Few PT interventions effective for knee osteoarthritis
November 6, 2012 in Arthritis & Rheumatism
Only a few physical therapy interventions are effective for knee pain secondary to osteoarthritis, specifically exercise and ultrasonography, according to a review published in the Nov. 6 issue of the Annals of Internal Medicine.
(HealthDay)—Only a few physical therapy (PT) interventions are effective for knee pain secondary to osteoarthritis, specifically exercise and ultrasonography, according to a review published in the Nov. 6 issue of the Annals of Internal Medicine.
Shi-Yi Wang, M.D., Ph.D., from the University of Minnesota in Minneapolis, and colleagues conducted a literature review to identify studies evaluating interventions for community-dwelling adults with knee osteoarthritis. Data from 84 randomized controlled trials (RCTs) regarding 13 PT interventions on pain (58 RCTs), physical function (36 RCTs), and disability (29 RCTs) were used in meta-analyses.
The researchers identified low-strength evidence that aerobic (11 RCTs) and aquatic (three RCTs) exercise correlated with improvement in disability, and that aerobic exercise (19 RCTs), strengthening exercise (17 RCTs), and ultrasonography (six RCTs) correlated with reduced pain and improved function. Clinically important improvements in pain and disability were demonstrated in several individual RCTs with aerobic exercise. No sustained benefit was derived from other PT interventions. Similar benefits were seen in individual RCTs using aerobic, aquatic, and strengthening exercise. There were few adverse events and they did not prevent participants from continuing treatment.
"Our analysis suggests that only a few PT interventions were effective, specifically exercise (aerobic, aquatic, strengthening, and proprioception) and ultrasonography," the authors write. "No single PT intervention improved all outcomes, and some interventions, specifically diathermy, orthotics, and magnetic stimulation, demonstrated no benefit."
More information: Abstract
Full Text
Journal reference:
Annals of Internal Medicine
Copyright © 2012 HealthDay. All rights reserved.
-
Structured exercise training associated with improved glycemic control for patients with diabetes
May 03, 2011 |
not rated yet |
0
-
Positive outcome no more likely in industry-funded trials
Jul 05, 2012 |
not rated yet |
0
-
Physical activity linked to reduced mortality in breast and colon cancer patients
May 08, 2012 |
not rated yet |
0
-
Most ongoing diabetes trials do not include outcomes important to patients
Jun 03, 2008 |
not rated yet |
0
-
Probiotics associated with reduced risk of diarrhea from antibiotic use: study
May 08, 2012 |
not rated yet |
0
-
Motion perception revisited: High Phi effect challenges established motion perception assumptions
Apr 23, 2013 |
3 / 5 (2) |
2
-
Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update)
Apr 02, 2013 |
4.5 / 5 (11) |
5
-
The visual system as economist: Neural resource allocation in visual adaptation
Mar 30, 2013 |
5 / 5 (2) |
9
-
Separate lives: Neuronal and organismal lifespans decoupled
Mar 27, 2013 |
4.9 / 5 (8) |
0
-
Sizing things up: The evolutionary neurobiology of scale invariance
Feb 28, 2013 |
4.8 / 5 (10) |
14
-
question on coriolis effect with drag force
1 hour ago
-
Question of reflection and transmission of TEM wave in normal incidenc
7 hours ago
-
the rudyak-krasnolutski effective potencial
8 hours ago
-
Normal force for a lever model
9 hours ago
-
gravity is std. therefore can we rate a 'mass at height' by watts?
14 hours ago
-
Calculating on-axis elements of a solenoid
May 22, 2013
- More from Physics Forums - Classical Physics
More news stories
Enzyme-activating antibodies revealed as marker for most severe form of rheumatoid arthritis
In a series of lab experiments designed to unravel the workings of a key enzyme widely considered a possible trigger of rheumatoid arthritis, researchers at Johns Hopkins have found that in the most severe ...
Arthritis & Rheumatism
May 22, 2013 |
5 / 5 (2) |
0
|
Sugar injections for knee arthritis may ease pain
(HealthDay)—Injections of a sugar solution appear to help relieve knee pain and stiffness related to osteoarthritis, a new study suggests.
Arthritis & Rheumatism
May 21, 2013 |
4.5 / 5 (2) |
0
|
Blame your parents for bunion woes
A novel study reports that white men and women of European descent inherit common foot disorders, such as bunions (hallux valgus) and lesser toe deformities, including hammer or claw toe. Findings from the Framingham Foot ...
Arthritis & Rheumatism
May 20, 2013 |
not rated yet |
0
|
New theory on genesis of osteoarthritis comes with successful therapy in mice
Scientists at Johns Hopkins have turned their view of osteoarthritis (OA) inside out. Literally. Instead of seeing the painful degenerative disease as a problem primarily of the cartilage that cushions joints, ...
Arthritis & Rheumatism
May 19, 2013 |
4.9 / 5 (8) |
0
|
Ultrasound findings can improve classification of RA
(HealthDay)—Compared to clinical diagnosis of synovitis, ultrasound-detected synovitis provides either improved sensitivity or specificity when used with the American College of Rheumatology/European League ...
Arthritis & Rheumatism
May 15, 2013 |
not rated yet |
0
ACP issues recommendations for management of high blood glucose in hospitalized patients
High blood glucose is associated with poor outcomes in hospitalized patients, and use of intensive insulin therapy (IIT) to control hyperglycemia is a common practice in hospitals. But the recent evidence does not show a ...
Controlling mood through the motions of mitochondria
(Medical Xpress)—Regulating the distribution of power in neurons is done by a system that makes the national electric grid look simple by comparison. Each neuron has several thousand mitochondria confined ...
Multiple research teams unable to confirm high-profile Alzheimer's study
Teams of highly respected Alzheimer's researchers failed to replicate what appeared to be breakthrough results for the treatment of this brain disease when they were published last year in the journal Science.
Motion quotient: IQ predicted by ability to filter motion (w/ video)
A brief visual task can predict IQ, according to a new study. This surprisingly simple exercise measures the brain's unconscious ability to filter out visual movement. The study shows that individuals whose ...
Scientists discover molecule triggers sensation of itch
Scientists at the National Institutes of Health report they have discovered in mouse studies that a small molecule released in the spinal cord triggers a process that is later experienced in the brain as ...
Researchers find common childhood asthma unconnected to allergens or inflammation
Little is known about why asthma develops, how it constricts the airway or why response to treatments varies between patients. Now, a team of researchers at Weill Cornell Medical College, Columbia University Medical Center ...