffectiveness of waterbased therapy for lower limb osteoarthritis, Health Technology Assessment 9(31) (2005), 1-114.
17. J. Cohen, Statistical Power Analysis for the Behavioral Sciences. Hillsdale: Lawrence Earlbaum Associates, 1988.
18. F. Di Domenica, P. SarziPuttini, M. Cazzola, F. Atzeni, C. Cappadonia, A. Caserta, R. Galleti, L. Volonte and G. Mele, Physical and rehabilitative approaches in osteoarthritis, Seminars in Arthritis and Rheumatism 34(6) (2005), Supl. 2, 62-69.
19. D. Diracoglu, A. Baskent, A. Celik, H. Issever and R. Aydin, Longterm effects of kinesthesia/balance and strengthening exercises on patients with knee osteoarthritis: A oneyear followup study, Journal of Back and Musculoskeletal Rehabilitation 21 (2008), 253-262.
20. M.J. Elders, The increasing impact of arthritis on public health, The Journal of Rheumatology Supplement 60 (2000), 6-8.
21. O. Elkayam, I. Wigler, M. Tishler, I. Rosenblum, D. Caspi, R. Segal, B. Fishel and M. Yaron, Effect of spa therapy in Tiberias on patients with rheumatoid arthritis and osteoarthritis, The Journal of Rheumatology 18(12) (1991), 1799-1803.
22. Y. Escalante and J.M. Saavedra, Funciones del personal técnico de una escuela de natacíon, Agua yGestíon 66 (2005), 19-24.
23. E. Ernst, Complementary or alternative therapies for osteoarthritis, Nature Clinical Practice Rheumatology 2(2) (2006), 74-80.
24. W.H. Ettinger, R. Burns, S.P. Messier, W. Applegate, W.J. Rejeski, T. Morgan, S. Shumaker, M.J. Berry, M. O'Toole, J. Monu and T. Craven, 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 277(1) (1997), 25-31.
25. D. Evcik and B. Sonel, Effectiveness of a homebased exercise therapy and walking program on osteoarthritis of the knee, Rheumatology International 22(3) (2002), 103-106.
26. D.T. Felson, Epidemiology of hip and knee osteoarthritis, Epidemiologic Reviews 10 (1988), 1-28.
27. A. Foley, J. Halbert, T. Hewitt and M. Crotty, Does hydrotherapy improve strength and physical function in patients with osteoarthritis - a randomised controlled trial comparing a gym based and a hydrotherapy based strengthening programme, Annals of the Rheumatic Diseases 62(12) (2003), 1162-1167.
28. J.P. Folland and A.G. Williams, The adaptations to strength training: Morphological and neurological contributions to increased strength, Sports Medicine 37(2) (2007), 145-168.
29. M. Fransen, J. Crosbie and J. Edmonds, Physical therapy is effective for patients with osteoarthritis of the knee: A randomized controlled clinical trial, The Journal of Rheumatology 28(1) (2001), 156-164.
30. M. Fransen, L. Nairn, J.Winstanley, P. Lam and J. Edmonds, Physical activity for osteoarthritis management: A randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes, Arthritis and Rheumatism 57(3) (2007), 407-414.
31. M. Fransen and S. McConnell, Exercise for osteoarthritis of the knee, Cochrane Database of Systematic Reviews 4 (2008).
32. M. Fransen and S. McConnell, Landbased exercise for osteoarthritis of the knee: A metaanalysis of randomized controlled trials, The Journal of Rheumatology 36(6) (2009), 1109-1117.
33. M. Fransen, S. McConnell, G. HernandezMolina and S. Reichenbach, Exercise for osteoarthritis of the hip, Cochrane Database of Systematic Reviews 3 (2009).
34. H. Gur, N. Cakin, B. Akova, E. Okay and S. Kucukoglu, Concentric versus combined concentriceccentric isokinetic training: Effects on functional capacity and symptoms in patients with osteoarthrosis of the knee, Archives of Physical Medicine and Rehabilitation 83(3) (2002), 308-316.
35. M.S. Hagger, N.L.D. Chatzisarantis and S.J.H. Biddle, A metaanalytic review of the theories of reasoned action and planned behavior in physical activity: Predictive validity and the contribution of additional variables, Journal of Sport and Exercise Psychology 24 (2002), 3-32.
36. J. Halbert, M. Crotty, D. Weller, M. Ahern and C. Silagy, Primary carebased physical activity programs: Effectiveness in sedentary older patients with osteoarthritis symptoms, Arthritis and Rheumatism 45(3) (2001), 228-234.
