Regular Exercises in Knee and Hip Osteoarthritis

  • Marike van der Leeden
  • Wilfred Peter
  • Joost DekkerEmail author
Part of the SpringerBriefs in Specialty Topics in Behavioral Medicine book series (BRIEFSSPETOBEME)


This chapter provides information on regular exercises in knee and hip osteoarthritis, based on evidence from the literature. Regular exercises include exercises aiming at improvement of muscle strength, aerobic capacity, flexibility and daily activities. Exercises can be performed under supervision (individually or in a group) or unsupervised at home.


Aerobic Exercise Activity Limitation Regular Exercise Aerobic Capacity Exercise Therapy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Westby MD, Minor MA (2006) Exercise and physical activity. In: Bartlett SJ, Bingham CO, Maricic MJ, Daly Iversen M, Ruffing V (eds) Clinical care in the rheumatic diseases, 3rd edn. Atlanta, Association of Rheumatology Health Professionals, pp 211–220Google Scholar
  2. 2.
    American College of Rheumatology Subcommittee on Osteoarthritis Guidelines (2000) Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. Arthritis Rheum 43(9):1905–1915CrossRefGoogle Scholar
  3. 3.
    Jordan KM, Arden NK, Doherty M, Bannwarth B, Bijlsma JW, Dieppe P et al (2003) EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann Rheum Dis 62(12):1145–1155PubMedCrossRefGoogle Scholar
  4. 4.
    Conaghan PG, Dickson J, Grant RL (2008) Care and management of osteoarthritis in adults: summary of NICE guidance. BMJ 336(7642):502–503PubMedCrossRefGoogle Scholar
  5. 5.
    Zhang W, Doherty M, Arden N, Bannwarth B, Bijlsma J, Gunther KP et al (2005) EULAR evidence based recommendations for the management of hip osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis 64(5):669–681PubMedCrossRefGoogle Scholar
  6. 6.
    Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N et al (2008) OARSI recommendations for the management of hip and knee osteoarthritis, part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage 16(2):137–162PubMedCrossRefGoogle Scholar
  7. 7.
    Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N et al (2007) OARSI recommendations for the management of hip and knee osteoarthritis, part I: critical appraisal of existing treatment guidelines and systematic review of current research evidence. Osteoarthritis Cartilage 15(9):981–1000PubMedCrossRefGoogle Scholar
  8. 8.
    Roddy E, Zhang W, Doherty M, Arden NK, Barlow J, Birrell F et al (2005) Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee–the MOVE consensus. Rheumatology (Oxford) 44(1):67–73CrossRefGoogle Scholar
  9. 9.
    Smidt N, de Vet HC, Bouter LM, Dekker J, Arendzen JH, de Bie RA et al (2005) Effectiveness of exercise therapy: a best-evidence summary of systematic reviews. Aust J Physiother 51(2):71–85PubMedCrossRefGoogle Scholar
  10. 10.
    van Baar ME, Assendelft WJ, Dekker J, Oostendorp RA, Bijlsma JW (1999) Effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a systematic review of randomized clinical trials. Arthritis Rheum 42(7):1361–1369PubMedCrossRefGoogle Scholar
  11. 11.
    Fransen M, McConnell S (2008) Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev 4:CD004376PubMedGoogle Scholar
  12. 12.
    Fransen M, McConnell S, Bell M (2003) Exercise for osteoarthritis of the hip or knee. Cochrane Database Syst Rev 3:CD004286PubMedGoogle Scholar
  13. 13.
    Dekker J, van Dijk GM, Veenhof C (2009) Risk factors for functional decline in osteoarthritis of the hip or knee. Curr Opin Rheumatol 21(5):520–524PubMedCrossRefGoogle Scholar
  14. 14.
