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Exercise therapy best for knee pain
October 21, 2009Research: Supervised exercise therapy vs. usual care for patellofemoral pain syndrome: an open label randomized controlled trial
For patients with severe knee pain, supervised exercise therapy is more effective at reducing pain and improving function than usual care, finds a study published on bmj.com today.
Patellofemoral pain syndrome is a condition in which pain occurs at the front of the knee during or after exercise and is a common reason to visit the doctor. Women are more likely to be affected than men, and symptoms usually start during adolescence when participation in sporting activities is high.
General advice is to rest during periods of pain and to avoid pain provoking activities. This "wait and see" approach is considered usual care.
A recent study reported only limited evidence for the effectiveness of exercise therapy with respect to pain reduction, while there is conflicting evidence with respect to functional improvement.
So researchers based in the Netherlands investigated the effectiveness of supervised exercise therapy compared with usual care in 131 patients aged between 14 and 40 years with patellofemoral pain syndrome.
A total of 131 participants were included in the study, 65 to a supervised exercise program (intervention group) and 66 to usual care (control group). Both groups received similar written information about the syndrome and similar instructions for home exercises, as well as advice to refrain from painful activities.
Patients rated their recovery, pain at rest, pain on activity, and function scores at the start of the study and again at three and 12 months.
After three months, the intervention group reported significantly less pain and better function than the control group. At 12 months, the intervention group continued to show better outcomes than the control group with regard to pain at rest and pain on activity, but not function.
A higher proportion of patients in the exercise group than in the control group reported recovery (42% v 35% at three months and 62% v 51% at 12 months), but these results were not significantly different between the two groups.
This study provides evidence that supervised exercise therapy for patellofemoral pain syndrome in general practice is more effective than usual care for pain at rest, pain on activity, and function at three and 12 months, say the authors. However, supervised exercise therapy had no effect on perceived recovery.
Further research is needed to understand how exercise therapy results in better outcome, they conclude.
BMJ-British Medical Journal
General advice is to rest during periods of pain and to avoid pain provoking activities. This "wait and see" approach is considered usual care.
A recent study reported only limited evidence for the effectiveness of exercise therapy with respect to pain reduction, while there is conflicting evidence with respect to functional improvement.
So researchers based in the Netherlands investigated the effectiveness of supervised exercise therapy compared with usual care in 131 patients aged between 14 and 40 years with patellofemoral pain syndrome.
A total of 131 participants were included in the study, 65 to a supervised exercise program (intervention group) and 66 to usual care (control group). Both groups received similar written information about the syndrome and similar instructions for home exercises, as well as advice to refrain from painful activities.
Patients rated their recovery, pain at rest, pain on activity, and function scores at the start of the study and again at three and 12 months.
After three months, the intervention group reported significantly less pain and better function than the control group. At 12 months, the intervention group continued to show better outcomes than the control group with regard to pain at rest and pain on activity, but not function.
A higher proportion of patients in the exercise group than in the control group reported recovery (42% v 35% at three months and 62% v 51% at 12 months), but these results were not significantly different between the two groups.
This study provides evidence that supervised exercise therapy for patellofemoral pain syndrome in general practice is more effective than usual care for pain at rest, pain on activity, and function at three and 12 months, say the authors. However, supervised exercise therapy had no effect on perceived recovery.
Further research is needed to understand how exercise therapy results in better outcome, they conclude.
BMJ-British Medical Journal
Exercise Therapy Current Events and Exercise Therapy News RSSResearch proves tai chi benefits for arthritis
A new study by The George Institute for International Health has found Tai Chi to have positive health benefits for musculoskeletal pain.
Supervised exercise therapy can lead to improvements in COPD symptoms
Those suffering from chronic obstructive pulmonary disease (COPD) often complain that exercise is too exhausting and leaves them breathless.
Alexander technique offers long-term relief for back pain
Alexander technique lessons in combination with an exercise programme offer long-term effective treatment for chronic back pain, according to a study published on BMJ.com today.
New Treatment Guidelines For Low Back Pain
A summary of evidence on the diagnosis and treatment of low-back pain has prompted the American Pain Society (ASP) and the American College of Physicians (ACP) to issue a new treatment guideline.
Tai Chi, exercise therapy and acupuncture: Effective health care interventions?
Welcome to the News Alert newsletter for The Cochrane Library. The Cochrane Library Issue 3 of 2004 is published this week by Wiley, and this newsletter highlights some of the key health care conclusions reached by new Cochrane reviews and their implications for practice. This newsletter highlights a selection of the most interesting and relevant new reviews in this issue of The Library. If you would like to see these reviews or any other Cochrane reviews, are interested in contacting the authors for comment, or have any other questions about this newsletter, please contact Jaida Harris on +44 (0)1243 770674 or by email jharris@wiley.co.uk. Highlights of the new Issue: o Benefits from die
University of Ulster Innovation Aids Cystic Fibrosis Patients Worldwide
A new exercise technique developed by a University of Ulster physiotherapist is helping cystic fibrosis (CF) sufferers worldwide. The new exercise measuring technique, pioneered by Dr Judy Bradley, a lecturer/practitioner in physiotherapy at the University' of Ulster, is to be discussed by Europe's top clinicians and researchers at a conference in Belfast next month. Called the 'Modified Shuttle Test,' Dr Bradley's technique measures cystic fibrosis patients' capacity to undertake exercise, thereby enabling more effective delivery of exercise therapy for patients. Her innovative technique is now one of the methods recommended by the Association of Chartered Physiotherapists in CF for exer
Can exercise therapy help breast cancer survivors?
