Effectiveness of exercise in the treatment of lumbar spinal stenosis, knee osteoarthritis, and osteoporosis

Aging Clinical and Experimental Research
Jun IwamotoHideo Matsumoto

Abstract

Lumbar spinal stenosis (LSS), osteoarthritis (OA) of the knee, and osteoporosis are major locomotive diseases in the elderly population. The aim of this study was to examine the effectiveness of exercise in these three diseases. We reviewed the relevant literature, i.e., systematic reviews and meta-analyses searched with PubMed. There is not sufficient evidence to draw conclusions regarding the effectiveness of exercise for LSS. However, muscle strengthening and aerobic exercises are effective in reducing pain and improving physical function in patients with mild to moderate OA of the knee. On the other hand, aerobics, weight bearing and resistance exercises are effective in increasing the bone mineral density of the spine in postmenopausal women, and walking is effective for the hips. Muscle strengthening, balance training and traditional Chinese Tai Chi reduce the risk of falls in the elderly. Based on a review of the literature, appropriate exercises should be emphasized for elderly patients, especially for those with mild to moderate OA of the knee or osteoporosis.

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Citations

Jul 28, 2013·Physical Therapy·Luciana Gazzi MacedoMichele C Battié
Feb 22, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Michael E Schatman
Sep 3, 2013·The Cochrane Database of Systematic Reviews·Carlo AmmendoliaAndrea D Furlan
Dec 20, 2017·Spine Surgery and Related Research·Sumihisa OritaSeiji Ohtori

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