37. A. Hall, C. Maher, J. Latimer and M. Ferreira, The effectiveness of Tai Chi for chronic musculoskeletal pain conditions: A systematic review and metaanalysis, Arthritis and Rheumatism 61(6) (2009), 717-724.
38. I. Haq, E.Murphy and J. Dacre, Osteoarthritis, Postgraduate Medical Journal 79(933) (2003), 377-383.
39. E.M. Hay, N.E. Foster, E. Thomas, G. Peat, M. Phelan, H.E. Yates, A. Blenkinsopp and J. Sim, Effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in people aged over 55 presenting to primary care: Pragmatic randomised trial, British Medical Journal 333(7576) (2006), 995.
40. R.S. Hinman, S.E. Heywood and A.R. Day, Aquatic physical therapy for hip and knee osteoarthritis: Results of a singleblind randomized controlled trial, Physical Therapy 87(1) (2007), 32-43.
41. M.A.Holden, E.E.Nicholls, E.M.Hay andN.E. Foster, Physical therapists' use of therapeutic exercise for patients with clinical knee osteoarthritis in the United Kingdom: In line with current recommendations?, Physical Therapy 88(10) (2008), 1109-1121.
42. J.M. Hootman, C.A. Macera, S.A. Ham, C.G. Helmick and J.E. Sniezek, Physical activity levels among the general US adult population and in adults with and without arthritis, Arthritis and Rheumatism 49(1) (2003), 129-135.
43. S.L. Hughes, R.B. Seymour, R. Campbell, N. Pollak, G. Huber and L. Sharma, Impact of the fit and strong intervention on older adults with osteoarthritis, The Gerontologist 44(2) (2004), 217-228.
44. S.L. Hughes, R.B. Seymour, R.T. Campbell, G. Huber, N. Pollak, L. Sharma and D. Pankaja, Longterm impact of Fit and Strong! on older adults with osteoarthritis, The Gerontologist 46(6) (2006), 801-814.
45. J. Hulme, V. Robinson, R. DeBie, G. Wells, M. Judd and P. Tugwell, Electromagnetic fields for the treatment of osteoarthritis, Cochrane Database of Systematic Reviews 1 (2002).
46. M.V. Hurley and D.L. Scott, Improvements in quadriceps sensor motor function and disability of patients with knee osteoarthritis following a clinically practicable exercise regime, British Journal of Rheumatology 37(11) (1998), 1181-1187.
47. M.H. Jan, J.J. Lin, J.J. Liau, Y.F. Lin and D.H. Lin, Investigation of clinical effects of highand lowresistance training for patients with knee osteoarthritis: A randomized controlled trial, Physical Therapy 88(4) (2008), 427-436.
48. R.H. Johnson, Arthur Stanley Wohlmann, the first government balneologist in New Zealand, Medical History Supplement 10 (1990), 114-126.
49. K.M. Jordan, N.K. Arden, M. Doherty, B. Bannwarth, J.W. Bijlsma, P. Dieppe, K. Gunther, H. Hauselmann, G. HerreroBeaumont, P. Kaklamanis, S. Lohmander, B. Leeb, M. Lequesne, B. Mazieres, E. MartinMola, K. Pavelka, A. Pendleton, L. Punzi, U. Serni, B. Swoboda, G. Verbruggen, I. ZimmermanGorska and M. Dougados, EULAR Recommendations 2003: An evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT), Annals of the Rheumatic Diseases 62(12) (2003), 1145-1155.
50. H.Y. Lee and K.J. Lee, Effects of Tai Chi exercise in elderly with knee osteoarthritis, Taehan Kanho Hakhoe Chi 38(1) (2008), 11-18.
51. M.S Lee, M.H. Pittler and E. Ernst, Tai chi for osteoarthritis: A systematic review, Clinical Rheumatology 27 (2008), 211-218.
52. H.J. Lee, H.J. Park, Y. Chae, S.Y. Kim, S.N. Kim, S.T. Kim, J.H. Kim, C.S. Yin and H. Lee, Tai Chi Qigong for the quality of life of patients with knee osteoarthritis: A pilot, randomized, waiting list controlled trial, Clinical Rehabilitation 23(6) (2009), 504-511.
53. J.X. Li, Y. Hong and K.M. Chan, Tai chi: Physiological characteristics and beneficial effects on health, British Journal of Sports Medicine 35(3) (2001), 148-156.
