Feasibility of Multimodal Physical Therapy in Hispanic American Older Adults With Moderate Knee Osteoarthritis.

Background: Conservative, and culturally appropriate treatment options are needed for Hispanic American (HA) older adults with knee osteoarthritis (OA). The purpose of this pilot study was to explore feasibility, including recruitment, adherence, and retention in a quasi‐experimental study among old...

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Publicado en:Musculoskeletal Care Vol. 24; no. 1; pp. 1 - 13
Autores principales: Gladin, Amy M., Zhu, Shiyun
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
      vid: 24
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/msc.70197
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        atl: Feasibility of Multimodal Physical Therapy in Hispanic American Older Adults With Moderate Knee Osteoarthritis.
      aug:
        au:
          Gladin, Amy M.
          Zhu, Shiyun
        affil: Kaiser Permanente Northern California Rehabilitation Services Education, Pleasanton California,, USA
      sug:
        subj:
          Hispanic Americans In Old Age
          Osteoarthritis, Knee Rehabilitation
          Spanish Language
          Research Subject Recruitment
          Patient Compliance
          Therapeutic Exercise
          Research Subject Retention
          Combined Modality Therapy
          Physical Therapy
          Physical Performance Evaluation
          Health Status Evaluation
          Quality of Life Evaluation
          Quadriceps Muscles Physiology
          Muscle Strength Evaluation
          Human
          Funding Source
          Pilot Studies
          Hospitals, Urban
          Muscle Strengthening
          Gluteal Muscles
          Cycling
          Exercise Intensity
          Manual Therapy
          Self-Management
          Descriptive Statistics
          Pretest-Posttest Design
          Paired T-Tests
          Middle Age
          Aged
          Quasi-Experimental Studies
          Outpatients
          California
          Convenience Sample
          Male
          Female
          Clinical Assessment Tools
          Confidence Intervals
          Program Evaluation
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Conservative, and culturally appropriate treatment options are needed for Hispanic American (HA) older adults with knee osteoarthritis (OA). The purpose of this pilot study was to explore feasibility, including recruitment, adherence, and retention in a quasi‐experimental study among older HA adults with moderate knee OA after multimodal physical therapy. The secondary aim was to explore changes in physical performance. Methods: Hispanic American older adults with moderate knee OA were recruited from an urban health system. Participants attended 10, small group, physical therapy clinic visits over 8 weeks, followed by 4 weekly support phone calls. Participants were instructed to exercise 3 days per week. The intervention was led in Spanish and included progressive quadriceps and glutaeal strengthening, progressive cycling with short high‐velocity intervals, manual therapy, and self‐management training. Feasibility was explored by using descriptive statistics to document recruitment, retention, and adherence to exercise. Secondary physical function measures were compared pre/post intervention using paired sample t‐tests. Results: Eighteen of the 20 participants who enrolled came from sending 500 targeted recruitment letters, mean age of 62.9 (SD 8.0, range: 51–75) years; mean exercise adherence was 3.7 (SD 1.5) days per week for the 12‐week study duration. Preliminary estimates of changes in physical function were promising; however, the study was not powered to detect changes. Conclusions: Multimodal physical therapy was feasible in terms of retention, and adherence to exercise and recruitment was low. Clinical changes in physical function are promising. A controlled trial is warranted to test the efficacy of the intervention.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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