Is exercise effective treatment for osteoarthritis of the knee?

Abstract:

OBJECTIVE:To review and determine the effectiveness of exercise treatment in osteoarthritis of the knee. METHODS:A computerised literature search of Medline was carried out searching between June 1966 and January 2000. RESULTS:Twenty three randomised controlled trials were identified from the literature. Only three trials were sufficiently powered. Small to moderate beneficial effects of exercise treatment were found for pain, small beneficial effects on disability outcome measures, and moderate to great beneficial effects were observed according to patient global assessment of effect. It was not possible to obtain evidence on the content of exercise interventions, as studies were hampered by lack of attention to proper concealment, reporting of adverse effects, and long term effects of exercise treatment. The lack of standard outcomes measures is also noted. CONCLUSIONS:The available evidence indicates beneficial short term effects of exercise treatment in patients with osteoarthritis of the knee. However, the number of available studies is limited, and more research is needed to expand this recommendation. Specifically, additional trials should provide information on adherence, home based interventions, interaction with pharmacological treatments, functional outcomes measures relevant to exercise treatment in these patients, and long term effects. At present, doctors should recommend exercise to all patients with mild/moderate disease. Further study should be encouraged and exercise should be continued to be recommended as a mainstay of non-pharmacological treatment of osteoarthritis of the knee.

journal_name

Br J Sports Med

authors

Petrella RJ

doi

10.1136/bjsm.34.5.326

keywords:

subject

Has Abstract

pub_date

2000-10-01 00:00:00

pages

326-31

issue

5

eissn

0306-3674

issn

1473-0480

journal_volume

34

pub_type

杂志文章,评审
  • Cricket ball injury: a cause of symptomatic muscle hernia of the leg.

    abstract::A case of symptomatic muscle hernia of the leg in a provincial cricketer caused by a cricket ball injury is presented. It was diagnosed clinically and treated with a limited fasciotomy. However, delay in the diagnosis and treatment ended the professional career of the player. An awareness of the condition and a high i...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2007.041541

    authors: Gupta RK,Singh D,Kansay R,Singh H

    更新日期:2008-12-01 00:00:00

  • Training loads and injury risk in Australian football-differing acute: chronic workload ratios influence match injury risk.

    abstract:AIMS:(1) To investigate whether a daily acute:chronic workload ratio informs injury risk in Australian football players; (2) to identify which combination of workload variable, acute and chronic time window best explains injury likelihood. METHODS:Workload and injury data were collected from 53 athletes over 2 seasons...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2016-096309

    authors: Carey DL,Blanch P,Ong KL,Crossley KM,Crow J,Morris ME

    更新日期:2017-08-01 00:00:00

  • Which exercise prescriptions improve quality of life and physical function in patients with cancer during and following treatment? A systematic review and meta-analysis of randomised controlled trials.

    abstract:OBJECTIVE:Certain exercise prescriptions for patients with cancer may improve self-reported quality of life (QoL) and self-reported physical function (PF). We investigated the effects of exercise on QoL and PF in patients with cancer and studied differences in effects between different intervention-related and exercise...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/bjsports-2017-097891

    authors: Sweegers MG,Altenburg TM,Chinapaw MJ,Kalter J,Verdonck-de Leeuw IM,Courneya KS,Newton RU,Aaronson NK,Jacobsen PB,Brug J,Buffart LM

    更新日期:2018-04-01 00:00:00

  • Is sports safety policy being translated into practice: what can be learnt from the Australian rugby union Mayday procedure?

    abstract:AIM:To investigate the level of translation of the Australian Rugby Union 'Mayday' safety procedure into practice among community rugby union coaches in New South Wales (Australia). METHODS:All registered coaches of senior community rugby union teams in five zones/associations in the north-eastern region of the state ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2011-090469

    authors: Poulos RG,Donaldson A

    更新日期:2012-06-01 00:00:00

  • Descriptive profile of scapulothoracic position, strength and flexibility variables in adolescent elite tennis players.

    abstract:STUDY DESIGN:Descriptive study, cross-sectional design. BACKGROUND:Tennis requires repetitive overhead movement patterns that can lead to upper extremity injury. The scapula plays a vital role in injury-free playing. Scapular dysfunction has been associated with shoulder injury in the overhead athlete. OBJECTIVES:The...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2009.070128

    authors: Cools AM,Johansson FR,Cambier DC,Velde AV,Palmans T,Witvrouw EE

    更新日期:2010-07-01 00:00:00

  • Outcomes of hip arthroscopy. A prospective analysis and comparison between patients under 25 and over 25 years of age.

