Exercise on balance and function for knee osteoarthritis: A randomized controlled trial

Braghin, Roberta de Matos Brunelli; Libardi, Elisa Cavalheiro; Junqueira, Carina; Barbosa, Marcello Henrique Nogueira; Abreu, Daniela Cristina Carvalho de

doi:10.1016/j.jbmt.2017.04.006

Cited by 26 publications

(55 citation statements)

References 32 publications

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“…On the other hand, no significant differences were found for Sitand-Reach (Silva et al, 2015), STEP-TEST (Shellington et al, 2019) and Step Up/Over tests (Braghin et al, 2018).…”

Section: Functional Performancementioning

confidence: 65%

“…From the retrieved studies, four (Braghin et al, 2018;Ha et al, 2018;Hunt et al, 2013;Karadağ et al, 2019) don't define age as an inclusion criteria. Considering the remaining studies, 40 years old was the minimum age required to participate (de Oliveira et al, 2012;DeVita et al, 2018;Dias et al, 2017;Henriksen et al, 2014;Huang et al, 2020;Imoto et al, 2012;Lai et al, 2018;Liu et al, 2019;Mazloum et al, 2018;Munukka et al, 2016;Shellington et al, 2019;Simão et al, 2012;Vincent et al, 2019;Wang et al, 2011), with one exception which allowed participants older than 18 to engage on it (Silva et al, 2015).…”

Section: Criteriamentioning

confidence: 99%

“…From 15 studies measuring function, 9 presented no significant differences between the control and the intervention(s) groups (Braghin et al, 2018;Henriksen et al, 2014;Karadağ et al, 2019;Liu et al, 2019;Munukka et al, 2016;Shellington et al, 2019;Simão et al, 2012;Vincent et al, 2019;Wang et al, 2011) and 7 showed statistically significant results (ES between 0.1 and 1 or above) (de Oliveira et al, 2012;DeVita et al, 2018;Dias et al, 2017;Ha et al, 2018;Mazloum et al, 2018;Silva et al, 2015;Wang et al, 2011). From those studies, one is coincident since it showed statistically significant group-by-time interactions in sport/recreation function (ES = 0.30) but not in ADL function, except in the land-based group at 12 weeks of programme (ES = 0.2) (Wang et al, 2011).…”

Section: Functionmentioning

confidence: 99%

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Effects of exercise on knee osteoarthritis: A systematic review

Raposo

Ramos

Cruz

2021

Musculoskeletal Care

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Background: Knee osteoarthritis is the most common joint disease and a major cause of functional limitation and pain in adults. The aim of this literature review is to review the existing evidence regarding the impact of exercise in people with knee osteoarthritis concerning physical and functional outcomes. The secondary aim is to provide both healthcare professionals and patients with updated and high-quality recommendations for the management of this condition.Methods: A systematic search was performed at Pubmed, Scopus and Web of Science databases, limiting the studies to English, French and Portuguese language, from 2010 to May 2020. Eligible studies were randomized control trials or clinical control trials that compared an intervention consisting of an exercise programme in adult participants with knee osteoarthritis against no intervention.Results: A total of 4499 studies were retrieved and 19 articles met the inclusion criteria. Beneficial effects of exercise were found on pain and strength. Regarding function, functional performance and quality of life, evidence is controversial. Both strengthening and aerobic exercise showed positive effects and both aquatic and land-based programmes presented improvement of pain, physical function and quality of life. Relatively to stretching, plyometric and proprioception training, no concrete conclusions can be taken. Conclusion:Exercise programmes appear to be safe and effective in knee osteoarthritis patients, mainly regarding pain and strength improvement. Pilates, aerobic and strengthening exercise programmes performed for 8-12 weeks, 3-5 sessions per week; each session lasting 1 h appear to be effective. Both aquatic and landbased programmes show comparable and positive effects.

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“…On the other hand, no significant differences were found for Sitand-Reach (Silva et al, 2015), STEP-TEST (Shellington et al, 2019) and Step Up/Over tests (Braghin et al, 2018).…”

Section: Functional Performancementioning

confidence: 65%

Section: Criteriamentioning

confidence: 99%

Section: Functionmentioning

confidence: 99%

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Effects of exercise on knee osteoarthritis: A systematic review

Raposo

Ramos

Cruz

2021

Musculoskeletal Care

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“…Therefore, he provided new preference information for the objectives as shown in Table 1. Three group I solutions reflecting the preferences well, described in Krasilshchikov et al [31], Braghin et al [32] and Lin et al [33], were obtained and are highlighted in Figure 5. Since the DM wanted to see four solutions, one more solution [34] (from group II) were found closest to the provided preference information.…”

Section: Resultsmentioning

confidence: 66%

“…While the treatment period stayed at 8 weeks in the therapies found in both iterations, the second iteration re ected slightly lower therapy cost and pain reduction, slightly higher functionality improvement and more supervised exercise sessions. It resulted in therapies described in Krasilshchikov et al [31], Braghin et al [32] and Lin et al [33]. From these, the combined resistance and aerobic exercise program in Krasilshchikov et al [31] had a superior improvement in pain and function, although it had also the biggest cost.…”

Section: Discussionmentioning

confidence: 99%

Interactive Multiobjective Optimization for Finding The Most Preferred Exercise Therapy in Knee Osteoarthritis

Shavazipour

Afşar

Multanen

et al. 2020

Preprint

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Background: The primary purpose of this study is to develop a decision support approach to support physicians or other healthcare professionals in comparing diﬀerent exercise therapies and identifying the most preferred one by balancing among cost, ability of improving physical function and reducing pain in patients with knee osteoarthritis.Methods: Thirty-one exercise therapies were selected from twenty-one randomized controlled trials from a previous meta-analysis. A multiobjective optimization model was designed to characterize the goodness of an exercise therapy based on ﬁve conﬂicting criteria: minimizing cost, maximizing pain reduction and disability improvement, minimizing the number of supervised exercise sessions and the length of the treatment period. Costs were estimated based on personal expenses regarding the information given in the collected randomized controlled trials. A novel interactive multiobjective optimization method was introduced to solve the model, where the physician’s preferences were taken into account in ﬁnding the most preferred exercise therapy. Results: An experienced physiotherapist was involved as a decision maker in the interactive solution process testing the proposed decision support approach. He iteratively provided preference information until he was satisﬁed with the set of therapies shown. After a more in-depth detailed analysis of selected therapies, the decision maker was able to ﬁnd the most preferred exercise therapy based on the patient's needs and health status. Conclusions: The proposed interactive multiobjective optimization method is promising in supporting the decision maker in balancing among conﬂicting criteria to ﬁnd the most preferred exercise therapy for patients with knee osteoarthritis. Moreover, the proposed method is generic enough to be applied in any field of medical and healthcare settings, where several alternative treatment options exist.

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