The interpretation of 2017 Ottawa panel clinical practice guideline for the exercise management of knee osteoarthritis_Chinese Journal of Evidence-Based Medicine

Authors：

HAO Xueyun ¹ , WANG Cong ² , ZHANG Hui ¹ , DENG Yonghong ¹ ,  SONG Guomin ³

1. Graduate College, Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, P.R.China;
2. School of Education and Health Sciences, University of Limerick, Castletroy, Limerick, V94 T9PX, Ireland;
3. Department of Nursing, Tianjin Hospital, Tianjin, 400211, P.R.China;

Corresponding author：

SONG Guomin, Email: songguomin134@163.com

Keywords：

Osteoarthritis; Knee; Clinical practice guideline; Guideline interpretation

DOI：

10.7507/1672-2531.201806094

Video：

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Citation： HAO Xueyun, WANG Cong, ZHANG Hui, DENG Yonghong, SONG Guomin. The interpretation of 2017 Ottawa panel clinical practice guideline for the exercise management of knee osteoarthritis. Chinese Journal of Evidence-Based Medicine, 2018, 18(10): 1022-1026. doi: 10.7507/1672-2531.201806094 Copy

1.	Russo S, Landi S, Landa P. Management of knee osteoarthritis in Italy: a cost-utility analysis of platelet-rich-plasma dedicated kit versus hyaluronic acid for the intra-articular treatment of knee OA. https://www.researchgate.net/publication/319584806_Management_of_Knee_Osteoarthritis_in_Italy_A_Cost-Utility_Analysis_of_Platelet-Rich-Plasma_Dedicated_Kit_Versus_Hyaluronic_Acid_for_the_Intra-Articular_Treatment_of_Knee_OA.
2.	Bartholdy C, Juhl C, Christensen R, et al. The role of muscle strengthening in exercise therapy for knee osteoarthritis: a systematic review and meta-regression analysis of randomized trials. Semin Arthritis Rheu, 2017, 47(1): 9.
3.	Cross M, Smith E, Hoy D, et al. The global burden of hip and knee osteoarthritis: Estimates from the global burden of disease 2010 study. Ann Rheum Dis, 2014, 73(7): 1323-1330.
4.	唐布敏, 郑晓燕, 万巧琴, 等. 膝关节骨性关节炎患者生活质量及干预研究现状. 现代预防医学, 2016, 43(1): 121-123.
5.	Bhogal SK, Teasell RW, Foley NC, et al. The PEDro scale provides a more comprehensive measure of methodological quality than the Jadad scale in stroke rehabilitation literature. J Clin Epidemiol, 2005, 58(7): 668-673.
6.	Higgins M. Therapeutic exercise: from theory to practice. FA. Davis Company, 2011: 1-800.
7.	Brosseau L, Wells GA, Tugwell P, et al. Ottawa Panel evidence-based clinical practice guidelines for the management of osteoarthritis in adults who are obese or overweight. Phys Ther, 2011, 91(6): 843.
8.	Philadelphia Panel Members. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions: overview and methodology. Phys Ther, 2001, 81(10): 1629-1640.
9.	Loew L, Brosseau L, Wells GA, et al. Ottawa panel evidence-based clinical practice guidelines for aerobic walking programs in the management of osteoarthritis. Arch Phys Med Rehab, 2012, 93(7): 1269-1285.
10.	Wei XJ, Tong KY, Hu XL. The responsiveness and correlation between Fugl-Meyer Assessment, Motor Status Scale, and the Action Research Arm Test in chronic stroke with upper-extremity rehabilitation robotic training. Int J Rehabil Res, 2011, 34(4): 349-56.
