Compliance to home-based exercise therapy in elderly patients with knee osteoarthritis

Abstract

Osteoarthritis (OA) is the most common chronic joint disorder causing pain and deformities and is an important cause of morbidity in elderly people. The knee is one of the most commonly involved joints and causes significant functional limitations. [1] The therapeutic management for OA patients is often divided into three main categories: nonpharmacological, pharmacological and surgical methods. Non-pharmacological treatment modalities recommended by European League Against Diz osteoartriti olan yaşlı hastaların ev egzersiz tedavisine uyumu ABSTRACT Objectives: This study aims to evaluate the compliance to home-based exercise regimen by elderly patients with osteoarthritis of the knee. Patients and methods: Between May 2012 and May 2013 year, a total of 72 patients (54 females, 18 males) over 65 years old with knee osteoarthritis admitted to the Physical Medicine and Rehabilitation outpatient clinic were included in the study. The patients were given a home-based exercise program. They were recommended to perform the exercises 10 times twice a day, for a month. We evaluated the patients' demographic data, comorbid diseases, whether they exercised previously and compliance to exercise. Results: All patients' home exercise program compliance was 62.5%. Males were more compliant than female patients and high education and comorbidity were also associated with poor compliance. Conclusion: The compliance of the geriatric patients to home-based exercise program is difficult and multiple variables affect the compliance.

Targeted exercises can improve biomechanical markers in individuals with knee osteoarthritis: A secondary analysis from a cluster randomized controlled trial

“…A visual demonstration of the exercises, along with follow ups with a therapist for a maximum of two sessions, may have contributed to significant improvements in exercise technique, treatment adherence and, subsequently, BMs. Other studies reported that the demonstration of exercises is a more efficient way of prescribing home-based exercises [42][43][44]. Benefits of education for knee OA patients are well documented and results of the present study reinforce that supervised education should be part of any conservative treatment plan [1,2].…”

Chronic Pain Self-Management Strategies for Older Adults: An Integrative Review

“…The most-investigated strategy was the individual or group self-management course/program, investigated in 52% of the studies [ 19 , 20 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ], which encompassed a mix of the remaining strategies. Following, the order of the most-investigated strategies was physical exercise (in 34% of the studies), that could be specific [ 32 , 52 , 53 , 54 , 55 ] or general exercises [ 20 , 21 , 25 , 35 , 48 , 49 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 ], individually or in groups, followed by education (in 21% of the studies) [ 21 , 32 , 36 , 52 , 53 , 54 , 56 ...…”

“…Most studies investigated more than one dependent variable, and most of them presented positive outcomes, yielding improvement of many symptoms after the practice of the chosen pain self-management strategy ( Table 2 ). The most evidenced positive outcome was related to pain itself (51.72%) [ 20 , 25 , 28 , 29 , 30 , 32 , 33 , 35 , 36 , 38 , 40 , 43 , 44 , 45 , 47 , 48 , 49 , 53 , 54 , 55 , 58 , 59 , 61 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 74 , 75 , 78 , 79 ]. Self-strategies investigated resulted in the reduction of pain intensity and/or the number of spots presenting pain.…”

“…Self-strategies investigated resulted in the reduction of pain intensity and/or the number of spots presenting pain. In second place were increased self-care, self-efficacy, self-management and/or health behaviors (24.14%) [ 26 , 33 , 36 , 37 , 39 , 42 , 45 , 51 , 53 , 54 , 55 , 56 , 57 , 59 , 73 , 79 ], followed by increased physical function (20.68%) [ 19 , 20 , 21 , 28 , 34 , 36 , 40 , 42 , 45 , 52 , 56 , 58 , 61 , 62 , 73 ] and reduced depression (18.96%) [ 26 , 29 , 30 , 32 , 35 , 37 , 39 , 49 , 66 , 68 , 70 ]. Table 2 presents some examples of positive findings of the studies included, organized according to the main aspect addressed by their outcomes: biological, psychological, social or a mix of them.…”

The Development Strategy of Home-Based Exercise in China Based on the SWOT-AHP Model

“…Before the outbreak of the epidemic, home-based exercise was mainly used as aids for patient treatment or as means to restore physical function after surgery. Existing researches show that home-based exercise has good auxiliary effects on the treatment of fractures, osteoarthritis, and other musculoskeletal system diseases [5][6][7][8][9][10], cardio-cerebral vascular system diseases [11][12][13][14][15][16], respiratory system diseases [17][18][19], and even cancers [20][21][22][23]. Home-based exercise also has effects on supporting the treatment of nervous system diseases such as depression and Parkinson's disease [24][25][26][27][28].…”