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Practice guidelines for knee osteoarthritis

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https://www.readbyqxmd.com/read/30539541/a-new-decision-tree-for-diagnosis-of-osteoarthritis-in-primary-care-international-consensus-of-experts
#1
Johanne Martel-Pelletier, Emmanuel Maheu, Jean-Pierre Pelletier, Ludmila Alekseeva, Ouafa Mkinsi, Jaime Branco, Pierre Monod, Frédéric Planta, Jean-Yves Reginster, François Rannou
BACKGROUND AND AIMS: Although osteoarthritis (OA) is managed mainly in primary care, general practitioners (GPs) are not always trained in its diagnosis, which leads to diagnostic delays, unnecessary resource utilization, and suboptimal patient outcomes. METHODS: To address this situation, an International Rheumatologic Board (IRB) of 8 experts from 3 continents developed guidelines for the diagnosis of OA in primary care. The focus was three major topologies: hip, knee, and hand/finger OA...
December 11, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/30531239/intra-articular-corticosteroid-injections-for-symptomatic-knee-osteoarthritis-what-the-orthopaedic-provider-needs-to-know
#2
Cody L Martin, James A Browne
Intra-articular corticosteroid injections have been used for decades in the management of symptomatic osteoarthritis of the knee and remain a common practice. The pain relief from a steroid injection is thought to work by reducing inflammation within the arthritic knee. Substantial variability remains among providers with regard to the technique used to perform the procedure, including the site of the injection, the medications injected, and the level of sterility. The success of steroid injections in relieving arthritic knee pain most often occurs in the short term...
December 5, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30473606/prosthetic-foot-selection-for-individuals-with-lower-limb-amputation-a-clinical-practice-guideline
#3
Phillip M Stevens, John Rheinstein, Shane R Wurdeman
Introduction: This guideline was developed to present current evidence and to provide associated clinical recommendations on prosthetic foot selection for individuals with lower-limb amputation. Materials: NA. Methods: The guideline is based upon the best available evidence as it relates prosthetic foot selection during the provision of definitive lower-limb prostheses. Where possible, recommendations are drawn from Cochrane Review, meta-analysis, systematic and narrative literature reviews, and published evidence-based guidelines...
October 2018: Journal of Prosthetics and Orthotics: JPO
https://www.readbyqxmd.com/read/30409034/french-validation-of-the-arthritis-self-efficacy-scale-and-further-psychometric-properties-exploration-among-168-people-with-osteoarthritis
#4
Loïc Bareyre, Chloé Gay, Nicolas Coste, Armand Bonnin, Bruno Pereira, Emmanuel Coudeyre
OBJECTIVE: To validate the Arthritis Self-Efficacy Scale-French version (ASES-F) of the ASES questionnaire designed to evaluate self-efficacy in arthritis population and to confirm its psychometric properties. DESIGN: The translation/back-translation procedure was done in line with cross-cultural adaptation international guidelines. Prospective multicenter validation was performed on 168 patients with osteoarthritis who filled out the ASES-F. Function subscale of the Western Ontario and McMaster Universities Arthritis Index, Hospital Anxiety and Depression (HAD), Knee Osteoarthritis Fears and Beliefs Questionnaire, and pain on visual analog scale were collected...
November 9, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30397549/effectiveness-of-telephone-based-interventions-for-managing-osteoarthritis-and-spinal-pain-a-systematic-review-and-meta-analysis
#5
Kate M O'Brien, Rebecca K Hodder, John Wiggers, Amanda Williams, Elizabeth Campbell, Luke Wolfenden, Sze Lin Yoong, Flora Tzelepis, Steven J Kamper, Christopher M Williams
Background: Osteoarthritis and spinal pain are common and burdensome conditions; however, the majority of patients with these conditions do not receive care that is consistent with clinical practice guidelines. Telehealth models of care have the potential to improve care for osteoarthritis and spinal pain patients. The aim of this review was to assess the effectiveness of verbal real-time telehealth interventions, including telephone-based and videoconferencing interventions to reduce pain intensity and disability in patients with osteoarthritis of the knee or hip and spinal pain (back or neck pain)...
