[Non-drug treatments for osteoarthritis].
PHYSICAL EXERCISE: Several epidemiological studies and therapeutic trials have provided concordant evidence on the beneficial effect of physical exercise in degenerative joint disease despite methodological limitations and the higher level of proof for knee disease than hip disease. In addition, programs which led to beneficial effects were intensive programs, initiated in a hospital setting and continued in the patient's home. WEIGHT LOSS: Body weight has a determining effect on degenerative bone and joint disease, particularly when the knee is involved. It has been demonstrated that the amount of weight loss depends on the quality of the physical exercises performed. WALKING AIDS: Different walking aids, crutches, special soles and shoes, splints and braces can be proposed for patients with degenerative joint disease. These aids constitute an integral part of the non-drug therapeutic approach to patient treatment.
Ravaud
Ph
P
Département d'épidémiologie biostatistique et recherche clinique, Groupe hospitalier Bichat-Claude Bernard, Paris, France.
D015444:Exercise; D006801:Humans; D009989:Orthotic Devices; D010003:Osteoarthritis / Q000209:etiology / Q000534:rehabilitation*; D010353:Patient Education as Topic; D016896:Treatment Outcome; D015431:Weight Loss