    abstract:OBJECTIVE:To compare the results of hip arthroscopy in patients under the age of 25 with those over 25 years. DESIGN:From March 2006 until May 2010, data were collected on all patients who underwent hip arthroscopy for symptomatic intra-articular hip pathology. The patients were divided into two groups based on age (l...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2012-091028

    authors: Cooper AP,Basheer SZ,Maheshwari R,Regan L,Madan SS

    更新日期:2013-03-01 00:00:00

  • Excellent reliability for MRI grading and prognostic parameters in acute hamstring injuries.

    abstract:BACKGROUND:Categorical grading and other measurable MRI parameters are frequently utilised for predicting the outcome of hamstring injuries. However, the reliability and smallest detectable difference (SDD) have not been previously evaluated. It therefore remains unclear if the variability in previously reported result...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/bjsports-2013-092564

    authors: Hamilton B,Whiteley R,Almusa E,Roger B,Geertsema C,Tol JL

    更新日期:2014-09-01 00:00:00

  • Injuries in orienteering.

    abstract::In a one-year prospective study of 42 elite orienteers, 73 recent injuries (1.7 per runner per year) were found. Acute injuries totalled 52% and 48% were due to overuse. Ankle sprains made up 37% of acute injuries while the remaining were mainly contusions caused by falls or bumps against branches or rocks. Medial shi...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.20.3.125

    authors: Linde F

    更新日期:1986-09-01 00:00:00

  • Upper limb fractures in rugby in Huddersfield 1986-1990.

    abstract::Most injuries sustained by rugby players affect the soft tissues, and fracture is relatively uncommon. Whereas the lower limb is most affected in footballers, the upper limb tends to be injured in rugby players. Thirty consecutive fractures and ten dislocations affecting the upper limb, sustained by 35 rugby players, ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.25.3.139

    authors: Eyres KS,Abdel-Salam A,Cleary J

    更新日期:1991-09-01 00:00:00

  • Models for the pathogenesis of stress fractures in athletes.

    abstract::It would seem that the development of a stress fracture results from unsuccessful adaptation of bone to a change in its mechanical environment caused by repetitive loading. It involves the physiological processes of microdamage production and remodelling. Whether the initiating factor is microdamage production or acti...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,评审

    doi:10.1136/bjsm.30.3.200

    authors: Bennell KL,Malcolm SA,Wark JD,Brukner PD

    更新日期:1996-09-01 00:00:00

  • Shockwave treatment for medial tibial stress syndrome in athletes; a prospective controlled study.

    abstract::Objective The purpose of this study was to describe the results of two treatment regimens for medial tibial stress syndrome (MTSS); a graded running programme and the same running programme with additional shockwave therapy (extracorporeal shockwave therapy; ESWT). Design A prospective observational controlled trial....

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1136/bjsm.2010.081992

    authors: Moen MH,Rayer S,Schipper M,Schmikli S,Weir A,Tol JL,Backx FJ

    更新日期:2012-03-01 00:00:00

  • Higher fasting plasma glucose levels within the normoglycaemic range and rotator cuff tears.

    abstract:OBJECTIVE:To determine the plasma glucose levels in non-diabetic patients with rotator cuff tear. DESIGN:Frequency-matched case-control study. SETTING:University Teaching Hospital. PARTICIPANTS:The study included 194 subjects who were operated on at our institution. Group 1 included 97 consecutive patients (36 men a...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2008.049320

    authors: Longo UG,Franceschi F,Ruzzini L,Spiezia F,Maffulli N,Denaro V

    更新日期:2009-04-01 00:00:00

  • A modified maxillary mouthguard.

    abstract::Custom made maxillary mouthguards made from thermoplastic materials using dental impressions give valuable protection to the teeth and jaws of participants in contact sports. A bimaxillary mouthguard has been described which offers enhanced protection, but with considerable increase in cost. This paper describes a mod...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.21.2.27

    authors: Chandler NP,Wilson NH,Daber BS

    更新日期:1987-06-01 00:00:00

  • Examining pacing profiles in elite female road cyclists using exposure variation analysis.