11.	Hasson F, Keeney S, Mckenna H. Research guidelines for the Delphi survey technique. J Adv Nurs, 2010, 32(4): 1008-1015.
12.	Felson DT, Anderson JJ, Lange ML, et al. Should improvement in rheumatoid arthritis clinical trials be defined as fifty percent or seventy percent improvement in core set measures, rather than twenty percent? Arthritis Rheum, 2010, 41(9): 1564-1570.
13.	Fransen M, Nairn L, Winstanley J, et al. Physical activity for osteoarthritis management: a randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes. Arthritis Rheum, 2007, 57(3): 407-414.
14.	Tsai PF, Chang JY, Beck C, et al. A pilot cluster-randomized trial of a 20-week Tai Chi program in elders with cognitive impairment and osteoarthritic knee: effects on pain and other health outcomes. J Pain Symptom Manag, 2013, 45(4): 660.
15.	Lee HJ, Park HJ, Chae Y, et al. Tai Chi Qigong for the quality of life of patients with knee osteoarthritis: a pilot, randomized, waiting list controlled trial. Clin Rehabil, 2009, 23(6): 504.
16.	Cheung C, Wyman JF, Resnick B, et al. Yoga for managing knee osteoarthritis in older women: a pilot randomized controlled trial. BMC Complement Altern Med, 2014, 14(1): 160.
17.	Bhatia D, Bejarano T, Novo M. Current interventions in the management of knee osteoarthritis. J Pharm Bio Sci, 2013, 5(1): 30.
18.	Roddy E, Zhang W, Doherty M. Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review. Ann Rheum Dis, 2005, 64(4): 544.
19.	Segal NA, Glass NA, Felson DT, et al. The effect of quadriceps strength and proprioception on risk for knee osteoarthritis. Scand J Med Sci Spor, 2010, 42(11): 2081.
20.	Lucie B, Prinon R, Karine TA, et al. A systematic critical appraisal for non-pharmacological management of osteoarthritis using the appraisal of guidelines research and evaluation Ⅱ instrument. PloS One, 2014, 9(1): e82986.
21.	Nelson AE, Allen KD, Golightly YM, et al. A systematic review of recommendations and guidelines for the management of osteoarthritis: The chronic osteoarthritis management initiative of the U.S. bone and joint initiative. Semin Arthritis Rheu, 2014, 43(6): 701.
22.	Cohen D. Cochrane for clinicians: exercise for osteoarthritis of the knee. Am Fam Physician, 2015, 92(9): 774-775.
23.	Tanaka R, Ozawa J, Kito N, et al. Efficacy of strengthening or aerobic exercise on pain relief in people with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials. Clin Rehabil, 2013, 27(12): 1059-1071.
24.	O'Reilly SC, Muir KR, Doherty M. Effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomised controlled trial. Ann Rheum Dis, 1999, 58(1): 15-19.
25.	Huang MH, Lin YS, Yang RC, et al. A comparison of various therapeutic exercises on the functional status of patients with knee osteoarthritis. Semin Arthritis Rheu, 2003, 32(6): 398.
26.	Jan MH, Lin CH, Lin YF, et al. Effects of weight-bearing versus nonweight-bearing exercise on function, walking speed, and position sense in participants with knee osteoarthritis: a randomized controlled trial. Arch Phys Med Rehab, 2009, 90(6): 897-904.