2018: PeerJ
https://www.readbyqxmd.com/read/30326906/efficacy-of-self-management-exercise-program-with-spa-therapy-for-behavioral-management-of-knee-osteoarthritis-research-protocol-for-a-quasi-randomized-controlled-trial-geet-one
#6
Chloe Gay, Candy Guiguet-Auclair, Bruno Pereira, Anna Goldstein, Loïc Bareyre, Nicolas Coste, Emmanuel Coudeyre
BACKGROUND: Osteoarthritis (OA) is not limited to joint pain and stiffness, which can lead to disability; it is also linked to comorbidities such as overweight, obesity and fears and beliefs related to the pathology. The knee OA population appears more affected by these risk factors and has a lower physical activity (PA) level than the general population. The key challenge for OA treatment is increasing the PA level to decrease the risk factors. METHODS: We aim to perform a prospective, multicentric, quasi-randomized controlled trial with an alternate-month design (1-month periods)...
October 16, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/30286316/body-weight-support-through-a-walking-cane-in-inexperienced-users-with-knee-osteoarthritis
#7
Julia Hart, Michelle Hall, Tim V Wrigley, Charlotte J Marshall, Kim L Bennell
BACKGROUND: Walking canes are a self-management strategy recommended for people with knee osteoarthritis (OA) by clinical practice guidelines. Ensuring that an adequate amount of body-weight support (%BWS) is taken through the walking cane is important as this reduces measures of knee joint loading. RESEARCH QUESTION: 1) How much body weight support do people with knee OA place through a cane? 2) Do measures of body weight support increase following a brief simple training session? METHODS: Seventeen individuals with knee pain who had not used a walking cane before were recruited...
January 2019: Gait & Posture
https://www.readbyqxmd.com/read/30251101/determination-of-normal-koos-and-womac-values-in-a-healthy-population
#8
Vincent Marot, Jérôme Murgier, Alessandro Carrozzo, Nicolas Reina, Edoardo Monaco, Philippe Chiron, Emilie Berard, Etienne Cavaignac
PURPOSE: The KOOS questionnaire is used to assess the symptoms and function of patients with traumatic or degenerative knee pathology. The WOMAC score has been validated mainly in the context of knee osteoarthritis. The distribution of these scores in a non-diseased population is not known. The hypothesis was that KOOS and WOMAC scores were influenced by patients' age, sex, and BMI. The primary objective of this study was to describe, for the first time, the distribution of KOOS and WOMAC scores in a healthy population based on age, sex, and BMI...
September 24, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/30248500/poor-replicability-of-recommended-exercise-interventions-for-knee-osteoarthritis-a-descriptive-analysis-of-evidence-informing-current-guidelines-and-recommendations
#9
REVIEW
C Bartholdy, S M Nielsen, S Warming, D J Hunter, R Christensen, M Henriksen
OBJECTIVE: To examine the reporting completeness of exercise-based interventions for knee osteoarthritis (OA) in studies that forms the basis of current clinical guidelines, and examine if the clinical benefit (pain and disability) from exercise is associated with the intervention reporting completeness. DESIGN: Review of clinical OA guidelines METHODS: We searched MEDLINE and EMBASE for guidelines published between 2006 and 2016 including recommendations about exercise for knee OA...
September 22, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/30146747/evidence-based-guidelines-for-intra-articular-injection-in-knee-osteoarthritis-formulating-and-evaluating-research-questions
#10
Dan Xing, Qi Wang, Ziyi Yang, Yunfei Hou, Wei Zhang, Yaolong Chen, Jianhao Lin
OBJECTIVE: To formulate and evaluate clinical questions about intra-articular injection for knee osteoarthritis in developing clinical practice guidelines and to introduce a new methodology for framing relevant questions. METHODS: We framed the clinical questions and evaluated the importance of these questions according to the following four steps: (a) first round questionnaire survey intended to get the clinical questions from doctors; (b) evaluating importance of questions via second round questionnaire survey intended to summarize and rank the clinical questions; (c) consensus conference was conducted by clinical and methodological experts; and (d) confirm the important clinical questions according to PICO (Patients, Intervention, Comparison and Outcomes) principles...