54. J.Y. Li, Y.F. Zhang, G.S. Smith, C.J. Xue, Y.N. Luo, W.H. Chen, C.J. Skinner and J. Finkelstein, Quality of reporting of randomized clinical trials in tai chi interventions - A systematic review, Evidencebased Complementary and Alternative Medicine (2009), 1-10.
55. S.Y. Lin, R.C. Davey and T. Cochrane, Community rehabilitation for older adults with osteoarthritis of the lower limb: A controlled clinical trial, Clinical Rehabilitation 18(1) (2004), 92-101.
56. D.H. Lin, C.H. Lin, Y.F. Lin andM.H. Jan, Efficacy of 2 nonweightbearing interventions, proprioception training versus strength training, for patients with knee osteoarthritis: A randomized clinical trial, Journal of Orthopaedic and Sports Physical Therapy 39(6) (2009), 450-457.
57. C.A. Macera, J.M. Hootman and J.E. Sniezek, Major public health benefits of physical activity, Arthritis and Rheumatism 49(1) (2003), 122-128.
58. D.W.Mao, Y.Hong and J.X. Li, Characteristics of footmovement in Tai Chi exercise, Physical Therapy 86(2) (2006), 215-222. (Pubitemid 43190717)
59. B.T. Maurer, A.G. Stern, B. Kinossian, K.D. Cook and H.R. Schumacher, Osteoarthritis of the knee: Isokinetic quadriceps exercise versus an educational intervention, Archives of Physical Medicine and Rehabilitation 80(10) (1999), 1293-1299.
60. S.P. Messier, R.F. Loeser, G.D. Miller, T.M. Morgan, W.J. Rejeski, M.A. Sevick, W.H. Ettinger, M. Pahor and J.D. Williamson, Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: The Arthritis, Diet, andActivity Promotion Trial, Arthritis and Rheumatism 50(5) (2004), 1501-1510.
61. M.A. Minor, J.E. Hewett, R.R. Webel, T.E. Dreisinger and D.R. Kay, Exercise tolerance and disease related measures in patients with rheumatoid arthritis and osteoarthritis, The Journal of Rheumatology 15(6) (1988), 905-911.
62. M.A. Minor, J.E. Hewett, R.R. Webel, S.K. Anderson and D.R. Kay, Efficacy of physical conditioning exercise in patients with rheumatoid arthritis and osteoarthritis, Arthritis and Rheumatism 32(11) (1989), 1396-1405.
63. M.Minor, C.H. Stenstrom, S.E.Klepper,M.Hurley andW.H. Ettinger,WorkGroup Recommendations: 2002 Exercise and Physical Activity Conference, St. Louis, Missouri, Arthritis and Rheumatism 49(3) (2003), 453-454.
64. G.X. Ni, L. Song, B. Yu, C.H. Huang and J.H. Lin, Tai chi improves physical function in older Chinese women with knee osteoarthritis, Journal of Clinical Rheumatology 16(2) (2010), 64-67.
65. L.O. Nordesjo, B. Nordgren, A. Wigren and K Kolstad, Isometric strength and endurance in patients with severe rheumatoid arthritis or osteoarthrosis in the knee joints. A comparative study in healthy men and women, Scandinavian Journal of Rheumatology 12(2) (1983), 152-156.
66. S.C. O'Reilly, K.R. Muir and M. Doherty, Effectiveness of home exercise on pain and disability fromosteoarthritis of the knee: A randomised controlled trial, Annals of the Rheumatic Diseases 58(1) (1999), 15-19.
67. L. Pelland, L.Brosseau, G.Wells, L.MacLeay, J. Lambert, C. Lamothe, V. Robinson and P. Tugwell, Efficacy of strengthening exercises for osteoarthritis (Part I): A metaanalysis, Physical Therapy Reviews 9 (2004), 77-108. (Pubitemid 39057900)
68. B.W. Penninx, S.P. Messier, W.J. Rejeski, J.D. Williamson, M. DiBari, C. Cavazzini, W.B. Applegate and M. Pahor, Physical exercise and the prevention of disability in activities of daily living in older persons with osteoarthritis, Archives of Internal Medicine 161(19) (2001), 2309-2316.
69. M.G. Peterson, P.A. KovarToledano, J.C. Otis, J.P. Allegrante, C.R. Mackenzie, B. Gutin, M.A. Kroll, Effect of a walking program on gait characteristics in patients with osteoarthritis, Arthritis Care and Research 6(1) (1993), 11-16.
