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Conservative treatment of knee osteoarthritis

Charlotte Allaeys, Nele Arnout (UGent) , Stefaan Van Onsem (UGent) , Kris Govaers and Jan Victor (UGent)
(2020) ACTA ORTHOPAEDICA BELGICA. 86(3). p.412-421
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Abstract
Osteoarthritis of the knee causes chronic knee pain, loss of function and disability in the ageing population. When no treatment is applied, a guaranteed onset of symptoms and/or structural damage can be observed in the diseased knee. This work reviewed the different published guidelines, proposing combinations of weight reduction, physical therapy and rehabilitation, self-management education programs and pharmacological treatment. Randomized clinical trials, systematic reviews and guidelines were identified using the databases PubMed and Web of Science. Specific journals and reference lists were investigated. Sixty high quality articles were included concerning the conservative treatment of knee osteoarthritis. Weight loss when BMI > 28kg/m(2); aerobic, proprioception and strengthening training; NSAIDs (ibuprofen, diclofenac, aceclofenac), IA corticosteroid and IA hyaluronic acid has the highest evidence. To achieve the greatest positive clinical and structural outcome, a combined conservative therapy is recom-mended.
Keywords
EXERCISE THERAPY, WEIGHT-LOSS, PHYSICAL-ACTIVITY, MANUAL THERAPY, OBESE-PATIENTS, OLDER-ADULTS, TAI-CHI, MANAGEMENT, EFFICACY, REHABILITATION, knee osteoarthritis, conservative, weight reduction, physical therapy, placebo, pharmacology, education, self-management

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Citation

Please use this url to cite or link to this publication:

MLA
Allaeys, Charlotte, et al. “Conservative Treatment of Knee Osteoarthritis.” ACTA ORTHOPAEDICA BELGICA, vol. 86, no. 3, 2020, pp. 412–21.
APA
Allaeys, C., Arnout, N., Van Onsem, S., Govaers, K., & Victor, J. (2020). Conservative treatment of knee osteoarthritis. ACTA ORTHOPAEDICA BELGICA, 86(3), 412–421.
Chicago author-date
Allaeys, Charlotte, Nele Arnout, Stefaan Van Onsem, Kris Govaers, and Jan Victor. 2020. “Conservative Treatment of Knee Osteoarthritis.” ACTA ORTHOPAEDICA BELGICA 86 (3): 412–21.
Chicago author-date (all authors)
Allaeys, Charlotte, Nele Arnout, Stefaan Van Onsem, Kris Govaers, and Jan Victor. 2020. “Conservative Treatment of Knee Osteoarthritis.” ACTA ORTHOPAEDICA BELGICA 86 (3): 412–421.
Vancouver
1.
Allaeys C, Arnout N, Van Onsem S, Govaers K, Victor J. Conservative treatment of knee osteoarthritis. ACTA ORTHOPAEDICA BELGICA. 2020;86(3):412–21.
IEEE
[1]
C. Allaeys, N. Arnout, S. Van Onsem, K. Govaers, and J. Victor, “Conservative treatment of knee osteoarthritis,” ACTA ORTHOPAEDICA BELGICA, vol. 86, no. 3, pp. 412–421, 2020.
@article{8697681,
  abstract     = {{Osteoarthritis of the knee causes chronic knee pain, loss of function and disability in the ageing population. When no treatment is applied, a guaranteed onset of symptoms and/or structural damage can be observed in the diseased knee. This work reviewed the different published guidelines, proposing combinations of weight reduction, physical therapy and rehabilitation, self-management education programs and pharmacological treatment. Randomized clinical trials, systematic reviews and guidelines were identified using the databases PubMed and Web of Science. Specific journals and reference lists were investigated. Sixty high quality articles were included concerning the conservative treatment of knee osteoarthritis. Weight loss when BMI > 28kg/m(2); aerobic, proprioception and strengthening training; NSAIDs (ibuprofen, diclofenac, aceclofenac), IA corticosteroid and IA hyaluronic acid has the highest evidence. To achieve the greatest positive clinical and structural outcome, a combined conservative therapy is recom-mended.}},
  author       = {{Allaeys, Charlotte and Arnout, Nele and Van Onsem, Stefaan and Govaers, Kris and Victor, Jan}},
  issn         = {{0001-6462}},
  journal      = {{ACTA ORTHOPAEDICA BELGICA}},
  keywords     = {{EXERCISE THERAPY,WEIGHT-LOSS,PHYSICAL-ACTIVITY,MANUAL THERAPY,OBESE-PATIENTS,OLDER-ADULTS,TAI-CHI,MANAGEMENT,EFFICACY,REHABILITATION,knee osteoarthritis,conservative,weight reduction,physical therapy,placebo,pharmacology,education,self-management}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{412--421}},
  title        = {{Conservative treatment of knee osteoarthritis}},
  volume       = {{86}},
  year         = {{2020}},
}
Web of Science
Times cited: