Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis

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aut.relation.endpage1769
aut.relation.issue11en_NZ
aut.relation.journalJournal of Clinical Medicineen_NZ
aut.relation.startpage1769
aut.relation.volume8en_NZ
aut.researcherRice, David
dc.contributor.authorRice, Den_NZ
dc.contributor.authorMcNair, Pen_NZ
dc.contributor.authorHuysmans, Een_NZ
dc.contributor.authorLetzen, Jen_NZ
dc.contributor.authorFinan, Pen_NZ
dc.date.accessioned2019-10-31T00:58:50Z
dc.date.available2019-10-31T00:58:50Z
dc.description.abstractOsteoarthritis (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.en_NZ
dc.identifier.citationJournal of Clinical Medicine, 8(11), 1769.
dc.identifier.doi10.3390/jcm8111769en_NZ
dc.identifier.issn2077-0383en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/12948
dc.languageenen_NZ
dc.publisherMDPI AGen_NZ
dc.relation.urihttps://www.mdpi.com/2077-0383/8/11/1769
dc.rightsThis is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectOsteoarthritis; Musculoskeletal pain; Rehabilitation medicine; Physiotherapy; Psychology; Non-pharmacological
dc.titleBest Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritisen_NZ
dc.typeJournal Article
pubs.elements-id364943
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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