    van Dijk GM, Dekker J, Veenhof C, van den Ende CH (2006) Course of functional status and pain in osteoarthritis of the hip or knee: a systematic review of the literature. Arthritis Rheum 55(5):779–785PubMedCrossRefGoogle Scholar
  15. 15.
    van Baar ME, Dekker J, Oostendorp RA, Bijl D, Voorn TB, Bijlsma JW (2001) Effectiveness of exercise in patients with osteoarthritis of hip or knee: nine months’ follow up. Ann Rheum Dis 60(12):1123–1130PubMedCrossRefGoogle Scholar
  16. 16.
    Willmore JH, Costill DL (1994) Physiology of sport and exercise. Human Kinetics, Champaign, ILGoogle Scholar
  17. 17.
    American College of Sports Medicine (2000) ACSM’s guidelines for exercise testing and prescription, 6th edn. Lippincott Williams & Wilkins, Philadelphia, PAGoogle Scholar
  18. 18.
    Chapple CM, Nicholson H, Baxter GD, Abbott JH (2011) Patient characteristics that predict progression of knee osteoarthritis: a systematic review of prognostic studies. Arthritis Care Res (Hoboken) 63(8):1115–1125CrossRefGoogle Scholar
  19. 19.
    Hunter DJ, Eckstein F (2009) Exercise and osteoarthritis. J Anat 214(2):197–207PubMedCrossRefGoogle Scholar
  20. 20.
    Steultjens MP, Dekker J, van Baar ME, Oostendorp RA, Bijlsma JW (2000) Range of joint motion and disability in patients with osteoarthritis of the knee or hip. Rheumatology (Oxford) 39(9):955–961CrossRefGoogle Scholar
  21. 21.
    Hoeksma HL, Dekker J, Ronday HK, Heering A, van der Lubbe N, Vel C et al (2004) Comparison of manual therapy and exercise therapy in osteoarthritis of the hip: a randomized clinical trial. Arthritis Rheum 51(5):722–729PubMedCrossRefGoogle Scholar
  22. 22.
    Peter WF, Jansen MJ, Hurkmans EJ, Bloo H, Dekker J, Dilling RG et al (2011) Physiotherapy in hip and knee osteoarthritis: development of a practice guideline concerning initial assessment, treatment and evaluation. Acta Reumatol Port 36(3):268–281PubMedGoogle Scholar
  23. 23.
    Deyle GD, Allison SC, Matekel RL, Ryder MG, Stang JM, Gohdes DD et al (2005) Physical therapy treatment effectiveness for osteoarthritis of the knee: a randomized comparison of supervised clinical exercise and manual therapy procedures versus a home exercise program. Phys Ther 85(12):1301–1317PubMedGoogle Scholar
  24. 24.
    McCarthy CJ, Mills PM, Pullen R, Roberts C, Silman A, Oldham JA (2004) Supplementing a home exercise programme with a class-based exercise programme is more effective than home exercise alone in the treatment of knee osteoarthritis. Rheumatology (Oxford) 43(7):880–886CrossRefGoogle Scholar
  25. 25.
    Pisters MF, Veenhof C, Schellevis FG, Twisk JW, Dekker J, de Bakker DH (2010) Exercise adherence improving long-term patient outcome in patients with osteoarthritis of the hip and/or knee. Arthritis Care Res (Hoboken) 62(8):1087–1094CrossRefGoogle Scholar
  26. 26.
    Mangione KK, McCully K, Gloviak A, Lefebvre I, Hofmann M, Craik R (1999) The effects of high-intensity and low-intensity cycle ergometry in older adults with knee osteoarthritis. J Gerontol A Biol Sci Med Sci 54(4):M184–M190PubMedCrossRefGoogle Scholar
  27. 27.
    Brosseau L, MacLeay L, Robinson V, Wells G, Tugwell P (2003) Intensity of exercise for the treatment of osteoarthritis. Cochrane Database Syst Rev 2:CD004259PubMedGoogle Scholar

Copyright information

© The Author(s) 2014

Authors and Affiliations

  • Marike van der Leeden
    • 1
  • Wilfred Peter
    • 1
  • Joost Dekker
    • 2
    • 3
    Email author
  1. 1.Amsterdam Rehabilitation Research Center ∣ ReadeAmsterdamThe Netherlands
  2. 2.Department of Rehabilitation MedicineVU University Medical CenterAmsterdamThe Netherlands
  3. 3.Department of PsychiatryVU University Medical CenterAmsterdamThe Netherlands

Personalised recommendations