Article Dans Une Revue (Article De Synthèse) Annals of Physical and Rehabilitation Medicine Année : 2024

Recommendations from the French Societies of Rheumatology and Physical Medicine and Rehabilitation on the non-pharmacological management of knee osteoarthritis

1 Cellules Souches, Plasticité Cellulaire, Médecine Régénératrice et Immunothérapies (IRMB)
2 Hôpital Lapeyronie [CHU Montpellier]
3 Service de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du rachis [CHU Cochin]
4 T3S - UMR_S 1124 - Toxicité environnementale, cibles thérapeutiques, signalisation cellulaire
5 UFR Médecine UPCité - UFR Médecine [Santé] - Université Paris Cité
6 UCA - Université Clermont Auvergne
7 ECaMO - [CRESS - U1153 / UMR_A 1125] - Clinical Epidemiology Applied to Osteoarticular Diseases | Épidémiologie clinique appliquée aux maladies rhumatismales et musculo-squelettiques
8 IDESP - Institut Desbrest de santé publique
9 CHU Rothschild [AP-HP]
10 IML - Institut du Mouvement et de l’appareil Locomoteur [Hôpital Sainte-Marguerite - APHM]
11 ISM - Institut des Sciences du Mouvement Etienne Jules Marey
12 UNH - Unité de Nutrition Humaine
13 Service Médecine Physique et de Réadaptation [CHU Clermont-Ferrand]
14 FHU PaCeMM - FHU Paris Center for Microbiome Medicine
15 CHU Saint-Antoine [AP-HP]
16 CHU - BREST - Hôpital de la Cavale Blanche - CHRU Brest
17 CRESS (U1153 / UMR_A 1125) - Centre for Research in Epidemiology and Statistics | Centre de Recherche Épidémiologie et Statistiques
18 HEGP - Hôpital Européen Georges Pompidou [APHP]
19 CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
20 Euromov DHM - EuroMov - Digital Health in Motion
21 AFLAR - Association Française de Lutte Anti-Rhumatismale
22 LBAI - Lymphocytes B, Autoimmunité et Immunothérapies
23 CHRU Brest - Centre Hospitalier Régional Universitaire de Brest
24 Profession libérale
25 Université de Liège
26 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
27 UM - Université de Montpellier
28 IMOPA - Ingénierie Moléculaire, Cellulaire et Physiopathologie
29 COTA - Service de Chirurgie Orthopédique, Traumatologique et Arthroscopique [CHRU Nancy]
30 CHRU Besançon - Centre Hospitalier Régional Universitaire de Besançon
31 UFC - Université de Franche-Comté
32 CAPS - Cognition, Action, et Plasticité Sensorimotrice [Dijon - U1093]
33 Service de Rhumatologie (CHU de Dijon)
34 CIC-P803 - Centre d'Investigation Clinique 1432 (Dijon) - Module Plurithématique : Périnatalité Cancérologie Handicap et Ophtalmologie
35 COMETE - Mobilités : Vieillissement, Pathologie, Santé
36 Service de Rhumatologie [CHU Caen]
37 Service de Rhumatologie [CHU Lariboisière]
38 AGATHE - Assistance aux Gestes et Applications THErapeutiques
39 CHU Clermont-Ferrand
Constance Borie
Yves Henrotin
Gregory Ninot

Résumé

Background : Although non-pharmacological therapies for knee osteoarthritis (OA) are essential pillars of care, they are often poorly considered and inconsistently applied. Objectives : Under the umbrella of the French Society of Rheumatology (SFR) and the French Society of Physcal Medicine and Rehabilitation (SOFMER), we aimed to establish consensual recommendations for the non-pharmacological management of people with knee OA. Methods : A group of fellows performed a systematic literature review on the efficacy and safety of non-phamacological modalities (up to October 2021). The fellows then took part in discussions with a multidiscipliary group of experts to draft a list of recommendations. The list was then submitted to an independent reading committee who rated their level of agreement with each recommendation. Each recommendation was assigned a strength of recommendation and a level of evidence. Results : Five general principles were unanimously accepted : (A) the need to combine non-pharmacological and pharmacological measures ; (B) the need for personalized management ; (C) the need to promote adherence ; (D) the need for adapted physical activity ; and (E) the need for person-centered education. Specific positive or negative recommendations were defined for 11 modalities : (1) unloading knee brace ; (2) kinesio-taping or knee sleeves ;(3) shoes and/or insoles ; (4) using a cane ; (5) physical exercise program ; (6) joint mobilization ; (7) electro- or thermo-therapy ; (8) acupuncture ; (9) weight loss ; (10) thermal spa therapy ; and (11) workplace accommodation. Conclusions : These SFR/SOFMER recommendations provide important and consensual knowledge to assist health professionals in decision-making for non-pharmacological treatments for knee OA.
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hal-04949701 , version 1 (18-02-2025)

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Yves-Marie Pers, Christelle Nguyen, Constance Borie, Camille Daste, Quentin Kirren, et al.. Recommendations from the French Societies of Rheumatology and Physical Medicine and Rehabilitation on the non-pharmacological management of knee osteoarthritis. Annals of Physical and Rehabilitation Medicine, 2024, 67 (7), pp.101883. ⟨10.1016/j.rehab.2024.101883⟩. ⟨hal-04949701⟩
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