Framing the Potential Benefits of Traditional Chinese Exercises for the Management of Patients with Knee Osteoarthritis – A Narrative Review

Background: Knee osteoarthritis (KOA) is a prevalent chronic degenerative joint disease, causing significant pain and functional limitations, impacting quality of life. Traditional Chinese Exercises (TCEs) are increasingly explored as complementary therapies. This narrative review aims to frame the potential benefits of TCEs for KOA management. Methods: Database search was conducted to find relevant studies on the topic and according to the study’s objectives. Guidelines and relevant studies were reviewed to assess the impact of TCEs on physical function, pain, and psychological well-being. Results: TCEs have demonstrated significant benefits in improving balance, flexibility, and muscle strength, crucial for KOA management. Tai Chi has been shown to reduce pain and improve physical function, self-efficacy, depression, and health-related quality of life. Qigong has also been associated with pain reduction, enhanced psychological well-being, improved knee joint proprioception, postural stability, and reduced stiffness and functional impairments. TCEs offer a holistic approach by integrating physical, mental, and emotional benefits, aligning with recommendations from organizations like the American College of Rheumatology (ACR). Conclusions: TCEs represent a valuable complementary therapy for KOA, offering a holistic and non-pharmacological approach to pain management and improved quality of life. Integrating these practices into mainstream clinical settings could empower patients to actively manage their KOA symptoms. Further high-quality randomized controlled trials are needed to standardize protocols and optimize the integration of TCEs within Western healthcare systems.