Several individual RCTs demonstrated clinical ly important improvements in pain and disability with aerobic exercise .
Other PT interventions demonstrated no sustained benefit .
Individual RCTs showed similar benefits with aerobic , aquatic , and strengthening exercise .
Adverse events were uncommon and did not deter participants from continuing treatment .
Low-strength evidence suggested that only a few PT interventions were effective .
BACKGROUND Osteoarthritis is a leading cause of disability .
Nonsurgical treatment is a key first step .
PURPOSE Systematic literature review of physical therapy ( PT ) interventions for community-dwelling adults with knee osteoarthritis .
The effects of sensorimotor training on knee proprioception and function for patients with knee osteoarthritis: a preliminary report
Objective : To investigate the effects of a sensorimotor training programme in osteoarthritic patients . Design : R and omized , single-blind , controlled trial . Setting : Kinesiology laboratory at School of Physical Therapy . Participants : A total of 60 patients were r and omly assigned to the training group and the control group . Only 29 patients ( training group , 15 ; control group , 14 ) completed the study . Intervention : The training group underwent a sensorimotor training programme using a sling suspension system complemented by a routine physical therapy . The control group underwent a routine physical therapy . Main measures : Active joint repositioning , functional testings , and self-reported function with the Western Ontario & McMaster Universities Arthritis Index before and after the eight-week intervention . Results : There were significant differences between the two groups with respect to the improvement in proprioception as measured by active joint repositioning ( the changes in the absolute error were 1.9± 1.7 ° , training group versus 0.1 ± 2.8 ° , control group ( P<0.05 ) , and in self-reported functional difficulty ( 33.2 ±35.1 , training group versus 8.0± 10.2 , control group ; P<0.05 ) ) . There was no significant difference between the two groups in other outcomes . Conclusion : A sensorimotor training using a sling suspension system improved the patients ' proprioception in the knee joints and their self-reported function . Thus , these exercises may serve as an exercise programme for patients with knee osteoarthritis
Several individual RCTs demonstrated clinical ly important improvements in pain and disability with aerobic exercise .
Other PT interventions demonstrated no sustained benefit .
Individual RCTs showed similar benefits with aerobic , aquatic , and strengthening exercise .
Adverse events were uncommon and did not deter participants from continuing treatment .
Low-strength evidence suggested that only a few PT interventions were effective .
BACKGROUND Osteoarthritis is a leading cause of disability .
Nonsurgical treatment is a key first step .
PURPOSE Systematic literature review of physical therapy ( PT ) interventions for community-dwelling adults with knee osteoarthritis .