Effects of Exercise and Physical Activity on Knee Osteoarthritis

被引:72
作者
Esser, Stephan [2 ]
Bailey, Allison [1 ]
机构
[1] Harvard Univ, Sch Med, Dept Phys Med & Rehabil, Spaulding Medford Rehabil Ctr, Medford, MA 02155 USA
[2] Harvard Univ, Sch Med, Dept Phys Med & Rehabil, Spaulding Rehabil Hosp, Boston, MA 02114 USA
关键词
Pain; Arthritis; Knee osteoarthritis; Exercise; Physical activity; Quadriceps strength; Weight management; Weight loss; Diet; Traumatic injury; Cycling; Aerobics; Cardiovascular exercise; Therapy; RANDOMIZED CONTROLLED-TRIAL; LAND-BASED EXERCISE; OBESE OLDER-ADULTS; ARTICULAR-CARTILAGE; WEIGHT-LOSS; FUNCTIONAL LIMITATIONS; GENERAL-POPULATION; SOCCER PLAYERS; TAI-CHI; RISK;
D O I
10.1007/s11916-011-0225-z
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Exercise is one of the most discussed and controversial nonpharmacologic management strategies for osteoarthritis (OA) of the knee. Health care providers and patients share varied and often pseudoscientific beliefs regarding the effects of exercise on knee OA formulated on outdated notions of the etiology, pathophysiology, and progression of the condition. Based on the contemporary literature, regular light to moderate physical activity has both preventive and therapeutic benefits for individuals with knee OA. Exercise regimens with strong evidence of benefit include those that focus on aerobic/cardiovascular conditioning and lower extremity strength training. Health care providers should confidently incorporate exercise recommendations into clinical management and offer patients evidence-based and individually tailored exercise prescriptions to help manage the painful and often disabling symptoms of this condition.
引用
收藏
页码:423 / 430
页数:8
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