Adjunctive therapies in addition to land-based exercise therapy for osteoarthritis of the hip or knee

The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part two: strengthening exercise programs

“…Several included trials used adjunctive therapies in addition to land-based exercise, but their additional effect is unclear. 89 For example, patellar taping, manual-therapy and osteoarthritis education, 22 hot packs application 27 or medication uptake is added to a strengthening exercise with or without other types of therapeutic exercises. 39 Heterogeneity of therapies can represent real-world clinical situations, but additional specific effects are unclear.…”

The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part three: aerobic exercise programs

“…The additional effect of adjunctive therapies such as manual therapy 23 to aerobic exercises is unclear, 46 especially if it is combined with other types of land-based exercises. While this reflects usual physiotherapy practice, these therapies are often not applicable as part of self-management strategies.…”

Perlecan: Roles in osteoarthritis and potential treating target

“…Further meta-analysis has also confirmed these results [108]. The effects of multiple exercise patterns have also been compared, including resistance training [109], aquatic [110], and land-based, all of which have been found to benefit patients' symptoms and prognosis. Selfmanagement of exercise has been included in the recent guidelines for OA [111].…”