27.	Jenkinson CM, Doherty M, Avery AJ, et al. Effects of dietary intervention and quadriceps strengthening exercises on pain and function in overweight people with knee pain: randomised controlled trial. BMJ, 2009, 339(7721): 606.
28.	Quilty B, Tucker M, Campbell R, et al. Physiotherapy, including quadriceps exercises and patellar taping, for knee osteoarthritis with predominant patello-femoral joint involvement: randomized controlled trial. J Rheumatol, 2003, 30(6): 1311-1317.
29.	Thomas KS, Muir KR, Doherty M, et al. Home based exercise programme for knee pain and knee osteoarthritis: randomised controlled trial. BMJ, 2002, 325(7367): 752.
30.	Bennell KL, Hunt MA, Wrigley TV, et al. Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomised controlled trial. Osteoarthr Cartilage, 2010, 18(5): 621.
31.	DoiT, Akai M, Fujino K, et al. Effect of home exercise of quadriceps on knee osteoarthritis compared with nonsteroidal antiinflammatory drugs: a randomized controlled trial. Am J Phys Med Rehab, 2008, 87(4): 258.
32.	Jorge RT, Souza MC, Chiari A, et al. Progressive resistance exercise in women with osteoarthritis of the knee: a randomized controlled trial. Clin Rehabil, 2015, 29(3): 234-243.
33.	Salli A, Sahin N, Baskent A, et al. The effect of two exercise programs on various functional outcome measures in patients with osteoarthritis of the knee: a randomized controlled clinical trial. Isokinet Exerc Sci, 2010, 18(4): 201-209.
34.	Lim BW, Hinman RS, Wrigley TV, et al. Does knee malalignment mediate the effects of quadriceps strengthening on knee adduction moment, pain, and function in medial knee osteoarthritis? A randomized controlled trial. Arthritis Rheum, 2008, 59(7): 943-951.
35.	Ferguson B. ACSM’s guidelines for exercise testing and prescription 9th Ed. 2014. J Can Chiropr Assoc, 2014, 58(3): 328.
36.	Péloquin L, Bravo G, Gauthier P, et al. Effects of a cross-training exercise program in persons with osteoarthritis of the knee a randomized controlled trial. J Clin Rheumatol, 1999, 5(3): 126.
37.	Fransen M, Crosbie J, Edmonds J. Physical therapy is effective for patients with osteoarthritis of the knee: a randomized controlled clinical trial. J Rheumatol, 2001, 28(1): 156-164.
38.	Hay EM, Foster NE, Thomas E, et al. Effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in people aged over 55 presenting to primary care: pragmatic randomised trial. BMJ, 2006, 333(7576): 995-998.
39.	Deyle GD, Henderson NE, Matekel RL, et al. Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee. A randomized, controlled trial. Ann Intern Med, 2000, 132(3): 173.
40.	Wang C, Bannuru R, Ramel J, et al. Tai Chi on psychological well-being: systematic review and meta-analysis. BMC Complem Altern Med, 2010, 10(1): 23.
41.	Messier SP, Loeser RF, Miller GD, et al. Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: The arthritis, diet, and activity promotion trial. Arthritis Rheum, 2004, 50(5): 1501.
42.	Slade SC, Dionne CE, Underwood M, et al. Consensus on exercise reporting template (CERT): a modified Delphi study. Brit J Sport Med, 2016, 96(10): 1514.

