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Physiotherapy management of lower limb osteoarthritis

Walsh, Nicola E.; Pearson, Jennifer; Healey, Emma L.

Authors

Nicola E. Walsh

Jennifer Pearson



Abstract

Background
Osteoarthritis (OA) of the lower limb affects millions of people worldwide, and results in pain and reduced function. We reviewed guidelines and Cochrane reviews for physical therapy interventions to manage the condition.

Sources of data
Evidence from meta-analyses and systematic reviews was included. We also identified the recommendations from guidelines relevant to practice in the UK.

Areas of agreement
There is strongest evidence to support the use of exercise to improve pain, function and quality of life.

Areas of controversy
There is limited evidence to support the use of some commonly utilized physiotherapy interventions. National Institute for Health and Clinical Excellence do not recommend the use of acupuncture.

Growing points
Programmes that include single exercise type may be more beneficial than combined strengthening and aerobic interventions.

Areas timely for developing research
Further research is required to determine how to facilitate long-term engagement with exercise to sustain the beneficial effects on pain, function and quality of life. Studies that investigate packages of care, combining interventions require further investigation.

Citation

Walsh, N. E., Pearson, J., & Healey, E. L. (2017). Physiotherapy management of lower limb osteoarthritis. British Medical Bulletin, 122(1), 151-161. https://doi.org/10.1093/bmb/ldx012

Journal Article Type Article
Acceptance Date Apr 10, 2017
Online Publication Date May 3, 2017
Publication Date 2017-06
Deposit Date Dec 4, 2023
Journal British Medical Bulletin
Print ISSN 0007-1420
Electronic ISSN 1471-8391
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 122
Issue 1
Pages 151-161
DOI https://doi.org/10.1093/bmb/ldx012
Keywords General Medicine