09/01/2023
🧐Le sport aussi fort💪 que les Anti-Inflammatoires non Stéroïdiens oraux (Ibuprofène, etc) et Paracétamol (Doliprane) pour l'arthrose du genou/ hanche
Et oui!! Cette étude montre qu'il n'y aurait aucune différence entre l'exercice physique et les AINS et Paracétamol pour :
- le soulagement de la douleur
- l'amélioration fonctionnelle
=> L'exercice physique EST un MEDICAMENT, aux effets antalgiques semblables que les médicaments oraux et SANS EFFETS SECONDAIRES graves (sauf les courbatures 😉)
Je vous invite à lire cette étude et... à mettre vos baskets 😁
Sportivement 😎
Elodie votre kiné
Hot off the press in British Journal of Sports Medicine (BJSM) 🔥
https://bjsm.bmj.com/content/early/2023/01/02/bjsports-2022-105898
"Comparative efficacy of exercise therapy and oral non-steroidal anti-inflammatory drugs and paracetamol for knee or hip osteoarthritis: a network meta-analysis of randomised controlled trials"
👉 This network meta-analysis of Weng et al. is based on 152 RCTs, which included 17 431 participants, to compare the efficacy between exercise and oral NSAIDs and paracetamol for knee or hip OA.
💡 For PAIN RELIEF, there was NO difference between EXERCISE and ORAL NSAIDs and PARACETAMOL at or nearest to 4 (standardised mean difference (SMD)=−0.12, 95% credibility interval (CrI) −1.74 to 1.50; n=47 RCTs), 8 (SMD=0.22, 95% CrI −0.05 to 0.49; n=2 RCTs) and 24 weeks (SMD=0.17, 95% CrI −0.77 to 1.12; n=9 RCTs).
💡 Similarly, there was NO difference between EXERCISE and ORAL NSAIDs and PARACETAMOL in FUNCTIONAL IMPROVEMENT at or nearest to 4 (SMD=0.09, 95% CrI −1.69 to 1.85; n=40 RCTs), 8 (SMD=0.06, 95% CrI −0.20 to 0.33; n=2 RCTs) and 24 weeks (SMD=0.05, 95% CrI −1.15 to 1.24; n=9 RCTs).
📣 This study has confirmed that exercise is a medicine. Its analgesic effect is similar to that obtained from the most commonly used analgesics, oral NSAIDs and paracetamol, without serious side effects as those associated with oral NSAIDs and paracetamol.
https://pubmed.ncbi.nlm.nih.gov/25313133/
📣 The findings support the current recommendation of using exercise as a core therapy for OA. It also suggests that exercise may be used as an analgesic replacement therapy for older people with comorbidity or multimorbidity and people at higher risk of adverse events related to NSAIDs and paracetamol. https://pubmed.ncbi.nlm.nih.gov/31021125/
