20/06/2021
|OSTEOARTRITIS OF KNEE |.
As many patients may present with comorbidities, it may be necessary to tailor the exercise prescription accordingly.
♦️Special Considerations♦️
▪️Avoid strenuous exercises during acute flare-ups and periods of inflammation.
▪️Progression in duration of activity should be emphasised over increased intensity.
▪️Adequate warm-up and cool-down periods of 5 to 10 mins are critical for minimising pain.
▪️If joint pain persists for 2 hours after exercise and exceeds the level of pain before exercise, the duration and/or intensity of exercise should be reduced in future sessions.
▪️Many patients with osteoarthritis refuse to start exercising due to joint pain. In such cases, the use of painkillers during the first weeks of an exercise programme can facilitate joint movement and also drastically improve patient compliance.
▪️Encourage patients to exercise during the time of day when pain is typically least severe.
▪️In case of severe joint pain or in obese patients, an initial period of water-based exercise may be helpful.
▪️As swimming or aqua-jogging provides a muscle workout without joint loading, further pain and weight-related joint destruction can be avoided.
▪️Appropriate shoes that provide shock absorption and stability are particularly important for people with knee osteoarthritis.
▪️patients with osteoarthritis of lower extremities to be overweight and obese, healthy weight loss and maintenance should be encouraged .
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Ref.
1. Ikeda S, Tsumura H, Torisu T. Age-related quadriceps-dominant muscle atrophy and incident radiographic knee osteoarthritis. J of Orthop Sci 2005;10(2):121–6.
2. Amaro A, Amado F, Duarte JA, Appell HJ. Gluteus medius muscle atrophy is related to contralateral and ipsilateral hip joint osteoarthritis. Int J Sports Med 2007;28(12):1035–9.
3. Grimaldi A, Richardson C, Durbridge G, Donnelly W, Darnell R, Hides J. The association between degenerative OA.