Non-surgical management of hip and knee osteoarthritis; comparison of ACR/AF and OARSI 2019 and VA/DoD 2020 guidelines

Sabha, Marwa; Hochberg, Marc C.

doi:10.1016/j.ocarto.2021.100232

Cited by 23 publications

(9 citation statements)

References 25 publications

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“…According to various international guidelines [6,7,62], targeted physical training is a critical component of the treatment of knee OA. In summary, we could show that 3 times per fortnight of WB-EMS positively effects knee pain and function in individuals with knee OA.…”

Section: Discussionmentioning

confidence: 99%

Effects of Whole-body Electromyostimulation on knee pain and physical function in adults with symptomatic knee osteoarthritis: a randomized controlled trial

Kast,

Kemmler,

Römer

et al. 2024

Preprint

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In a randomized, controlled study, whole-body electromyostimulation (WB-EMS) was investigated as a promising alternative to conventional strength training for the treatment of knee osteoarthritis (OA). 72 overweight participants with symptomatic knee OA were randomly assigned to WB-EMS (n = 36) or a usual care control group (CG, n = 36). For seven months, the WB-EMS group received three times per fortnight a WB-EMS training, while the CG was prescribed 6x physiotherapeutic treatments. The primary outcome, change in the pain subscale of the Knee injury and Osteoarthritis Outcome Score (KOOS), significantly improved in favour of the WB-EMS group, with a mean increase of 16.7 points versus 7.0 points in the CG (absolute difference between groups 9.0 points, 95%CI 2.9 to 15.1, p = 0.004). Secondary outcomes, including the other KOOS subscales (symptoms, function in daily living, function in sports/recreational activities and quality of life), 7-day pain diary, isometric muscle strength and lower limb function (30s sit-to-stand test), were also in favour of WB-EMS. With few dropouts and no reported adverse events, WB-EMS had a participation rate of 88% ± 10%. Overall, WB-EMS was found to be effective in relieving knee pain symptoms and improving physical function in individuals with symptomatic knee OA compared to usual care treatment.

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Section: Discussionmentioning

confidence: 99%

Effects of Whole-body Electromyostimulation on knee pain and physical function in adults with symptomatic knee osteoarthritis: a randomized controlled trial

Kast,

Kemmler,

Römer

et al. 2024

Preprint

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“…In established treatments of OA or RA, mild pain in one or several joints may periodically occur [ 97 , 98 ]. It is worth noting that, while in the course of OA local treatment may be sufficient, in the course of RA, the lack of an appropriate DMRAD therapy leads to the intensification of symptoms and may be the cause of permanent joint destruction, which can lead to patient disability [ 97 , 98 , 99 , 100 ]. Therefore, in RA, the use of topical drugs should not be used interchangeably with DMARD treatment.…”

Section: Clinical Effects Of Ginger In the Treatment Of Osteoarthriti...mentioning

confidence: 99%

Zingiber Officinale Roscoe: The Antiarthritic Potential of a Popular Spice—Preclinical and Clinical Evidence

Szymczak,

Grygiel-Górniak,

Cielecka-Piontek

2024

Nutrients

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The health benefits of ginger rhizomes (Zingiber officinale Roscoe) have been known for centuries. Recently, ginger root has gained more attention due to its anti-inflammatory and analgesic activities. Many of the bioactive components of ginger may have therapeutic benefits in treating inflammatory arthritis. Their properties seem especially helpful in treating diseases linked to persistent inflammation and pain, symptoms present in the course of the most prevalent rheumatic diseases, such as osteoarthritis (OA) and rheumatoid arthritis (RA). This review analyzes the current knowledge regarding ginger’s beneficial anti-inflammatory effect in both in vitro and in vivo studies as well as clinical trials. The drug delivery systems to improve ginger’s bioavailability and medicinal properties are discussed. Understanding ginger’s beneficial aspects may initiate further studies on improving its bioavailability and therapeutic efficacy and achieving more a comprehensive application in medicine.

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“…В настоящее время известно, что ОА представляет собой гораздо более сложный процесс, развитие которого обусловлено влиянием воспалительных и метаболических факторов (рис. 1) [3][4][5].…”

Section: современные взгляды на патогенез диагностику и лечение оа па...unclassified

Insights in osteoarthritis from the perspectives of evidence-based medicine and authors' own experience

Zhugrova¹,

Belyaeva²,

Самигуллина³

2023

Russian Medical Inquiry

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Osteoarthritis (OA) is a chronic heterogenic progressive disease involving the deterioration of the cartilage tissue within joints, bone remodeling and the development of osteophytes that cause such clinical manifestations as pain, stiffness, edema and reduced joint function. The review elucidates modern views on the pathogenesis of OA and the up-to-date approaches to its diagnostics and treatment. Today, the emphasis is made on relieving pain and improving the quality of life of patients with OA. Symptomatic slow-acting drugs for osteoarthritis (SYSADOA) are used in OA clinical practice. The drugs of this class have beneficial effects on OA symptoms and their long-term use exerts disease-modifying action. SYSADOA are recommended for use as the first-line therapy and the treatment of choice in OA. Chondroitin sulfate (CS) is considered as a SYSADOA drug whose effectiveness has been proven in multiple clinical trials. CS is included in the EULAR recommendations for the treatment of patients with OA. The use of chondroitin has been shown to reduce pain and improve mobility of the affected joints. The authors present a clinical report of CS beneficial effects in a patient with OA. KEYWORDS: osteoarthritis, pathogenesis, treatment, quality of life, SYSADOA, chondroitin sulfate. FOR CITATION: Zhugrova E.S., Belyaeva I.B., Samigullina R.R. Insights in osteoarthritis from the perspectives of evidence-based medicine and authors' own experience. Russian Medical Inquiry. 2023;7(3):167–173 (in Russ.). DOI: 10.32364/2587-6821-2023-7-3-167-173.

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Non-surgical management of hip and knee osteoarthritis; comparison of ACR/AF and OARSI 2019 and VA/DoD 2020 guidelines

Cited by 23 publications

References 25 publications

Effects of Whole-body Electromyostimulation on knee pain and physical function in adults with symptomatic knee osteoarthritis: a randomized controlled trial

Effects of Whole-body Electromyostimulation on knee pain and physical function in adults with symptomatic knee osteoarthritis: a randomized controlled trial

Zingiber Officinale Roscoe: The Antiarthritic Potential of a Popular Spice—Preclinical and Clinical Evidence

Insights in osteoarthritis from the perspectives of evidence-based medicine and authors' own experience

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