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[Nonpharmacological and nonsurgical therapies for osteoarthritis: orthosis, exercises]
Katherine Sanchez1, Amine Eloumri, Francois Rannou
1Université Paris Descartes, AP-HP, hôpital Cochin, service de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du Rachis, 75679 Paris cedex 14, France.
Abstract:
Unloading valgus knee braces may be more effective than knee sleeves, to improve pain and disability for medial knee osteoarthritis, but have more adverse effects. A lateral-wedge insole could reduce pain in medial knee osteoarthritis. Cushioning insoles and footwear with shock absorbance could be proposed for hip osteoarthritis by authors' recommendations. Nocturnal splints for base-of-thumb osteoarthritis are recommended to reduce pain and disability. Aerobic, strengthening, range-of-motion and proprioceptive exercise are recommended to decrease pain and improve function and quality of life in knee and hip osteoarthritis. Strengthening and range-of-motion exercise is recommended for hand osteoarthritis.
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