Review article (meta-analysis)Systematic Review of Guidelines for the Physical Management of Osteoarthritis
Section snippets
Electronic database searches
A systematic literature search was performed. The Cochrane Library, MEDLINE, CINAHL, SPORTDiscus with Full Text, Scopus, ScienceDirect, PEDro, and Google Scholar databases were searched (2000–2013) to identify all guidelines, protocols, and recommendations for the management or treatment of OA. An experienced health science librarian assisted with the development of the search strategy. MEDLINE, CINAHL, and SPORTDiscus with Full Text databases were searched using key word proximity searches to
Results
The systematic literature search yielded 19 guidelines. One15 was excluded because there were no stated methods for evidence gathering or developing recommendations, recommendations were not clear, and no method for grading recommendations was stated. One16 was excluded because no conclusive recommendations were provided for the physical management of glenohumeral joint OA. This resulted in 17 guidelines available for full data extraction.
Discussion
This review is the first published critical appraisal of guidelines for the physical management of OA. Of the 19 guidelines that we identified, 2 were excluded. First, the South Africa Arthritis Foundation guideline15 was not included because recommendations were not clearly stated. Second, the recommendations from the American Academy of Orthopaedic Surgeons glenohumeral OA guideline16 were not included because the focus of the guideline was surgical and pharmacological, with no conclusive
Conclusions
The objective of this appraisal was to review the available guidelines and present the treatment recommendations for the physical management of OA in a format that was useful to the user. Throughout the research, there is strong evidence to support aspects of the use of exercise, electrical-based therapy, equipment, education, diet and weight loss, manual therapy, and self-management. Laser therapy, magnetic bracelets, Chinese acupuncture, massage therapy, aspects of psychosocial-based therapy,
Acknowledgments
We thank Andrew South, MSocSci (Hons), GradDipLib, a library technician at the Auckland University of Technology, for his assistance with designing the literature search criteria.
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