Effect of self-management education versus quadriceps strengthening exercises on pain and function in patients with knee osteoarthritis

Abstract

Purpose. To investigate and compare the effects of 6-week self-management education (SME) and quadriceps strengthening exercises (QSE) on pain and disability in individuals with knee osteoarthritis (OA). Methods. A total of 79 (13 males, 66 females) consecutive patients with knee OA were randomised into SME and QSE groups. The SME group were taught modules of self-management once a week for 6 weeks, while the QSE group had supervised QSE thrice a week for 6 weeks. Pain intensity and physical function were assessed with the Visual Analogue Scale and Ibadan Knee/Hip Osteoarthritis Outcome Measure (IKHOAM) at baseline, week 6, and at the follow-up time points of the 1 st , 2 nd and 3 rd months. Results. The effects of both interventions were comparable (p > 0.005) during intervention and follow-up. During intervention, in both groups, pain intensity significantly decreased (p < 0.001, effect size = 0.603) and IKHOAM scores improved (p < 0.001, effect size = 0.540). There were significant time by group interaction effects during follow-up as pain intensity (p < 0.001, effect size = 0.085) did not change in the QSE group but further decreased in the SME group, IKHOAM scores (p = 0.005, effect size = 0.053) remained the same in the SME group while it decreased in the QSE group with respect to the end of intervention (6 th week). Conclusions. Supervised QSE and SME are both effective in reducing pain and disability in knee OA but improvements in the outcomes are better sustained with SME.

The effects on pain, physical function, and quality of life of quadriceps strengthening exercises combined with Baduanjin qigong in older adults with knee osteoarthritis: a quasi-experimental study

“…Quadriceps strengthening exercises (QSE) The QSE program was created after a literature review [22,23], clinical practice, and consultation with experts. It has been shown to be safe, effective, and straightforward for study participants.…”

Effect of Self-Management Program on Pain and Disability Index in Elderly Men with Osteoarthritis

“…Coleman et al showed that the execution of an SM program decreased the pain and increased the QOL and function of the patients (43). Moreover, Egwu et al indicated that the implementation of an SM program could reduce the pain of the patients (48). Furthermore, in the study by Mortazavi et al, which included six sessions of SM training, the execution of this intervention led to a decrease in the disability of patients with KOA (35).…”

The Effect Of Quadricepts Strengthening Exercise On Increasing Muscle Strength And Decreasing Pain Intensity In Genu Osteoarthritis Patients At Bhayangkara Kediri Hospital

“…Research conducted by Egwu (2018) The results showed that supervised Quadriceps Strengthening Exercise and Self-Management Education were both effective in reducing pain and disability in knee osteoarthritis but the improvement in results was better maintained with Self-Management Education. The significant difference between pain measures before and after exercise is because this increase in quadriceps muscle strength breaks the pain cycle by reducing muscle spasms, increasing muscle strength and increasing circulation, which reduces metabolic concentration.…”