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Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis
Osteoarthritis (OA) is a leading cause of chronic pain and disability in older adults, which most commonly affects the joints of the knee, hip, and hand. To date, there are no established disease modifying interventions that can halt or reverse OA progression. Therefore, treatment is focused on alle...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6912819/ https://www.ncbi.nlm.nih.gov/pubmed/31652929 http://dx.doi.org/10.3390/jcm8111769 |
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author | Rice, David McNair, Peter Huysmans, Eva Letzen, Janelle Finan, Patrick |
author_facet | Rice, David McNair, Peter Huysmans, Eva Letzen, Janelle Finan, Patrick |
author_sort | Rice, David |
collection | PubMed |
description | Osteoarthritis (OA) is a leading cause of chronic pain and disability in older adults, which most commonly affects the joints of the knee, hip, and hand. To date, there are no established disease modifying interventions that can halt or reverse OA progression. Therefore, treatment is focused on alleviating pain and maintaining or improving physical and psychological function. Rehabilitation is widely recommended as first-line treatment for OA as, in many cases, it is safer and more effective than the best-established pharmacological interventions. In this article, we describe the presentation of OA pain and give an overview of its peripheral and central mechanisms. We then provide a state-of-the-art review of rehabilitation for OA pain—including self-management programs, exercise, weight loss, cognitive behavioral therapy, adjunct therapies, and the use of aids and devices. Next, we explore several promising directions for clinical practice, including novel education strategies to target unhelpful illness and treatment beliefs, methods to enhance the efficacy of exercise interventions, and innovative, brain-directed treatments. Finally, we discuss potential future research in areas, such as treatment adherence and personalized rehabilitation for OA pain. |
format | Online Article Text |
id | pubmed-6912819 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-69128192020-01-02 Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis Rice, David McNair, Peter Huysmans, Eva Letzen, Janelle Finan, Patrick J Clin Med Review Osteoarthritis (OA) is a leading cause of chronic pain and disability in older adults, which most commonly affects the joints of the knee, hip, and hand. To date, there are no established disease modifying interventions that can halt or reverse OA progression. Therefore, treatment is focused on alleviating pain and maintaining or improving physical and psychological function. Rehabilitation is widely recommended as first-line treatment for OA as, in many cases, it is safer and more effective than the best-established pharmacological interventions. In this article, we describe the presentation of OA pain and give an overview of its peripheral and central mechanisms. We then provide a state-of-the-art review of rehabilitation for OA pain—including self-management programs, exercise, weight loss, cognitive behavioral therapy, adjunct therapies, and the use of aids and devices. Next, we explore several promising directions for clinical practice, including novel education strategies to target unhelpful illness and treatment beliefs, methods to enhance the efficacy of exercise interventions, and innovative, brain-directed treatments. Finally, we discuss potential future research in areas, such as treatment adherence and personalized rehabilitation for OA pain. MDPI 2019-10-24 /pmc/articles/PMC6912819/ /pubmed/31652929 http://dx.doi.org/10.3390/jcm8111769 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Rice, David McNair, Peter Huysmans, Eva Letzen, Janelle Finan, Patrick Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis |
title | Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis |
title_full | Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis |
title_fullStr | Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis |
title_full_unstemmed | Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis |
title_short | Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis |
title_sort | best evidence rehabilitation for chronic pain part 5: osteoarthritis |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6912819/ https://www.ncbi.nlm.nih.gov/pubmed/31652929 http://dx.doi.org/10.3390/jcm8111769 |
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