August 2018: International Journal of Rheumatic Diseases
https://www.readbyqxmd.com/read/30131064/individuals-with-mild-to-moderate-hip-osteoarthritis-have-lower-limb-muscle-strength-and-volume-deficits
#11
Aderson Loureiro, Maria Constantinou, Laura E Diamond, Belinda Beck, Rod Barrett
BACKGROUND: Individuals with advanced hip osteoarthritis (OA) exhibit generalized muscle weakness of the affected limb and so clinical practice guidelines recommend strength training for the management of hip OA. However, the extent and pattern of muscle weakness, including any between-limb asymmetries, in early stages of the disease are unclear. This study compared hip and knee muscle strength and volumes between individuals with mild-to-moderate symptomatic and radiographic hip OA and a healthy control group...
August 21, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/30086780/improving-physical-activity-pain-and-function-in-patients-waiting-for-hip-and-knee-arthroplasty-by-combining-targeted-exercise-training-with-behaviour-change-counselling-study-protocol-for-a-randomised-controlled-trial
#12
Jane O'Brien, Kyra Hamilton, Andrew Williams, James Fell, Jonathan Mulford, Michael Cheney, Sam Wu, Marie-Louise Bird
BACKGROUND: Osteoarthritis often results in prolonged periods of reduced physical activity and is associated with adverse health outcomes, including increased risk of cardiovascular and metabolic diseases. Exercise interventions for patients on the waiting list for arthroplasty can reduce the risk of long-term adverse outcomes by increasing activity levels. However, uptake and ongoing positive rates of physical activity in this population are low and the impact of pre-operative behaviour counselling on exercise is not known...
August 7, 2018: Trials
https://www.readbyqxmd.com/read/30072113/why-we-should-definitely-include-intra-articular-hyaluronic-acid-as-a-therapeutic-option-in-the-management-of-knee-osteoarthritis-results-of-an-extensive-critical-literature-review
#13
REVIEW
Emmanuel Maheu, Raveendhara R Bannuru, Gabriel Herrero-Beaumont, Fadoua Allali, Hervé Bard, Alberto Migliore
OBJECTIVES: There is a discrepancy between evidence in support of the widespread use of intra-articular hyaluronic acid (IAHA) to treat knee osteoarthritis (OA) in clinical practice, and the often discordant recommendations from multiple international guideline committees, which requires further investigation. METHODS: We conducted a literature review to determine the strength of evidence in support of the efficacy and safety of IAHA, from randomized controlled trials and meta-analyses...
June 19, 2018: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/30053843/construction-of-an-adherence-rating-scale-for-exercise-therapy-for-patients-with-knee-osteoarthritis
#14
Jianji Wang, Long Yang, Qingjun Li, Zhanyu Wu, Yu Sun, Qiang Zou, Xuanze Li, Zhe Xu, Chuan Ye
BACKGROUND: Knee osteoarthritis (KOA) is one of the most common chronic diseases in the elderly and is the primary cause of the loss of motor function and disability in this population. Exercise therapy is a core, basic and matureand treatment method of treating patients with KOA. Exercise therapy is "strongly recommended" or "recommended" in the diagnosis and treatment guidelines of osteoarthritis in many countries, and most scholars advocate exercise therapy as the preferred rehabilitation method for KOA patients...
July 27, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29972025/eurovisco-guidelines-for-the-design-and-conduct-of-clinical-trials-assessing-the-disease-modifying-effect-of-knee-viscosupplementation
#15
Yves Henrotin, Xavier Chevalier, Raghu Raman, Pascal Richette, Jordi Montfort, Jörg Jerosch, Dominique Baron, Hervé Bard, Yannick Carrillon, Alberto Migliore, Thierry Conrozier
Objectives Hyaluronic acid viscosupplementation is a commonly used intra-articular treatment for osteoarthritis (OA). Some recent preclinical and clinical trials have demonstrated a potential for its disease-modifying effects. The goal of this expert opinion, consensus-driven exercise is to provide guidelines for the design and conduct of clinical trials assessing the disease-modifying effect of viscosupplementation in the knee. Methods The EUROVISCO group constitutes 10 members who had expertise in clinical research methodology in the field of OA and viscosupplementation...
