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Rheumatology Advance Access originally published online on October 19, 2004
Rheumatology 2005 44(1):5-6; doi:10.1093/rheumatology/keh432
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Rheumatology Vol. 44 No. 1 © British Society for Rheumatology 2004; all rights reserved

EDITORIAL

A step forward for exercise in the management of osteoarthritis

J. W. J. Bijlsma and J. Dekker1

Department of Rheumatology and Clinical Immunology, University Medical Center, P.O. Box 85500, 3508 GA Utrecht and 1 Department of Rehabilitation Medicine, Institute for Research in Extramural Medicine, VU University Medical Center, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands

Correspondence to: J. W. J. Bijlsma. E-mail: j.w.j.bijlsma@azu.nl

The first 150 words of the full text of this article appear below.

The report in this issue of the MOVE consensus group [1] on the role of exercise in the management of osteoarthritis of the hip or knee is a refreshing contribution to ongoing discussions. This article clearly differentiates research evidence from expert opinion regarding the role of exercise in osteoarthritis of the lower limbs and shows the large gaps between evidence and opinion. In a certain way, this illustrates the restrictions of evidence-based medicine. There is no doubt that daily clinical practice has gained enormously from the introduction of evidence-based medicine; however, sometimes evidence-based medicine has become a holy grail, and treatment not based on evidence (i.e. knowledge derived from rigorously controlled research) has become suspicious. In the coming years we will need to find a way to profit from evidence-based medicine as well as from eminence-based opinion. In the field of osteoarthritis, research evidence for joint arthroplasties is . . . [Full Text of this Article]


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