Aquatic Exercise for Patients with Osteoarthritis by Michaels NN* in Researches in Arthritis & Bone Study_ Journal of Arthritis Bone Disease
Abstract
Osteoarthritis
(OA), also known as degenerative joint disease, is the most common type of
arthritis, affecting over 30 million people in the United States alone. The
joint pain experienced by patients with OA often results in decreased mobility
and function which contributes to the weight gain, joint swelling, muscle
weakness, and depression often observed in this population. Exercise in the water offers a low impact option
for exercise, with the soothing effects of buoyancy. This paper discusses the
use of aquatic exercise as a non-pharmacological option to improve mobility and
reduce pain for people with OA.
Introduction
Osteoarthritis
(OA), also known as degenerative joint disease, is the most common type of
arthritis, affecting over 30 million people in the United states alone [1]. OA
affects both men and women is listed as one of the most frequent causes of
physical disability in the older adult population [2]. The joint pain
experienced by patients with OA often results in decreased mobility and
function which contributes to the weight gain, joint swelling, muscle weakness,
and depression often observed in this population [3]. As a physical therapist
(PT) and an occupational therapist (OT), we have both been exposed to many
interventions supported in the literature to reduce pain and improve mobility
in individuals with OA, including pharmacological, non-pharmacological, and
surgical interventions [4].
This
paper discusses the use of aquatic exercise as an option to improve mobility
and reduce pain for people with OA. OT and PT both fall within the
non-pharmacological intervention category. According to Woods et al., the only
non-pharmacological interventions offered by the European League Against
Rheumatism (EULAR) for knee OA are the use of appliances like braces and
insoles, and appropriate footwear, although these researchers found
transcutaneous electrical nerve stimulation (TNS) to be an effective option.
Aquatic exercise was not mentioned, and yet, this is a good alternative to
pharmacological measures in the reduction of pain from OA
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