01656nas a2200181   4500000000100000008004100001653001900042653001100061653000800072653001500080100001500095700001700110700001200127245009600139300001200235490000700247520122000254       2002                            d10aOsteoarthritis10aJoints10ahip10aKnee joint1 aFransen M.1 aMcConnell S.1 aBell M.00aTherapeutic exercise for people with osteoarthritis of the hip or knee. A systematic review  a1737-450 v293 a<p>
OBJECTIVE: To determine whether land based therapeutic exercise is beneficial for people with osteoarthritis (OA) of the hip or knee in terms of reduced joint pain, improved physical function, and/or the patient's global assessment of therapeutic effectiveness. METHODS: Five databases were searched for randomized clinical trials. Standardized mean differences (SMD) with their 95% confidence intervals (CI) were calculated for each study and then combined using a fixed effects model. RESULTS: Only 2 studies, totaling about 100 participants, could potentially provide data on people with hip OA. Fourteen studies provided data on 1633 participants with knee OA. Nine of these studies were considered of high methodological quality. For pain, combining the results revealed a mean moderate beneficial effect (SMD 0.46, 95% Cl 0.35, 0.57), while for self-reported physical function a mean small beneficial effect (SMD 0.33, 95% CI 0.23, 0.43) was found. These results appeared to be sensitive to blinding of outcome assessor and choice of control group. CONCLUSION: Land based therapeutic exercise was shown to reduce pain and improve physical function for people with OA of the knee. [References: 48]
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