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Exercise beneficial for knee arthritis

Both aerobic walking and quadriceps strengthening exercises are equally effective at reducing pain and disability associated with osteoarthritis.

Exercise beneficial for knee arthritis

Both aerobic walking and quadriceps strengthening exercises are equally effective at reducing pain and disability associated with osteoarthritis of the knee.Guidelines for the management of knee osteoarthritis emphasise the central role of exercise but little data is available on the relative value of aerobic exercise versus strengthening exercises. Researchers from Nottingham City Hospital reviewed existing studies that compared aerobic walking or quadriceps strengthening with non-exercise control treatments. Of the 35 trials identified, 13 met inclusion criteria and had data suitable for analysis. It was found that both forms of exercise proved effective at curbing pain and disability. No advantage of one form of exercise over the other was found on indirect comparison of pooled data. Although no clear winner emerged between the two interventions, it is important to note that both are effective treatments for knee osteoarthritis.

Adherence is a major predictor of response to exercise, the researchers added and offering patients the choice between two effective interventions has the potential to improve adherence and hence the outcome. Nevertheless, further research is needed to determine the relative merits of aerobic and strengthening exercises.
Annals of Rheumatic Disease,
March 2005


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