Physical Therapy Interventions for Knee Pain Secondary to Osteoarthritis

  title={Physical Therapy Interventions for Knee Pain Secondary to Osteoarthritis},
  author={Shih-Yi Wang and Becky J. Olson-Kellogg and Tatyana A. Shamliyan and Jae-Young Choi and Rema Ramakrishnan and Robert Kane},
  journal={Annals of Internal Medicine},
  pages={632 - 644}
BACKGROUND Osteoarthritis is a leading cause of disability. [] Key MethodDATA SOURCES MEDLINE, the Cochrane Library, the Physiotherapy Evidence Database, Scirus, Allied and Complementary Medicine, and the Health and Psychosocial Instruments bibliography database. STUDY SELECTION 193 randomized, controlled trials (RCTs) published in English from 1970 to 29 February 2012. DATA EXTRACTION Means of outcomes, PT interventions, and risk of bias were extracted to pool standardized mean differences…
Osteoarthritis year in review: outcome of rehabilitation.
Conservative treatment of knee osteoarthritis.
This work reviewed the different published guidelines, proposing combinations of weight reduction, physical therapy and rehabilitation, self-management education programs and pharmacological treatment for knee osteoarthritis.
Range of motion as an outcome measure for knee osteoarthritis interventions in clinical trials: an integrated review
Knee ROM is commonly used as an outcome measure in clinical trials of people with knee OA and goniometry is a reliable and valid way to measure knee ROM, and is a convenient, accessible outcome measure for clinical trials and physiotherapy practice.
Treatment of Osteoarthritis of the Knee: An Update Review
A variety of interventions assessed for their efficacy in treating OA of the knee in this review demonstrate shorter term beneficial effects on pain and function, but few have been tested for or show long-term benefits.
Group Versus Individual Physical Therapy for Veterans With Knee Osteoarthritis: Randomized Clinical Trial
Either group physical therapy or individual physical therapy may be a reasonable delivery model for health care systems to consider for delivering nonpharmacological interventions for management of knee osteoarthritis.
Efficacy of strength and aerobic exercise on patient-reported outcomes and structural changes in patients with knee osteoarthritis: study protocol for a randomized controlled trial
The aim of the present study is to compare the efficacy of two different exercise programs compared to a control group in individuals with established radiographic and symptomatic knee osteoarthritis on self-reported knee-related quality of life, knee pain, physical function, and cartilage quality.
A Comparison of Treatment Effects for Nonsurgical Therapies and the Minimum Clinically Important Difference in Knee Osteoarthritis: A Systematic Review.
BACKGROUND The minimum clinically important difference (MCID) was developed to ascertain the smallest change in an outcome that patients perceive as beneficial. The objectives of the present review
Kinesio Taping® Method Using for Patients with Knee Osteoarthritis
Knee osteoarthritis (knee OA) is one of the most common forms of degenerative joint disease’s which causes burden of pain in ageing population and often leads to impaired mobility and working
Osteotomy for treating knee osteoarthritis.
The quality of evidence for most outcomes comparing different osteotomy techniques was downgraded to low because of the number of available studies, the numbers of participants and limitations in design, and the risk of bias.
Applying the Evidence for Exercise Prescription in Older Adults with Knee Osteoarthritis
This narrative review is to identify exercise options and dosage parameters to aid the clinician in assisting individuals with knee OA, which work to improve the cardiovascular and neuromuscular systems to improve function.


Therapeutic ultrasound for osteoarthritis of the knee or hip.
The results suggest that therapeutic ultrasound may be beneficial for patients with osteoarthritis of the knee, but it is uncertain about the magnitude of the effects on pain relief and function.
Effect of weight reduction in obese patients diagnosed with knee osteoarthritis: a systematic review and meta-analysis
Meta-regression analysis indicated that physical disability of patients with knee OA and overweight diminished after a moderate weight reduction regime, and supported that a weight loss of >5% should be achieved within a 20-week period—that is, 0.25% per week.
Efficacy of physiotherapy management of knee joint osteoarthritis: a randomised, double blind, placebo controlled trial
The physiotherapy programme tested in this trial was no more effective than regular contact with a therapist at reducing pain and disability.
The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial.
A short-term manual therapy knee protocol significantly reduced pain suffered by participants with osteoarthritic knee pain and resulted in improvements in self-reported knee function immediately after the end of the 2 week treatment period.
Tai Chi is effective in treating knee osteoarthritis: a randomized controlled trial.
Tai Chi reduces pain and improves physical function, self-efficacy, depression, and health-related quality of life for knee OA.
Efficacy of knee tape in the management of osteoarthritis of the knee: blinded randomised controlled trial
Therapeutic knee taping is an efficacious treatment for the management of pain and disability in patients with knee osteoarthritis and benefits were maintained three weeks after stopping treatment.
Braces and orthoses for treating osteoarthritis of the knee.
There is limited evidence that a brace has additional beneficial effect (WOMAC, MACTAR, function tests) for knee osteoarthritis compared with medical treatment alone, and a brace is more effective than a neoprene sleeve.
Exercise for Osteoarthritis of the Knee
This article focuses on a patient with moderate osteoarthritis in both knees and will present clinical scenarios based on real patients to illustrate how the results of the Cochrane review can be used to directly inform clinical decisions.
Home based exercise programme for knee pain and knee osteoarthritis: randomised controlled trial
A simple home based exercise programme can significantly reduce knee pain and the lack of improvement in patients who received only telephone contact suggests that improvements are not just due to psychosocial effects because of contact with the therapist.
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).
The data suggest that exercise should be prescribed as part of the treatment for knee osteoarthritis, and modest improvements in measures of disability, physical performance, and pain from participating in either an aerobic or a resistance exercise program.