What kinds of exercise are available for a patient with Osteoathritis?
Patients should be reassured that regular activity or exercise does not increase the risk of OA. The MOVE consensus group promotes strengthening and aerobic exercise, which both have been shown to reduce pain and improve function and health status in patients with knee and hip OA. One specific form of resistance training has not been shown to be superior to another (i.e., high versus low resistance; isometric versus dynamic training). Adherence to the exercise program is the best predictor for improvement. Consider aquatic exercise to start with for obese patients or individuals with more severe disease. Balance training is also proven effective. (Fransen M et al. Exercise for osteoarthritis of the hip. Cochrane Database of Systematic Reviews 2014, Issue 4. Art. No.: CD007912. Fransen M et al. Exercise for osteoarthritis of the knee. Cochrane Database of Systematic Reviews 2015, Issue 1. Art. No.: CD004376. Roddy E, Zhang W, Doherty M et al. Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee-the MOVE consensus, Rheumatology. 2005;44:67–73.)