The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part one: introduction, and mind-body exercise programs

Clin Rehabil. 2017 May;31(5):582-595. doi: 10.1177/0269215517691083. Epub 2017 Feb 9.


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.

Keywords: Therapeutic exercise; clinical practice guideline; knee osteoarthritis; management; mind-body exercises; recommendations; rehabilitation; rheumatology; systematic review.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Evidence-Based Medicine*
  • Exercise Therapy / methods
  • Exercise Therapy / standards*
  • Humans
  • Mind-Body Therapies / methods
  • Mind-Body Therapies / standards*
  • Muscle Strength / physiology
  • Osteoarthritis, Knee / rehabilitation*
  • Pain Management / methods*
  • Practice Guidelines as Topic