Physical therapies in the management of osteoarthritis: current state of the evidence

Kim L Bennell; Rachelle Buchbinder; Rana S Hinman

Journal article

Physical therapies in the management of osteoarthritis: current state of the evidence

Kim L Bennell, Rachelle Buchbinder, Rana S Hinman

CURRENT OPINION IN RHEUMATOLOGY | LIPPINCOTT WILLIAMS & WILKINS | Published : 2015

DOI: 10.1097/BOR.0000000000000160

Abstract

PURPOSE OF REVIEW: This review considers the role of physical therapies in osteoarthritis management, highlighting key findings from systematic reviews and randomized controlled trials published in the last 2 years. RECENT FINDINGS: Three new trials question the role of manual therapy for hip and knee osteoarthritis. No between-group differences in outcome were detected between a multimodal programme including manual therapy and home exercise, and placebo in one trial; a second trial found no benefit of adding manual therapy to an exercise programme, while a third trial reported marginal benefits over usual care that were of doubtful importance. Recent trials have also found no or uncertain ..

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University of Melbourne Researchers

Kim Bennell Author Physiotherapy

Rana Hinman Author Physiotherapy

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Grants

Awarded by National Health & Medical Research Council (NHMRC)

Awarded by NHMRC

Awarded by Australian Research Council

Funding Acknowledgements

K.L.B. is supported by a National Health & Medical Research Council (NHMRC) Principal Research Fellowship (#1058440), R.B. is supported by an NHMRC Senior Principal Research Fellowship (#1082138) and R.S.H. by an Australian Research Council Future Fellowship (FT130100175). K.L.B. holds a current NHMRC programme grant investigating musculoskeletal conditions (#631717), R.B. holds a current Arthritis Australia grant to develop a standardized method for reporting exercise programmes and R.S.H. holds a current NHMRC project grant for a clinical trial evaluating footwear for osteoarthritis (#1044396). K.L.B. and R.S.H. also hold a grant from Physitrack investigating adherence to exercise.