1. Russo S, Landi S, Landa P. Management of knee osteoarthritis in Italy: a cost-utility analysis of platelet-rich-plasma dedicated kit versus hyaluronic acid for the intra-articular treatment of knee OA. https://www.researchgate.net/publication/319584806_Management_of_Knee_Osteoarthritis_in_Italy_A_Cost-Utility_Analysis_of_Platelet-Rich-Plasma_Dedicated_Kit_Versus_Hyaluronic_Acid_for_the_Intra-Articular_Treatment_of_Knee_OA.
2. Bartholdy C, Juhl C, Christensen R, et al. The role of muscle strengthening in exercise therapy for knee osteoarthritis: a systematic review and meta-regression analysis of randomized trials. Semin Arthritis Rheu, 2017, 47(1): 9.
3. Cross M, Smith E, Hoy D, et al. The global burden of hip and knee osteoarthritis: Estimates from the global burden of disease 2010 study. Ann Rheum Dis, 2014, 73(7): 1323-1330.
4. 唐布敏, 郑晓燕, 万巧琴, 等. 膝关节骨性关节炎患者生活质量及干预研究现状. 现代预防医学, 2016, 43(1): 121-123.
5. Bhogal SK, Teasell RW, Foley NC, et al. The PEDro scale provides a more comprehensive measure of methodological quality than the Jadad scale in stroke rehabilitation literature. J Clin Epidemiol, 2005, 58(7): 668-673.
6. Higgins M. Therapeutic exercise: from theory to practice. FA. Davis Company, 2011: 1-800.
7. Brosseau L, Wells GA, Tugwell P, et al. Ottawa Panel evidence-based clinical practice guidelines for the management of osteoarthritis in adults who are obese or overweight. Phys Ther, 2011, 91(6): 843.
8. Philadelphia Panel Members. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions: overview and methodology. Phys Ther, 2001, 81(10): 1629-1640.
9. Loew L, Brosseau L, Wells GA, et al. Ottawa panel evidence-based clinical practice guidelines for aerobic walking programs in the management of osteoarthritis. Arch Phys Med Rehab, 2012, 93(7): 1269-1285.
10. Wei XJ, Tong KY, Hu XL. The responsiveness and correlation between Fugl-Meyer Assessment, Motor Status Scale, and the Action Research Arm Test in chronic stroke with upper-extremity rehabilitation robotic training. Int J Rehabil Res, 2011, 34(4): 349-56.
11. Hasson F, Keeney S, Mckenna H. Research guidelines for the Delphi survey technique. J Adv Nurs, 2010, 32(4): 1008-1015.
12. Felson DT, Anderson JJ, Lange ML, et al. Should improvement in rheumatoid arthritis clinical trials be defined as fifty percent or seventy percent improvement in core set measures, rather than twenty percent? Arthritis Rheum, 2010, 41(9): 1564-1570.
13. Fransen M, Nairn L, Winstanley J, et al. Physical activity for osteoarthritis management: a randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes. Arthritis Rheum, 2007, 57(3): 407-414.
14. Tsai PF, Chang JY, Beck C, et al. A pilot cluster-randomized trial of a 20-week Tai Chi program in elders with cognitive impairment and osteoarthritic knee: effects on pain and other health outcomes. J Pain Symptom Manag, 2013, 45(4): 660.
15. Lee HJ, Park HJ, Chae Y, et al. Tai Chi Qigong for the quality of life of patients with knee osteoarthritis: a pilot, randomized, waiting list controlled trial. Clin Rehabil, 2009, 23(6): 504.
16. Cheung C, Wyman JF, Resnick B, et al. Yoga for managing knee osteoarthritis in older women: a pilot randomized controlled trial. BMC Complement Altern Med, 2014, 14(1): 160.
17. Bhatia D, Bejarano T, Novo M. Current interventions in the management of knee osteoarthritis. J Pharm Bio Sci, 2013, 5(1): 30.
18. Roddy E, Zhang W, Doherty M. Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review. Ann Rheum Dis, 2005, 64(4): 544.
19. Segal NA, Glass NA, Felson DT, et al. The effect of quadriceps strength and proprioception on risk for knee osteoarthritis. Scand J Med Sci Spor, 2010, 42(11): 2081.
20. Lucie B, Prinon R, Karine TA, et al. A systematic critical appraisal for non-pharmacological management of osteoarthritis using the appraisal of guidelines research and evaluation Ⅱ instrument. PloS One, 2014, 9(1): e82986.
21. Nelson AE, Allen KD, Golightly YM, et al. A systematic review of recommendations and guidelines for the management of osteoarthritis: The chronic osteoarthritis management initiative of the U.S. bone and joint initiative. Semin Arthritis Rheu, 2014, 43(6): 701.
