Long-Term Impact of Fit and Strong! on Older Adults With Osteoarthritis

Abstract

This consistent pattern of benefits indicates that this low-cost intervention is efficacious for older adults with lower extremity osteoarthritis.

Exercise and Manual Physiotherapy Arthritis Research Trial (EMPART) for Osteoarthritis of the Hip: A Multicenter Randomized Controlled Trial

“…The small number of participants (n=204) and inter-study heterogeneity may have influenced this finding. Long-term (>6 months) follow-ups of exercise-based RCTs have found that post-treatment improvements in pain and function were not maintained [13][14][15] , but it is unclear at what point benefits dissipate following treatment and long-term follow-up. There is therefore a need to identify the medium-term effects of physiotherapy for hip OA.…”

Are behavioral interventions for arthritis effective with minorities? Addressing racial and ethnic diversity in disability and rehabilitation

“…Other studies (8 total) reported the percentage of participants who were white and nonwhite, but did not provide more detailed racial/ethnic breakdowns of their participants (19 -25). A third group of studies (6 total) provided detailed information on racial/ ethnic diversity (26 -31), of which 3 in particular included a substantial numbers of blacks (26,28,30). In many studies, the percentage of minority participants was small.…”

“…Six studies reported analysis of attrition including race/ethnicity, with 1 showing greater attrition from the intervention study for nonwhites (22) and 5 showing no differences based on race/ethnicity (21,26,28 -30). Two of these studies (29,30) reported no differences in attrition, comparing responders and nonresponders on demographic characteristics without explicitly stating that they examined race. However, race was one of their demographic characteristics.…”

Arthritis Self-Efficacy Scale Scores in Knee Osteoarthritis: A Systematic Review and Meta-analysis Comparing Arthritis Self-Management Education With or Without Exercise

“…[5][6][7][8]17,18,29,34,35 Intervention 2 was some form of arthritis self-management education that also included exercise (15 studies; subjects, n = 1757; women, n = 1406 [80%]). 16,20,[25][26][27][28][30][31][32]40,47,51,[59][60][61] These interventions included both cohort studies using the ASES pain (10 studies; subjects, n = 1035) 5 37.5% (9 of 24) did not describe a control or placebo group, 41.7% (10 of 24) did not adequately describe study exclusion criteria, and 25% (6 of 24) did not adequately describe subject dropout management. Studies with arthritis self-management education with exercise (intervention 2) displayed significantly higher methodological quality scale scores (76.8  13.1 versus 61.6  19.6, P = .03) compared to studies with arthritis self-management education alone (intervention 1).…”

“…These studies reported a mean effect size of 0.438  0.07. Forest plots were created for randomized controlled studies that used the ASES pain (13 studies, n = 1925), 6,18,20,[26][27][28][29]34,40,51,[59][60][61] other symptoms (13 studies, n = 1976), 6,18,20,[25][26][27][28][29]34,51,[59][60][61] and function (5 studies, n = 428) 18,20,28,29,34 subscales. Small to moderate standardized mean difference effect sizes were noted for both intervention 1 and intervention 2 for ASES pain (0.37  0.47 versus 0.20  0.32, P = .60) (FIGURE 2), other symptoms (0.25  0.17 versus 0.29  0.29, P = .94) (FIGURE 3), and function (0.17  0.11 versus 0.18  0.21, P = .99) (FIG-URE 4) subscales.…”