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The Ottawa Panel clinical practice guidelines for the management of knee osteoarthritis. Part three: aerobic exercise programs [with consumer summary]
Brosseau L, Taki J, Desjardins B, Thevenot O, Fransen M, Wells GA, Mizusaki Imoto A, Toupin-April K, Westby M, Alvarez Gallardo IC, Gifford W, Laferriere L, Rahman P, Loew L, de Angelis G, Cavallo S, Shallwani SM, Aburub A, Bennell KL, van 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):612-624
practice guideline

OBJECTIVES: To identify effective aerobic exercise programs and provide clinicians and patients with updated, high-quality recommendations concerning traditional land-based exercises for knee osteoarthritis. METHODS: A systematic search and adapted selection criteria included comparative controlled trials with strengthening 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+, or D-) was used, based on statistical significance (p < 0.5) and clinical importance (15% improvement). RESULTS: The five high-quality studies included demonstrated that various aerobic training exercises are generally effective for improving knee osteoarthritis within a 12-week period. An aerobic exercise program demonstrated significant improvement for pain relief (grade B), physical function (grade B) and quality of life (grade C+). Aerobic exercise in combination with strengthening exercises showed significant improvement for pain relief (3 grade A) and physical function (2 grade A, 2 grade B). CONCLUSION: A short-term aerobic exercise program with/without muscle strengthening exercises is promising for reducing pain, improving physical function and quality of life for individuals with knee osteoarthritis.

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