70. T. Pham, D. Van Der Heijde, M. Lassere, R.D. Altman, J.J. Anderson, N. Bellamy, M. Hochberg, L. Simon, V. Strand, T. Woodworth and M. Dougados, Outcome variables for osteoarthritis clinical trials: The OMERACTOARSI set of responder criteria, The Journal of Rheumatology 30(7) (2003), 1648-1654.
71. Philadelphia Panel, Philadelphia Panel evidencebased clinical practice guidelines on selected rehabilitation interventions for knee pain, Physical Therapy 81(10) (2001), 1675-1700.
72. M.F. Pisters, C. Veenhof, N.L. van Meeteren, R.W. Ostelo, D.H. de Bakker, F.G. Schellevis and J. Dekker, Longterm effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: A systematic review, Arthritis and Rheumatism 57(7) (2007), 1245-1253.
73. T. Poyhonen, K.L. Keskinen, H. Kyrolainen, A. Hautala, J. Savolainen and E. Malkia, Neuromuscular function during therapeutic knee exercise under water and on dry land, Archives of Physical Medicine and Rehabilitation 82(10) (2001), 1446-1452.
74. D.W. Puett andM.R. Griffin, Published trials of nomedicinal and noninvasive therapies for hip and knee osteoarthritis, Annals of Internal Medicine 121(2) (1994), 133-140.
75. E. Roddy, W. Zhang and M. Doherty, Aerobic walking or strengthening for osteoarthritis of knee? Asystematic review, Annual Rheumatism Disorders 64 (2005), 544-548.
76. E. Roddy, W. Zhang, M. Doherty, N.K. Arden, J. Barlow, F. Birrell, A. Carr,K. Chakravarty, J.Dickson, E.Hay,G.Hosie, M. Hurley, K.M. Jordan, C. McCarthy, M. McMurdo, S. Mockett, S. O'Reilly, G. Peat, A. Pendleton and S. Richards, Evidencebased recommendations for the role of exercise in the management of osteoarthritis of the hip or knee - the MOVE consensus, Rheumatology (Oxford) 44(1) (2005), 67-73.
77. C.E. Rogers, L.K. Larkey and C. Keller, A review of clinical trials of tai chi and qigong in older adults, Western Journal of Nursing Research 31(2) (2009), 245-279.
78. D.S.Rooks, J.Huang, B.E.Bierbaum, S.A.Bolus, J.Rubano, C.E. Connolly, S. Alpert, M.D. Iversen and J.N. Katz, Effect of preoperative exercise on measures of functional status in men and women undergoing total hip and knee arthroplasty, Arthritis and Rheumatism 55(5) (2006), 700-708.
79. E.M. Roos, M. Klassbo and L.S. Lohmander, WOMAC osteoarthritis index. Reliability, validity, and responsiveness in patients with arthroscopically assessed osteoarthritis. Western Ontario andMacMaster Universities, Scandinavian Journal of Rheumatology 28(4) (1999), 210-215.
80. A. Schattner, Review: Both aerobic and homebased quadriceps strengthening exercises reduce pain and disability in knee osteoarthritis, ACP Journal Club 143(3) (2005), 71.
81. U. Sekir and H. Gur, A multistation propioceptive exercise program in patients with bilateral knee osteoarthosis: Functional capacity, pain and sensoriomotor function. A randomized contolled trial, Journal of Sports Science and Medicine 4 (2005), 590-603.
82. E.L. Semble, R.F. Loeser and C.M. Wise, Therapeutic exercise for rheumatoid arthritis and osteoarthritis, Seminars in Arthritis and Rheumatism 20(1) (1990), 32-40.
83. P.G. Shekelle, S.H.Woolf, M. Eccles and J. Grimshaw, Clinical guidelines: Developing guidelines, BritishMedical Journal 318(7183) (1999), 593-596.
84. L. Simon and F. Blotman, Exercise therapy and hydrotherapy in the treatment of the rheumatic diseases, Clinic in Rheumatic Diseases 7 (1981), 337-347.
85. D.H. Solomon,D.W.Bates, R.S. Panush and J.N.Katz, Costs, outcomes, and patient satisfaction by provider type for patients with rheumatic and musculoskeletal conditions: A critical review of the literature and proposed methodologic standards, Annals of Internal Medicine 127(1) (1997), 52-60.
86. R. Song, E.O. Lee, P. Lam and S.C. Bae, Effects of tai chi exercise on pain, balance, muscle strength, and perceived difficulties in physical functioning in older women with osteoarthritis: A randomized clinical trial, The Journal of Rheumatology 30(9) (2003), 2039-2044.
