【摘 要】
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BACKGROUND AND OBJECTIVEKnee osteoarthritis (OA) isa major cause of musculoskeletal disability. The aims of treatment include decreased pain and improved function. A number of studies have suggested t
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BACKGROUND AND OBJECTIVEKnee osteoarthritis (OA) isa major cause of musculoskeletal disability. The aims of treatment include decreased pain and improved function. A number of studies have suggested that home exercise programs are effective in improving strength, reducing pain and improving function among patients with OA.This systematic review and meta-analysis was designed to clarify the effectiveness of home exercise programs for this disease.
METHODSA literature review was conducted for trials comparing home exercise programs with inpatient or outpatient physical therapy for patients with knee OA. Outcome measures of interest were pain and function. After review, 16 studies were selected for inclusion. Interventions used as home exercise programs included a combination of open and closed kinetic chain exercises. Three studies used muscle stretching and range of motion exercises, while four studies used balance exercises. One study used proprioception, cold compression, electrical stimulation and tai chi.
RESULTSA meta-analysis demonstrated that most trestments resulted in significant improvement in pain compared with no intervention. In addition, most studies demonstrated significant improvement in function with intervention, as compared with no treatment (P<0.001).
CONCLUSIONThis literature review and meta-analysis concluded that home exercise programs can reduce pain and improve function among patients with knee osteoarthritis.
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