Efficacy of simple integrated group rehabilitation program for patients with knee osteoarthritis: Single-blind randomized controlled trial

Silva, Flavio S. da; Melo, Flávio Emanoel Souza de; Amaral, Marcelo M. G. do; Caldas, Vinicíus Vieira Alencar; Pinheiro, Iria Lucia D.; Abreu, Bento João; Vieira, Wouber Hérickson de Brito

doi:10.1682/jrrd.2014.08.0199

Cited by 37 publications

(60 citation statements)

References 45 publications

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“…13–16 Group-based physiotherapy may provide a cost-effective way of delivering treatment to a larger number of patients without compromising clinical effectiveness 17,18 compared with one-to-one physiotherapy, and offers patients the opportunity to interact with other patients. The short-term benefits of group-based rehabilitation have been observed in patients with knee osteoarthritis 19 and following total knee replacement. 13 A combination of tailored and functional exercises for patients within a group setting integrates both individual and group benefits of rehabilitation, enhancing patients’ self-efficacy, empowerment, 20 and outcome.…”

Section: Introductionmentioning

confidence: 99%

Comparison of group-based outpatient physiotherapy with usual care after total knee replacement: a feasibility study for a randomized controlled trial

Artz

Dixon

Wylde³

et al. 2016

Clin Rehabil

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Objective:To evaluate the feasibility of conducting a randomized controlled trial comparing group-based outpatient physiotherapy with usual care in patients following total knee replacement.Design:A feasibility study for a randomized controlled trial.Setting:One secondary-care hospital orthopaedic centre, Bristol, UK.Participants:A total of 46 participants undergoing primary total knee replacement.Interventions:The intervention group were offered six group-based exercise sessions after surgery. The usual care group received standard postoperative care. Participants were not blinded to group allocation.Outcome measures:Feasibility was assessed by recruitment, reasons for non-participation, attendance, and completion rates of study questionnaires that included the Lower Extremity Functional Scale and Knee Injury and Osteoarthritis Outcome Score.Results:Recruitment rate was 37%. Five patients withdrew or were no longer eligible to participate. Intervention attendance was high (73%) and 84% of group participants reported they were ‘very satisfied’ with the exercises. Return of study questionnaires at six months was lower in the usual care (75%) than in the intervention group (100%). Mean (standard deviation) Lower Extremity Functional Scale scores at six months were 45.0 (20.8) in the usual care and 57.8 (15.2) in the intervention groups.Conclusion:Recruitment and retention of participants in this feasibility study was good. Group-based physiotherapy was acceptable to participants. Questionnaire return rates were lower in the usual care group, but might be enhanced by telephone follow-up. The Lower Extremity Functional Scale had high responsiveness and completion rates. Using this outcome measure, 256 participants would be required in a full-scale randomized controlled trial.

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Section: Introductionmentioning

confidence: 99%

Comparison of group-based outpatient physiotherapy with usual care after total knee replacement: a feasibility study for a randomized controlled trial

Artz

Dixon

Wylde³

et al. 2016

Clin Rehabil

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“…Bei Koxarthrose ist zudem eine Gang-, Haltungs-und Koordinationsschulung effektiv [28,38]. Kombinierte Programme (u. a. Bewegungstherapie und Coping-Training sowie ganzheitliches Training und edukative Elemente) bessern bei Gonarthrose Schmerzen, Funktionalität und Lebensqualität [39,40].…”

Section: Versorgungsrealität Beim Rheumatiker Mit Physikalischen Therunclassified

Physikalische Therapie bei rheumatischen Erkrankungen – was gibt es an Evidenz?

Lange¹,

Klemm²,

Dischereit³

2020

Arthritis und Rheuma

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ZUSAMMENFASSUNGRheumatische Erkrankungen führen aufgrund ihres progredienten Verlaufs oft zu Einschränkungen der Funktionalität und Partizipation. Basierend hierauf ergibt sich eine elementare Indikation für den Einsatz physikalischer Therapieoptionen. Der vorliegende Artikel fokussiert auf den Stellenwert und die Bedeutung der physikalischen Therapie bei Rheumatikern und gibt einen Überblick über Grundlagen und therapeutische Möglichkeiten, Krankheitsfolgen, die Versorgungsrealität und zur vorhandenen Evidenz diverser Physiotherapeutika.

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“…Knee osteoarthritis is associated with significant economic costs as well as reduced quality of life (5). Patients with knee osteoarthritis often report muscle weakness, pain, and decreased range of motion, in turn, these symptoms are associated with limited functional capacity and decreased quality of life (6). Knee osteoarthritis is a major public health issue because it causes chronic pain, reduces physical function, and diminishes the quality of life (4).…”

Section: Introductionmentioning

confidence: 99%

Effects of strength, stretching and balance home exercise program on quality of life of people with knee osteoarthritis

Kapetanović

Horić

Avdić³

et al. 2018

JHSCI

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Introduction: The aim of this study was to assess effects of strength, stretching and balance home exercise program (moderate intensity, performed once a day, five times a week) on quality of life of people with knee osteoarthritis. Methods: Participants with knee osteoarthritis performed physical therapy for a period of two weeks at the Department for Physical Medicine and Rehabilitation. The study group (n=30) continued to perform exercise program at home while the control group (n=30) did not continue the exercise program. The participants in the study group performed strength, stretching and balance exercises of moderate intensity, once a day, five times a week, for a total of eight weeks. The Short Form-36 Health Questionnaire (SF-36) was used to examine the effects of exercise program. Results: There was no the difference between the average value of quality of life in all examined areas (physical functioning, role limitations due to physical problems, role limitations due to emotional problems, vitality/energy, mental health, social functioning, physical pain, perception of general health) at the beginning of the study between the study group and control group (p>0.05 in all eight areas). The difference between the average value of quality of life at the beginning and end of the study was statistically significantly higher in the study group compared to the control group (physical functioning p=0.0001; role limitations due to physical problems p=0.0001; role limitations due to emotional problems p=0.0001; vitality/energy p=0.0001; mental health p=0.0001; social functioning p=0.0001; bodily pain p=0.0001; perception of general health p=0.0001). Conclusion: Home exercise program consisting of strength, stretching and balance exercises, of moderate intensity, performed once a day, five times a week is effective in improving quality of life of people with knee osteoarthritis.

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Efficacy of simple integrated group rehabilitation program for patients with knee osteoarthritis: Single-blind randomized controlled trial

Cited by 37 publications

References 45 publications

Comparison of group-based outpatient physiotherapy with usual care after total knee replacement: a feasibility study for a randomized controlled trial

Comparison of group-based outpatient physiotherapy with usual care after total knee replacement: a feasibility study for a randomized controlled trial

Physikalische Therapie bei rheumatischen Erkrankungen – was gibt es an Evidenz?

Effects of strength, stretching and balance home exercise program on quality of life of people with knee osteoarthritis

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