Author: Brosseau L1, Taki J2, Desjardins B3, Thevenot O3, Fransen M4, Wells GA5, Imoto AM6, Toupin-April K7, Westby M8, Gallardo IC9, Gifford W10, Laferrière L11, Rahman P12, Loew L13, Angelis G13, Cavallo S13, Shallwani SM13, Aburub A13, Bennell KL14, Van der Esch M15, Simic M16, McConnell S17, Harmer A18, Kenny GP3, Paterson G19, Regnaux JP20, Lefevre-Colau MM21, McLean L1
11 Physiotherapy Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
22 Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
33 School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.
44 Faculty of Health Sciences, University of Sydney, Sydney, Australia.
55 School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.
66 UNIFESP, Internal Medicine, Brasilia, Brazil.
77 Children's Hospital of Eastern Ontario Research Institute, Department of Pediatrics, Faculty of Medicine and School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
88 Mary Pack Arthritis Program, Vancouver Coastal Health, Department of Physical Therapy, University of British Columbia, Centre for Hip Health and Mobility, Vancouver, British Columbia, Canada.
99 Department of Physical Education and Sport, University of Granada, Granada, Spain.
1010 School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
1111 Canadian Forces Health Services Group Headquarters, National Defense, Ottawa, Ontario, Canada.
1212 Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
1313 School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada.
1414 Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Australia.
1515 Department of Rehabilitation, Reade Centre for Rehabilitation and Rheumatology, Amsterdam, Netherlands, Faculty of Health. ACHIEVE, Centre of Applied Research and School of Physiotherapy, University of Applied Sciences, Amsterdam, Netherlands.
1616 Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Lidcombe, Australia.
1717 Department of Medicine, St. Joseph's Health Care Centre, Toronto, Ontario, Canada.
1818 Faculty of Health Sciences, Clinical and Rehabilitation Sciences Research Group, University of Sydney, Sydney, Australia.
1919 The Arthritis Society, Ottawa Office, Ontario Division, Ottawa, Ontario, Canada.
2020 Centre de recherche Epidémiologie et Biostatistique, Hôpital Hôtel-Dieu, Paris, France.
2121 Institute of Rheumatology, Department of Medicine and Rehabilitation, Cochin Hospital, Paris, France.
Conference/Journal: Clin Rehabil.
Date published: 2017 Jan 1
Other: Volume ID: 269215517691083 , Special Notes: doi: 10.1177/0269215517691083. [Epub ahead of print] , Word Count: 198
OBJECTIVE: To identify effective mind-body exercise programs and provide clinicians and patients with updated, high-quality recommendations concerning non-traditional land-based exercises for knee osteoarthritis.
METHODS: A systematic search and adapted selection criteria included comparative controlled trials with mind-body exercise programs for patients with knee osteoarthritis. A panel of experts reached consensus on the recommendations using a Delphi survey. A hierarchical alphabetical grading system (A, B, C+, C, D, D+, D-) was used, based on statistical significance ( P < 0.5) and clinical importance (⩾15% improvement).
RESULTS: The four high-quality studies identified demonstrated that various mind-body exercise programs are promising for improving the management of knee osteoarthritis. Hatha Yoga demonstrated significant improvement for pain relief (Grade B) and physical function (Grade C+). Tai Chi Qigong demonstrated significant improvement for quality of life (Grade B), pain relief (Grade C+) and physical function (Grade C+). Sun style Tai Chi gave significant improvement for pain relief (Grade B) and physical function (Grade B).
CONCLUSION: Mind-body exercises are promising approaches to reduce pain, as well as to improve physical function and quality of life for individuals with knee osteoarthritis.
KEYWORDS: Therapeutic exercise; clinical practice guideline; knee osteoarthritis; management; mind-body exercises; recommendations; rehabilitation; rheumatology; systematic review
PMID: 28183188 DOI: 10.1177/0269215517691083