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Non‐pharmacological approaches to managing arthritis
Author(s) -
March Lyn M,
Stenmark Judy
Publication year - 2001
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2001.tb143844.x
Subject(s) - medicine , osteoarthritis , physical therapy , quality of life (healthcare) , placebo , rheumatoid arthritis , arthritis , randomized controlled trial , aerobic exercise , clinical trial , alternative medicine , nursing , pathology
KEY EVIDENCE Aerobic and resistance exercises can reduce pain and improve function and quality of life in osteoarthritis. Exercise is safe and effective in the elderly. (E1 — see below for key to level‐of‐evidence codes.) Ettinger WH, Burns R, Messier SP, et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis: the Fitness, Arthritis and Seniors Trial (FAST). JAMA 1997; 277: 25‐31. Petrella RJ, Bartha C. Home based exercise therapy for older patients with knee osteoarthritis: a randomized clinical trial. J Rheumatol 2000; 27: 2215‐2221. Glucosamine and/or chondroitin provide reduction in pain and stiffness in osteoarthritis when compared with placebo and may result in long‐term slowing of disease progression. Further long‐term trials are needed. (E2) McAlindon TE, LaValley MP, Gulin JP, Felson DT Glucosamine and chondroitin for treatment of osteoarthritis: a systematic quality assessment and meta‐analysis. JAMA 2000; 283: 1469‐1475. Reginster JY, Deroisy R, Rovati LC, et al. Long‐term effects of glucosamine sulphate on osteoarthritis progression: a randomised, placebo‐controlled clinical trial. Lancet 2001; 357: 251‐256. Patient education and self‐management programs, as offered by the Arthritis Foundation of Australia, are cost‐effective and may result in reduced pain, improved quality of life, improved exercise compliance and reduced health services utilisation. (E2) Superio‐Cabuslay E, Ward MM, Lorig KR. Patient education interventions in osteoarthritis and rheumatoid arthritis: a meta‐analytic comparison with nonsteroidal antiinflammatory drug treatment. Arthritis Care Research 1996; 9: 292‐301.