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The Ottawa Panel clinical practice guidelines for the management of knee osteoarthritis. Part one: introduction, and mind-body exercise programs [with consumer summary]
Brosseau L, Taki J, Desjardins B, Thevenot O, Fransen M, Wells GA, Imoto AM, Toupin-April K, Westby M, Gallardo ICA, Gifford W, Laferriere L, Rahman P, Loew L, de Angelis G, Cavallo S, Shallwani SM, Aburub A, Bennell KL, can der Esch M, Simic M, McConnell S, Harmer A, Kenny GP, Paterson G, Regnaux J-P, Lefevre-Colau M-M, McLean L [Ottawa Panel]
Clinical Rehabilitation 2017 May;31(5):582-595
practice guideline

OBJECTIVE: To identify effective mind-body exercise programs and provide clinicians and patients with updated, high-quality recommendations concerning non-traditional land-based exercises for knee osteoarthritis. METHODS: A systematic search and adapted selection criteria included comparative controlled trials with mind-body exercise programs for patients with knee osteoarthritis. A panel of experts reached consensus on the recommendations using a Delphi survey. A hierarchical alphabetical grading system (A, B, C+, C, D, D+, D-) was used, based on statistical significance (p < 0.5) and clinical importance (15% improvement). RESULTS: The four high-quality studies identified demonstrated that various mind-body exercise programs are promising for improving the management of knee osteoarthritis. Hatha Yoga demonstrated significant improvement for pain relief (grade B) and physical function (grade C+). Tai Chi Qigong demonstrated significant improvement for quality of life (grade B), pain relief (grade C+) and physical function (grade C+). Sun style Tai Chi gave significant improvement for pain relief (grade B) and physical function (grade B). CONCLUSION: Mind-body exercises are promising approaches to reduce pain, as well as to improve physical function and quality of life for individuals with knee osteoarthritis.

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