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"How to Get Rid of Your Knee Pain Once and For All - The Right Way!
Knee Arthritis Pain Relief with Exercise, Strength Training, Aerobics and Physical Therapy
By Dr. Paul Anderson M.D. Sports and Pain Medicine Expert
Knee exercise with physical therapists doing range of motion with manual moblization offered the best arthritis pain relief results in a recent study.
The study in Netherlands showed knee exercise therapy plus manual mobilization showed a moderate effect on pain relief compared to the smaller relief for strength training or exercise therapy alone. To achieve better pain relief in patients with knee osteoarthritis have your physiotherapists or manual therapists add manual mobilisation to optimise supervised active exercise programs.
Study: Adults with osteoarthritis of the knee. Strength training alone, exercise therapy alone (combination of strength training with active range of motion exercises and aerobic activity), or exercise with additional passive manual mobilisation, versus any non-exercise control.
Comparisons between the three interventions were also sought.12 trials compared one of the interventions against control. The effect size on pain was 0.38 (95% CI 0.23 to 0.54) for strength training, 0.34 (95% CI 0.19 to 0.49) for exercise, and 0.69 (95% CI 0.42 to 0.96) for exercise plus manual mobilization.
Each intervention also improved physical function significantly. No randomized comparisons of the three interventions were identified. However, meta-regression indicated that exercise plus manual mobilisations improved pain significantly more than exercise alone (p = 0.03). The remaining comparisons between the three interventions for pain and physical function were not significant.