None listed
Conditions
Brief summary
Objective: To examine the effectiveness of a well-structured home exercise program (HEP) with additional group education among adults with knee osteoarthritis (OA). Methods: This clinical trial involved 30 adults with knee OA in both experimental (n=15) and control (n=15) groups with a mean age (SD) of 65.27(6.86) and 65.60(8.70) years respectively. The experimental group received usual physiotherapy treatment with a well-structured HEP and additional group education, while the control group only received usual physiotherapy treatment. Both groups performed the intervention once a week for a continuous 8 weeks. Knee Injury and Osteoarthritis Outcome Score (KOOS), Time Up & Go (TUG) and Visual Analog Scale (VAS) were measured pre-post intervention by an independent assessor with the use of standardized tools. Results: Repeated measure ANOVA showed a significant main effect of time in all outcome measures which indicated that following 8 weeks of intervention, both groups showed reduction in pain, disability and improvement in functional mobility. However, experimental (VAS 45%, TUG 17%, KOOS 36%) demonstrated a greater percentage of improvements in all outcomes compared with control group (VAS 5%, TUG -2%, KOOS 3%). A significant interaction effect in all outcome measures also found which concluded that there are differences in term of effectiveness between the two intervention in experimental and control group over time. Conclusion: Combination of physiotherapy treatment with well-structured HEP and group education is effective in improving functional mobility, reduction of pain and disability among adults with knee OA.
Interventions
Participants in the experimental group (n=15) received well-structured home exercise program (HEP), additional group education and usual physiotherapy treatment once a week for continuous 8 weeks.
A booklet of the home exercise program with additional group education was given to the participants in the experimental group as a guideline and daily checklist for self-management. This booklet is designed specifically for this study and the contents of the HEP was adopted from several previous stud
Participants in the experimental group (n=15) received well-structured home exercise program (HEP), additional group education and usual physiotherapy treatment once a week for continuous 8 weeks. A booklet of the home exercise program with additional group education was given to the participants in the experimental group as a guideline and daily checklist for self-management. This booklet is designed specifically for this study and the contents of the HEP was adopted from several previous studies. The booklet consists of stretching and strengthening exercises such as lower limb stretching, straight leg raise, static quadriceps, mini squat, sit to stand and knee extension exercises (Bruce-Brand et al. 2012). Each of the exercises consists of explanation (description of the proper position, equipment, purpose, progression) and illustration. Each of these exercises was conducted for at least 3 times per day and at least 4 days a week (Chen & Onishi 2012). There was no specific guideline in term of exercises' intensity for the HEP. Participants performed the exercises based on the HEP booklet as advised; 3 times a day and at least 4 days a week, and the intensity is decided by the participants themselves. In addition, every two-week phone call was received by the participants as a follow up for the progression of home exercise program (Thomas et al. 2002). References for the HEP booklet: 1. Bruce-Brand, R. A., Walls, R. J., Ong, J. C., Emerson, B. S., O’Byrne, J. M. & Moyna, N. M. 2012. Effects of home-based resistance training and neuromuscular electrical stimulation in knee osteoarthritis: a randomized controlled trial. BMC Musculoskeletal Disorders 13(1): 1 2. Chen, H. & Onishi, K. 2012. Effect of home exercise program performance in patients with osteoarthritis of the knee or the spine on the visual analogue scale after discharge from physical therapy. International Journal of Rehabilitation Research 35(3): 275-277. 3. Thomas, K., Muir, K., Doherty, M., Jones, A., O'Reilly, S. & Bassey, E. 2002. Home-based exercise programme for knee pain and knee osteoarthritis: randomised controlled trial. BMJ 325(7367): 752. Usual physiotherapy care (individually-tailored exercise) comprised of electro modalities for pain management, range of motion exercise, stretching, strengthening, balance exercise, functional exercises such as sit to stand and stairs climbing. There were no specific guidelines used for usual physiotherapy treatment. Attendance checklist was taken to monitor participants’ adherence in this study. Knee Injury and Osteoarthritis Outcome Score (KOOS), Time Up & Go (TUG) and Visual Analog Scale (VAS) were measured at baseline and 8th week of study. Measurement of outcomes was carried out by an independent assessor at week 0 and week 8 of intervention with the use of standardized tools.
Sponsors
Universiti Kebangsaan Malaysia
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
-Adults with knee OA that seeking treatment as an outpatient at the physiotherapy department at Hospital Canselor Tuanku Muhriz (HCTM) . -Adults aged above 50 years old who had knee pain scored at >30 mm on a 100 mm VAS and able to walk for at least 3m.
Exclusion criteria
-The exclusion criteria were having inflammatory arthritis, such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis and systemic lupus erythematosus, -Admitted past 3 months due to cardiovascular disease. -Had participated in any structured exercise program presently.
Outcome results
None listed