Do exercise and self-management interventions benefit patients with osteoarthritis of the knee? A metaanalytic review

J Rheumatol. 2006 Apr;33(4):744-56.

Abstract

Objective: Osteoarthritis (OA) is the most prevalent health condition among seniors and it causes significant pain and disability. We assessed the influence of patient education and exercise regimens on the well-being of patients with knee OA.

Methods: A metaanalysis was conducted on 16 studies reporting exercise and/or self-management interventions for patients with knee OA. The effects on physical and psychological well-being were assessed immediately after the interventions.

Results: Compared to control conditions, exercise regimens led to improvement in physical health (by self-report and direct measures) and in overall impact of OA. Perceived psychological health remained unchanged by the exercise programs. Although the effect sizes for the self-management programs were significant for psychological outcomes and for the overall effect of OA, there was a significant difference between self-management and control groups only in psychological outcomes.

Conclusion: Overall, both patient education and exercise regimens had a modest, yet clinically important, influence on patients' well-being.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Disability Evaluation
  • Exercise* / physiology
  • Exercise* / psychology
  • Health Status*
  • Humans
  • MEDLINE
  • Osteoarthritis, Knee* / physiopathology
  • Osteoarthritis, Knee* / psychology
  • Osteoarthritis, Knee* / rehabilitation
  • Physical Fitness* / physiology
  • Physical Fitness* / psychology
  • Prognosis
  • Quality of Life
  • Self Care / methods*
  • Treatment Outcome