Ottawa Panel Evidence-Based Clinical Practice Guidelines for Therapeutic Exercises in the Management of Rheumatoid Arthritis in Adults

The purpose of this project was to create guidelines for the use of therapeutic exercises and manual therapy in the management of adult patients (>18 years of age) with a diagnosis of rheumatoid arthritis according to the 1987 American Rheumatism Association criteria. Evidence from comparative co...

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Bibliographic Details
Published in:Physical therapy 2004-10, Vol.84 (10), p.934-972
Main Authors: Ottawa Panel Members, Ottawa Methods Group, Lucie Brosseau, George A Wells, Peter Tugwell, Mary Egan, Claire-Jehanne Dubouloz, Lynn Casimiro, Vivian A Robinson, Lucie Pelland, Jessie McGowan, External Experts, Mary Bell, Hillel M Finestone, France Légaré, Catherine Caron, Sydney Lineker, Angela Haines-Wangda, Marion Russell-Doreleyers, Martha Hall, Paddy Cedar, Assistant Manuscript Writer, Marnie Lamb
Format: Article
Language:English
Subjects:
Adult
Adults
Arthritis, Rheumatoid - rehabilitation
Canada
Care and treatment
Epidemiology
Evidence-Based Medicine
Exercise
Exercise Therapy - methods
Exercise Therapy - standards
Humans
Musculoskeletal Manipulations
Patients
Physical therapy
Practice guidelines (Medicine)
Practice Guidelines as Topic
Professional practice
Rheumatoid arthritis
Treatment Outcome
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Summary:The purpose of this project was to create guidelines for the use of therapeutic exercises and manual therapy in the management of adult patients (>18 years of age) with a diagnosis of rheumatoid arthritis according to the 1987 American Rheumatism Association criteria. Evidence from comparative controlled trials was identified and synthesized using The Cochrane Collaboration methods. An expert panel was formed by inviting professional stakeholder organizations to each nominate a representative. This panel developed a set of criteria for grading the strength of both the evidence and the recommendation. Six positive recommendations of clinical benefit were developed on therapeutic exercises. The efficacy of manual therapy interventions could not be determined for lack of evidence. The panel recommends the use of therapeutic exercises for rheumatoid arthritis. Further research is needed to determine the efficacy of manual therapy in the management of this disease.
ISSN:0031-9023
1538-6724
1538-6724
DOI:10.1093/ptj/84.10.934