    abstract:OBJECTIVE:In this study, the amplitude and time distribution of power output in a variety of competitive cycling events through the use of a new mathematical analysis was examined: exposure variation analysis (EVA). DESIGN:Descriptive field study. SETTING:Various professional road cycling events, including; a 5-day-e...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2008.047787

    authors: Abbiss CR,Straker L,Quod MJ,Martin DT,Laursen PB

    更新日期:2010-05-01 00:00:00

  • Age of menarche in Indian female basketball and volleyball players at different competitive levels.

    abstract::Data for the age of menarche have been collected on 98 female volleyball players and 75 basketball players. The players belonged to four different levels of competition: international, national, intervarsity and district. Menarche is significantly delayed in players as compared with the controls. There is a continuous...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.23.4.237

    authors: Mokha R,Sidhu LS

    更新日期:1989-12-01 00:00:00

  • Are there risk factors in alpine skiing? A controlled multicentre survey of 1278 skiers.

    abstract:OBJECTIVE:To analyse risk factors in alpine skiing. DESIGN:A controlled multicentre survey of injured and non-injured alpine skiers. SETTING:One tertiary and two secondary trauma centres in Bern, Switzerland. PATIENTS AND METHODS:All injured skiers admitted from November 2007 to April 2008 were analysed using a comp...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1136/bjsm.2009.064741

    authors: Hasler RM,Dubler S,Benneker LM,Berov S,Spycher J,Heim D,Zimmermann H,Exadaktylos AK

    更新日期:2009-12-01 00:00:00

  • The epidemiology of new versus recurrent sports concussions among high school athletes, 2005-2010.

    abstract:OBJECTIVES:To compare new versus recurrent concussions with respect to constellation of symptoms, symptom severity, symptom resolution; evaluate potential subset differences with respect to gender and sport; and to compare mechanisms and activities associated with new versus recurrent concussions. METHODS:Sports-relat...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2011-090115

    authors: Castile L,Collins CL,McIlvain NM,Comstock RD

    更新日期:2012-06-01 00:00:00

  • Self-reported sports injuries and later-life health status in 3357 retired Olympians from 131 countries: a cross-sectional survey among those competing in the games between London 1948 and PyeongChang 2018.

    abstract:OBJECTIVE:Describe the self-reported prevalence and nature of Olympic-career injury and general health and current residual symptoms in a self-selected sample of retired Olympians. METHODS:3357 retired Olympians from 131 countries completed a cross-sectional online survey, distributed by direct email through World Oly...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2019-101772

    authors: Palmer D,Cooper DJ,Emery C,Batt ME,Engebretsen L,Scammell BE,Schamasch P,Shroff M,Soligard T,Steffen K,Whittaker JL,Budgett R

    更新日期:2021-01-01 00:00:00

  • Evaluation of guideline-endorsed red flags to screen for fracture in patients presenting with low back pain.

    abstract:OBJECTIVES:(1) Describe the evolution of guideline-endorsed red flags for fracture in patients presenting with low back pain; (2) evaluate agreement between guidelines; and (3) evaluate the extent to which recommendations are accompanied by information on diagnostic accuracy of endorsed red flags. DESIGN:Systematic re...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2018-099525

    authors: Parreira PCS,Maher CG,Traeger AC,Hancock MJ,Downie A,Koes BW,Ferreira ML

    更新日期:2019-05-01 00:00:00

  • What proportion of youth are physically active? Measurement issues, levels and recent time trends.

    abstract:AIM:The aim of this review is to summarise issues surrounding the measurement of physical activity (PA) by self-report and accelerometry in youth (2-18 years old). Current levels and temporal trends in PA and sport participation and the effect of assessment method on data interpretation will be summarised. METHODS:Rel...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,评审

    doi:10.1136/bjsports-2011-090190

    authors: Ekelund U,Tomkinson G,Armstrong N

    更新日期:2011-09-01 00:00:00

  • Playing with metal: fracture implants and contact sport.

    abstract:OBJECTIVE:To assess the outcome of athletes returning to contact sport with indwelling fracture implants. METHOD:A retrospective analysis of professional rugby union players competing in the South Wales premier league. RESULTS:Fifteen athletes were identified who had returned to competitive rugby union with retained ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.31.4.319

    authors: Evans NA,Evans RO

    更新日期:1997-12-01 00:00:00

  • Physiological and anthropometric parameters that describe a rugby union team.