July 1, 2018: Cartilage
https://www.readbyqxmd.com/read/29953841/occupational-therapy-interventions-for-adults-with-musculoskeletal-conditions
#16
Debbie Amini, Deborah Lieberman, Elizabeth Hunter
Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice Project. In this Evidence Connection article, we describe a case report of a person who underwent a total knee replacement due to severe osteoarthritis of his left knee. The occupational therapy assessment and intervention process both before and after surgery in the home setting is described. Findings from the systematic review (Dorsey & Bradshaw, 2017) on this topic were published in the January/February 2017 issue of the American Journal of Occupational Therapy and in AOTA's Occupational Therapy Practice Guidelines for Adults With Musculoskeletal Conditions...
July 2018: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/29920972/physical-activity-intervention-in-primary-care-and-rheumatology-for-the-management-of-knee-osteoarthritis-a-review
#17
Esther Waugh, Lauren King, Natasha Gakhal, Gillian Hawker, Fiona Webster, Daniel White
Physical activity (PA) is recommended by osteoarthritis (OA) international organizations as an essential component of first-line management of knee OA. Primary care physicians (PCP) and rheumatologists can play a key role in promoting PA but the extent that PA recommendation is occurring in primary and rheumatology care is unclear. This review provides an overview of current practice of PCP- and rheumatology-delivered PA intervention in the United States, Canada and Europe for the management of knee OA and explores barriers to implementing PA intervention in primary and rheumatology care...
June 19, 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/29891466/development-of-a-tailored-intervention-with-computerized-clinical-decision-support-to-improve-quality-of-care-for-patients-with-knee-osteoarthritis-multi-method-study
#18
Stijn Van de Velde, Tiina Kortteisto, David Spitaels, Gro Jamtvedt, Pavel Roshanov, Ilkka Kunnamo, Bert Aertgeerts, Per Olav Vandvik, Signe Flottorp
BACKGROUND: Clinical practice patterns greatly diverge from evidence-based recommendations to manage knee osteoarthritis conservatively before resorting to surgery. OBJECTIVE: This study aimed to tailor a guideline-based computerized decision support (CDS) intervention that facilitates the conservative management of knee osteoarthritis. METHODS: Experts with backgrounds in clinical medicine, research, implementation, or health informatics suggested the most important recommendations for implementation, how to develop an implementation strategy, and how to form the CDS algorithms...
June 11, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29788253/effectiveness-of-a-blended-physical-therapist-intervention-in-people-with-hip-osteoarthritis-knee-osteoarthritis-or-both-a-cluster-randomized-controlled-trial
#19
Corelien J J Kloek, Daniël Bossen, Peter M Spreeuwenberg, Joost Dekker, Dinny H de Bakker, Cindy Veenhof
Background: Integrating physical therapy sessions and an online application (e-Exercise) might support people with hip osteoarthritis (OA), knee OA, or both (hip/knee OA) in taking an active role in the management of their chronic condition and may reduce the number of physical therapy sessions. Objective: The objective of this study was to investigate the short- and long-term effectiveness of e-Exercise compared to usual physical therapy in people with hip/knee OA...
July 1, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29762277/impact-of-clinical-practice-guidelines-on-use-of-intra-articular-hyaluronic-acid-and-corticosteroid-injections-for-knee-osteoarthritis
#20
Nicholas A Bedard, David E DeMik, Natalie A Glass, Robert A Burnett, Kevin J Bozic, John J Callaghan
BACKGROUND: The efficacy of corticosteroid and hyaluronic acid injections for knee osteoarthritis has been questioned. The purpose of this study was to determine the impact of the American Academy of Orthopaedic Surgeons (AAOS) clinical practice guidelines on the use of these injections in the United States and determine if utilization differed by provider specialty. METHODS: Patients with knee osteoarthritis were identified within the Humana database from 2007 to 2015, and the percentage of patients receiving a knee injection relative to the number of patients having an encounter for knee osteoarthritis was calculated and was trended for the study period...
May 16, 2018: Journal of Bone and Joint Surgery. American Volume
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