Effects of Self-management Program as Adjunctive to Usual Rehabilitation Exercise on Pain and Functional Outcomes in Knee Osteoarthritis: A Randomized Controlled Trial.
Background: Home-based exercise (HBE) and patient education (EDU) have been reported as beneficial additions to usual knee osteoarthritis (KOA) rehabilitation. However, previous trials mostly examined the effects of HBE and EDU separately. Thus, this study aimed to evaluate the effects of a structur...
| Publicado en: | Journal of Research in Health Sciences Vol. 23; no. 1; pp. 1 - 10 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Hamadan University of Medical Sciences, School of Public Health
Spring2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163713339&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163713339 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22287795 903Q jtl: Journal of Research in Health Sciences issn: 22287795 maglogo: N pubinfo: dt: Spring2023 vid: 23 iid: 1 pid: 54266 pub: Hamadan University of Medical Sciences, School of Public Health artinfo: ui: 163713339 163713339 163713339 10.34172/jrhs.2023.104 163713339 ppf: 1 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Effects of Self-management Program as Adjunctive to Usual Rehabilitation Exercise on Pain and Functional Outcomes in Knee Osteoarthritis: A Randomized Controlled Trial. aug: au: Ahmad, Mohd Azzuan Yusof, Ashril Hamid, Mohamad Shariff A. Amin, Faizul Hafiz Zulkifli Kamsan, Siti Salwana Daud, D. Maryama Ag Singh, Devinder Kaur Ajit affil: Physiotherapy Program, Centre for Rehabilitation and Special Needs Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia sug: subj: Program Evaluation Osteoarthritis, Knee Rehabilitation Self-Management Home Physical Therapy Patient Education Combined Modality Therapy Knee Pain Knee Joint Physiology Functional Status Treatment Outcomes Human Randomized Controlled Trials Random Assignment Single-Blind Studies Pretest-Posttest Design Visual Analog Scaling Scales Clinical Assessment Tools Descriptive Statistics Malaysia Power Analysis Spearman's Rank Correlation Coefficient Coefficient alpha Pain Measurement Chronic Pain Data Analysis Software Analysis of Covariance Academic Medical Centers Male Female Middle Age Aged Patient Compliance Activities of Daily Living Confidence Intervals Comparative Studies Funding Source Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Home-based exercise (HBE) and patient education (EDU) have been reported as beneficial additions to usual knee osteoarthritis (KOA) rehabilitation. However, previous trials mostly examined the effects of HBE and EDU separately. Thus, this study aimed to evaluate the effects of a structured combined HBE and EDU program in addition to usual KOA rehabilitation on pain score, functional mobility, and disability level. Study Design: A parallel-group, single-blinded randomized controlled trial. Methods: Eighty adults with KOA were randomly allocated to experimental (n = 40) and control (n = 40) groups. All participants underwent their usual physiotherapy care weekly for eight weeks. The experimental group received a structured HBE + EDU program to their usual care, while the control group performed home stretching exercises to equate treatment time. The Knee Injury and Osteoarthritis Outcome Score (KOOS) for the disability level, visual analogue scale (VAS) for pain, and timed up-and-go test (TUG) for mobility were measured pre-post intervention. Results: After eight weeks, the experimental group demonstrated significant improvements in the KOOS (all subscales), pain VAS, and TUG scores compared to baseline (P < 0.001); meanwhile, only KOOS (activities of daily living and sports subscales) was significant in the control group. Relative to the control, the experimental group presented higher improvements (P < 0.001) by 22.2%, 44.1%, and 15.7% for KOOS, pain VAS, and TUG, respectively. Conclusion: Integrating the HBE + EDU program into usual KOA rehabilitation could reduce pain and disability, while it improved functional mobility. The finding of this study suggests a combination of a structured HBE and EDU program to be considered as part of mainstream KOA management. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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