    abstract::The purpose of this study was to describe the anthropometric and physiological parameters that apply to a USA amateur rugby union club team. Fifteen players who were members of the club's first team were evaluated for body composition, muscular strength, power and endurance, flexibility, anaerobic power, anaerobic cap...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.17.1.16

    authors: Maud PJ

    更新日期:1983-03-01 00:00:00

  • Specific diving training-induced arterial circulation changes.

    abstract:OBJECTIVE:Several stressors such as cold water immersion, hyperoxic exposure and decompression-induced circulating bubbles can alter arterial circulation after a dive. The aim of this study was to investigate the arterial modifications induced by a specific diving training including repeated hyperbaric exposures and ph...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2007.043364

    authors: Gole Y,Louge P,Boussuges A

    更新日期:2009-07-01 00:00:00

  • Football for life versus antidoping for the masses: ethical antidoping issues and solutions based on the extenuating experiences of an elite footballer competing while undergoing treatment for metastatic testicular cancer.

    abstract::It is thankfully rare for extenuating circumstances to fully test the processes and procedures enshrined in national and world antidoping authorities' rules and laws. It is also thankfully very rare that a failed drugs test can have some positive implications. Antidoping laws are undoubtedly focused on ensuring fair c...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2014-093550

    authors: Weiler R,Tombides D,Urwin J,Clarke J,Verroken M

    更新日期:2014-05-01 00:00:00

  • Normal course of events amongst Swedish soccer players: an 8-year follow-up study.

    abstract::In this study 180 male soccer players entered into a prospective study of injuries in 1980. They were examined again in 1988. The aim of the present study was to evaluate the course of events during their active period. The study was carried out using a questionnaire. The importance of major injuries was evaluated. Ho...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.24.2.117

    authors: Ekstrand J,Roos H,Tropp H

    更新日期:1990-06-01 00:00:00

  • Are activity promotion interventions based on the transtheoretical model effective? A critical review.

    abstract::The health benefits of physical activity are well documented yet 70% of adults remain sedentary. It has been suggested that interventions based on the transtheoretical model of behaviour change (TTM) may be useful in promoting physical activity. Published work on the effectiveness of such interventions is therefore cr...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,评审

    doi:10.1136/bjsm.37.2.106

    authors: Adams J,White M

    更新日期:2003-04-01 00:00:00

  • Hip passive range of motion and frequency of radiographic hip osteoarthritis in former elite handball players.

    abstract:OBJECTIVE:To establish the relation between handball playing, passive hip range of motion (ROM), and the development of radiological hip osteoarthritis (OA) in former elite handball players. Two related issues are addressed: (a) the relation between long term elite handball playing and the incidence of hip OA; (b) the ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2005.019026

    authors: L'Hermette M,Polle G,Tourny-Chollet C,Dujardin F

    更新日期:2006-01-01 00:00:00

  • Do MRI and ultrasound of the anterior pelvis correlate with, or predict, young football players' clinical findings? A 4-year prospective study of elite academy soccer players.

    abstract:AIMS:To prospectively follow a cohort of elite young male professional soccer players with sequential symptom questionnaires and imaging of the anterior pelvis to determine the prevalence and severity of imaging findings. METHODS:34 male athletes (mean age 16.5 years) underwent clinical examination, history/symptom qu...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2013-092932

    authors: Robinson P,Grainger AJ,Hensor EM,Batt ME,O'Connor PJ

    更新日期:2015-02-01 00:00:00

  • Beating jet lag.

    abstract::Jet lag is often cited as a cause of poor sporting performance. We report on the case of a rugby league player who flew 20,000 km and 12 time zones, then repeated the feat a few days later, prior to playing with distinction in an important final match in an international series. ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2006.034066

    authors: Milne CJ,Fuard MH

    更新日期:2007-06-01 00:00:00

  • Listening to a personal music player is associated with fewer but more serious injuries among snowboarders in a terrain park: a case-control study.

    abstract:BACKGROUND:Some snowboarders listen to music on a personal music player and the objective was to determine if listening to music was associated with injury in a terrain park. METHODS:A case-control study was conducted at a terrain park in Alberta, Canada during the 2008-2009 and 2009-2010 winter seasons. Cases were sn...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2014-093487

    authors: Russell K,Meeuwisse W,Nettel-Aguirre A,Emery CA,Gushue S,Wishart J,Romanow N,Rowe BH,Goulet C,Hagel BE

    更新日期:2015-01-01 00:00:00