The Findings of the Annotated Bibliography of Clinical Outcomes on the Management of Osteoarthritis team also included TARC team members Kirsten Nyrop, PhD; Amanda Nelson, MD, MSCR; Yvonne Golightly, PT, MS, PhD; Adam Goode, PT, DPT, PhD; and Leigh Callahan, PhD. Dr. Nelson was the first author of the manuscript. Kelli Allen, PhD, currently at Duke, was also on the team.
A systematic review of recommendations and guidelines for the management of osteoarthritis: The Chronic Osteoarthritis Management Initiative of the U.S. Bone and Joint Initiative. Nelson AE, Allen KD, Golightly YM, Goode AP, Jordan JM. Semin Arthritis Rheum. 2013 Dec 4. pii: S0049-0172(13)00258-8. doi: 10.1016/j.semarthrit.2013.11.012. [Epub ahead of print]
Access the abstract: http://www.ncbi.nlm.nih.gov/pubmed/24387819
Summary Recommendations from a Systematic Review of Recommendations and Guidelines for the Management of OA
- Provide or refer patients to self-management programs.
- Provide education, regular contact to promote self-care, joint protection strategies, and individualized treatment plans.
- Advise patients to engage in low-impact aerobic exercise and, if overweight, to lose weight.
- Consider range of motion, flexibility, endurance, and strengthening exercises, exercise combined with manual therapy, and PT/OT referral.
- Recommend walking aids and assistive devices to improve Activities of Daily Living (ADLs).
- Discuss thermal modalities for hand, knee and hip OA.
- Joint replacement is recommended for appropriate patients.
- Arthroscopy with debridement is not indicated for symptomatic OA.
- Pharmacologic management of OA
- Intra-articular therapy