87. R. Song, E.O. Lee, P. Lamand S.C.Bae, Effects of a Sunstyle Tai Chi exercise on arthritic symptoms, motivation and the performance of health behaviors in women with osteoarthritis, Taehan Kanho Hakhoe Chi 37(2) (2007), 249-256.
88. R. Suomi and J. Suomi, Effectiveness of a training program with physical education students and experienced physical education teachers in scoring the Test of Gross Motor Development, Perceptual and Motor Skills 84(3) (1997), 771-778.
89. L.A. Talbot, J.M. Gaines, T.N. Huynh and E.J. Metter, A homebased pedometerdriven walking program to increase physical activity in older adults with osteoarthritis of the knee: A preliminary study, Journal of the American Geriatrics Society 51(3) (2003), 387-392.
90. S.K. Taylor, Tai chi for chronic pain and arthritis, Techniques in Orthopaedics 18(1) (2003), 110-114.
91. R. Topp, S. Woolley, J. Hornyak III, S. Khuder and B. Kahaleh, The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee, Archives of Physical Medicine and Rehabilitation 83(9) (2002), 1187-1195.
92. J. Vanhoof, K. Declerck and P. Geusens, Prevalence of rheumatic diseases in a rheumatological outpatient practice, Annals of the Rheumatic Diseases 61(5) (2002), 453-455.
93. A.P. Verhagen, H.C.W. de Vet, R.A. de Bie, A.G.H. Kessels, M. Boers, L.M. Bouter and P.G.Knipschild, The Delphi List: A criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi Consensus, Journal Clinical of Epidemiology 51(12) (1998), 1235-1241.
94. A.P. Verhagen, S.M. BiermaZeinstra, M. Boers, J.R. Cardoso, J. Lambeck, R.A. de Bie, Balneotherapy for osteoarthritis, Cochrane Database of Systematic Reviews 4 (2007).
95. C.Wang, J.P. Collet and J. Lau, The effect of TaiChi on health outcomes in patients with chronic conditions: A systematic review, Archives of Internal Medicine 164(5) (2004), 493-501.
96. T.J. Wang, B. Belza, F. Elaine Thompson, J.D. Whitney and K. Bennett, Effects of aquatic exercise on flexibility, strength and aerobic fitness in adults with osteoarthritis of the hip or knee, Journal of Advanced Nursing 57(2) (2007), 141-152.
97. C. Wang, C.H. Schmid, P.L. Hibberd, R. Kalish, R. Roubenoff, R. Rones and T. McAlindon, Tai Chi is effective in treating knee osteoarthritis: A randomized controlled trial, Arthritis and Rheumatism 61(11) (2009), 1545-1553.
98. V.Welch, L.Brosseau, J. Peterson, B. Shea, P. Tugwell andG. Wells, Therapeutic ultrasound for osteoarthritis of the knee, Cochrane Database of Systematic Reviews 3 (2001).
99. E. Yelin, D. Lubeck, H. Holman and W. Epstein, The impact of rheumatoid arthritis and osteoarthritis: The activities of patients with rheumatoid arthritis and osteoarthritis compared to controls, The Journal of Rheumatology 14(4) (1987), 710-717.
100. W. Zhang, R.W. Moskowitz, G. Nuki, S. Abramson, R.D. Altman, N.Arden, S. BiermaZeinstra, K.D. Brandt, P. Croft, M. Doherty, M. Dougados, M. Hochberg, D.J. Hunter, K. Kwoh, L.S. Lohmander and P. Tugwell, OARSI recommendations for the management of hip and knee osteoarthritis, Part I: Critical appraisal of existing treatment guidelines and systematic review of current research evidence, Osteoarthritis and Cartilage 15(9) (2007), 981-1000.
101. W. Zhang, R.W. Moskowitz, G. Nuki, S. Abramson, R.D. Altman, N.Arden, S. BiermaZeinstra, K.D. Brandt, P. Croft, M. Doherty, M. Dougados, M. Hochberg, D.J. Hunter, K. Kwoh, L.S. Lohmander and P. Tugwell, OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidencebased, expert consensus guidelines, Osteoarthritis and Cartilage 16(2) (2008), 137-162.
102. World Health Organization, Chronic rheumatic conditions (available at: http://www.who.int/chp/topics/rheumatic/en/ print.html) (2007). Accessed 22 July, 2009.