A researcher at Sheffield Hallam University is to carry out the first ever UK study into how exercise therapy (exercise and lifestyle counselling) affects the quality of life of women recovering from breast cancer. Dr Amanda Daley, from the University's Centre for Sport and Exercise Science, has secured £142,000 from Cancer Research UK to carry out the investigation, which will take place over 3 years and involve 156 female breast cancer survivors recruited via the Cancer Research Centre at Sheffield's Weston Park Hospital. More women than ever are now successfully treated for breast cancer, but research has indicated that diagnosis and treatment of the disease can have very damaging
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Therapeutic Exercise: Foundations and Techniques (Therapeutic Exercise: Foundations & Techniques) by Carol Kisner (Author), Lynn Allen Colby (Author) Thoroughly updated to highlight current evidence to support best practice, Kisner & Colby's new 5th edition offers the most up-to-date guidelines for managing musculoskeletal conditions. Now even more extensively illustrated, it provides principles of therapeutic exercise and manual therapy. It describes pathologic conditions and surgical procedures commonly encountered by therapists in the clinical setting. This renowned manual remains the authoritative source for exercise instruction for the therapist and for patient self management. |
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J Fit 9-Inch Mini Exercise Therapy Ball by J Fit Increase inner leg and pelvic muscle strength or intensify your ab workouts. Use slightly deflated for best functionality. Made of soft and durable easy-grip vinyl. 9 inch diameter (30 cm). Color: Blue. |
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Max Fitness 75cm Exercise Ball with Foot Pump (Black) by Max Fitness 75 cm Max Fitness Exercise Ball with free pump included. Incorporate the versatility and effectiveness of the Max-Fitness exercise balls into your workout. Core strength training is the only way to exercise. You can take your exercise balls with you wherever you go or exercise at the convenience of your home. Whether you are new to fitness or a seasoned athlete, this ball will enhance your workout giving you results. Ideal for stretching, strengthening and toning exercises. First used by physical therapists over 30 years ago, Exercise Balls are now used in leading health clubs around the nation and are quickly becoming a standard item for any home gym. The Max Fitness Exercise Ball is safe, durable, and easy-to-use. |
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Senior / Elderly Sitting Exercises DVD: Easy Sitting PILATES Strength, Rehab & Physical Therapy Seniors Elderly Exercises DVD. Sunshine is a Certified AARP and Personal Trianer by (ACE) The American Council on Exercise & by AIFE The American Institute of Fitness Educators, Exercise For Seniors & Older Adults. Starring: Sunshine Directed By: Sam Raymond Seniors Elderly Pilates Sitting Chair Exercises DVD: This Easy Sitting Exercise DVD is good for Seniors, Elderly, Physical Therapy, After Surgery and Rehabilitation with Slow Paced Pilates & Stretching exercises that are a Great Therapy for Improving Strength, Flexibility, Mobility and Balance Exercises. This Seniors Seated Pilates Exercise DVD has Upper Body strengthening exercises for the Shoulders, Arms, Upper Back, Neck, Chest, Abdominal, the Lower Back, Hips, Thighs, & Legs exercises. This Simple and Safe Sitting Pilates Exercises DVD is a Non Impact, Non Aerobic with a Effective Fitness and exercise Routine specifically for Seniors, Elderly & Rehab. This Easy Sitting exercise DVD is also Good for Summer & Winter indoor exercises. In just a few weeks you will gain... |
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DYNA-BAND 6 Feet Pink Light Resistance Band (exact same band cathe Fredrich uses in her dvd workouts) Physical Therapy Bands by Dyna-Band * because of their width, they are more comfortable to use than conventional rubber bands * Cost much less than other exercise equipment sold with claims of achieving similar results * Portable and versatile with virtually unlimited uses * Color-coded levels increasing in difficulty from pink to silver * can be used to tone and strengthen all the major muscle groups for upper body, abdominal and lower body conditioning |
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16 Inch Scooter Board by Fun and Function Sturdy plastic scooter for active play and exercise! Develops strength of the upper and lower extremities and can be used in a sitting, kneeling or prone position for prone extension. Supports motor planning and vestibular activities. Non-marring rubber swivel casters. 16x16 |
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VHI OT Exercise & Rehab Kit by Therapy Best Buys 234 professionally illustrated 4.5" x 3.5" exercise cards in a compact flip open box for easy access and storage. Give your patients crystal-clear, customized home programs to reinforce your teachings by photocopying the cards and adding your own specific instructions. The kit includes a comprehensive index, 2 clear plastic holders to create routines and 10 blank cards for your own additional exercises. Specifically designed for upper extremity rehabilitation, the kit covers incorporation of functional activities, joint protection techniques for the arthritic patient, management of edema, work injury prevention techniques, exercises for post flexor tendon repair and putty and band exercises. |
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