Quelle activité physique dans l’arthrose ?

Abstract

The regular practice of physical activity is a major part of osteoarthritis management but it is most often below the WHO recommendations. Regular physical activity has shown to be effective in reducing pain and improving patients’ function. It also contributes to the management of metabolic and cardiovascular co-morbidities. This insufficient practice may be linked to patients’ misrepresentations. It is important to better define patient profiles regarding their relationship to physical activity, in particular to identify the barriers and facilitators in order to offer them appropriate treatment. Practice guidelines for the management of osteoarthritis include both specific exercises and aerobic-type activity. These programs, which have a high level of evidence, should be prescribed as first-line therapy and ideally performed under the supervision of a qualified health care professional. Secondarily, they should be integrated into lifestyle to be done regularly over the medium and long term. Exercise should be offered in a progressive dosage and approach, taking into account the patient's preferences to improve adherence.