22. Cohen D. Cochrane for clinicians: exercise for osteoarthritis of the knee. Am Fam Physician, 2015, 92(9): 774-775.
23. Tanaka R, Ozawa J, Kito N, et al. Efficacy of strengthening or aerobic exercise on pain relief in people with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials. Clin Rehabil, 2013, 27(12): 1059-1071.
24. O'Reilly SC, Muir KR, Doherty M. Effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomised controlled trial. Ann Rheum Dis, 1999, 58(1): 15-19.
25. Huang MH, Lin YS, Yang RC, et al. A comparison of various therapeutic exercises on the functional status of patients with knee osteoarthritis. Semin Arthritis Rheu, 2003, 32(6): 398.
26. Jan MH, Lin CH, Lin YF, et al. Effects of weight-bearing versus nonweight-bearing exercise on function, walking speed, and position sense in participants with knee osteoarthritis: a randomized controlled trial. Arch Phys Med Rehab, 2009, 90(6): 897-904.
27. Jenkinson CM, Doherty M, Avery AJ, et al. Effects of dietary intervention and quadriceps strengthening exercises on pain and function in overweight people with knee pain: randomised controlled trial. BMJ, 2009, 339(7721): 606.
28. Quilty B, Tucker M, Campbell R, et al. Physiotherapy, including quadriceps exercises and patellar taping, for knee osteoarthritis with predominant patello-femoral joint involvement: randomized controlled trial. J Rheumatol, 2003, 30(6): 1311-1317.
29. Thomas KS, Muir KR, Doherty M, et al. Home based exercise programme for knee pain and knee osteoarthritis: randomised controlled trial. BMJ, 2002, 325(7367): 752.
30. Bennell KL, Hunt MA, Wrigley TV, et al. Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomised controlled trial. Osteoarthr Cartilage, 2010, 18(5): 621.
31. DoiT, Akai M, Fujino K, et al. Effect of home exercise of quadriceps on knee osteoarthritis compared with nonsteroidal antiinflammatory drugs: a randomized controlled trial. Am J Phys Med Rehab, 2008, 87(4): 258.
32. Jorge RT, Souza MC, Chiari A, et al. Progressive resistance exercise in women with osteoarthritis of the knee: a randomized controlled trial. Clin Rehabil, 2015, 29(3): 234-243.
33. Salli A, Sahin N, Baskent A, et al. The effect of two exercise programs on various functional outcome measures in patients with osteoarthritis of the knee: a randomized controlled clinical trial. Isokinet Exerc Sci, 2010, 18(4): 201-209.
34. Lim BW, Hinman RS, Wrigley TV, et al. Does knee malalignment mediate the effects of quadriceps strengthening on knee adduction moment, pain, and function in medial knee osteoarthritis? A randomized controlled trial. Arthritis Rheum, 2008, 59(7): 943-951.
35. Ferguson B. ACSM’s guidelines for exercise testing and prescription 9th Ed. 2014. J Can Chiropr Assoc, 2014, 58(3): 328.
36. Péloquin L, Bravo G, Gauthier P, et al. Effects of a cross-training exercise program in persons with osteoarthritis of the knee a randomized controlled trial. J Clin Rheumatol, 1999, 5(3): 126.
37. Fransen M, Crosbie J, Edmonds J. Physical therapy is effective for patients with osteoarthritis of the knee: a randomized controlled clinical trial. J Rheumatol, 2001, 28(1): 156-164.
38. Hay EM, Foster NE, Thomas E, et al. Effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in people aged over 55 presenting to primary care: pragmatic randomised trial. BMJ, 2006, 333(7576): 995-998.
39. Deyle GD, Henderson NE, Matekel RL, et al. Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee. A randomized, controlled trial. Ann Intern Med, 2000, 132(3): 173.
40. Wang C, Bannuru R, Ramel J, et al. Tai Chi on psychological well-being: systematic review and meta-analysis. BMC Complem Altern Med, 2010, 10(1): 23.
41. Messier SP, Loeser RF, Miller GD, et al. Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: The arthritis, diet, and activity promotion trial. Arthritis Rheum, 2004, 50(5): 1501.
42. Slade SC, Dionne CE, Underwood M, et al. Consensus on exercise reporting template (CERT): a modified Delphi study. Brit J Sport Med, 2016, 96(10): 1514.

Chinese Journal of Evidence-Based Medicine

The interpretation of 2017 Ottawa panel clinical practice guideline for the exercise management of knee osteoarthritis

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