Evidence for physiotherapy provided by a comparison five published world-wide practice guidelines for knee osteoarthritis

  • Otsudo Takahiro
    Department of Rehabilitation, School of Health Sciences, Tokyo University of Technology
  • Kitagawa Yuki
    Department of Rehabilitation, Kawagoe Clinic, Saitama Medical University
  • Kashiwabara Yamato
    Department of Rehabilitation, Toho University Ohashi Medical Center
  • Sawada Yutaka
    Department of Health and Medical Care, Saitama Medical University
  • Hattori Hiroshi
    Department of Health and Medical Care, Saitama Medical University
  • Okubo Yu
    Department of Health and Medical Care, Saitama Medical University
  • Akasaka Kiyokazu
    Department of Health and Medical Care, Saitama Medical University

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Other Title
  • 5つの変形性膝関節症診療ガイドラインによる理学療法エビデンス

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<p>This review compares and summarizes the grading of recommendations in terms of physiotherapy for osteoarthritis of the knee of five world-wide guidelines: NICE 2022, AAOS 2021, VA/DoDEBPWG 2020, OARSI 2019 and ACR/AF 2019. Education, self-management, and exercise were recommended strongly or moderately as good treatments. However, thermal modalities, transcutaneous electrical nerve stimulation, use of a brace or cane, acupuncture, massage, laser, meditation, Tai-chi, yoga and cognitive behavioral therapy had different recommendations among guidelines. Therefore, a patient registry system needs to be provided for investigating the effectiveness of physiotherapy among patients with different characteristics, and enhanced multi-institutional joint research.</p>

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