Evidence for determining the exercise prescription in patients with osteoarthritis.

Author: Gaught AM, Carneiro KA.
Affiliation: Department of Physical Medicine and Rehabilitation, University of North Carolina, Chapel Hill, NC.
Conference/Journal: Phys Sportsmed.
Date published: 2013 Feb
Other: Volume ID: 41 , Issue ID: 1 , Pages: 58-65 , Special Notes: doi: 10.3810/psm.2013.02.2000 , Word Count: 132



Osteoarthritis (OA) is a chronic joint disease that affects more than one-third of older adults (age > 65 years), most often involving the hip and knee. Osteoarthritis causes pain and limits mobility, thereby reducing patient quality of life. Conservative, nonsurgical, nonpharmacologic treatment strategies include weight reduction, orthotics, physical therapy modalities, acupuncture, massage, and exercise. The breadth of the current literature on OA can make determining the appropriate exercise prescription challenging. Aerobic exercise, strengthening exercise, Tai chi, and aquatic exercise can all alleviate pain and improve function in patients with OA. The choice of the specific type and mode of delivery of the exercise should be individualized and should consider the patient's preferences. Ongoing monitoring and supervision by a health care professional are essential for patients to participate in and benefit from exercise.
PMID: 23445861