A randomized controlled trial of a combined self-management and exercise intervention for elderly people with osteoarthritis of the knee: the PLE2NO program.
Clin Rehabil
; 32(2): 223-232, 2018 Feb.
Article
em En
| MEDLINE
| ID: mdl-28714343
ABSTRACT
OBJECTIVE:
To assess the effectiveness of a 12-week self-management and exercise intervention (the PLE2NO program) in elderly individuals with knee osteoarthritis.DESIGN:
Randomized controlled trial.SETTING:
Four different community settings.SUBJECTS:
Eighty individuals aged 60 years or older with clinical and radiographic knee osteoarthritis enrolled in the study. INTERVENTION A combined self-management and exercise intervention (treatment group) and an educational intervention (control group). MAINMEASURES:
The primary outcomes were pain and other knee osteoarthritis symptoms (swelling, crackling, limitation on movement, and stiffness), self-management behaviors (communication with physician and cognitive symptom management), and functional lower limb strength. Secondary outcomes were knee osteoarthritis-specific health-related quality of life, self-perceived health, aerobic capacity, lower and upper limb flexibility, and handgrip strength.RESULTS:
In all, 67 participants, mean age 69.1 ± 5.8 years, completed the study 32 in the Educational Group and 35 in the Self-Management and Exercise Group. A significant group effect favorable to the Self-Management and Exercise Group was observed in the following variables communication with the physicians ( P = .048), aerobic capacity ( P = .035), and functional lower limb strength ( P = .015). Although no significant group effect was detected, clinical improvements in pain (31%) and knee osteoarthritis symptoms (29%) were observed in the experimental group. No improvements regarding cognitive symptom management, self-perceived health, lower limb flexibility, and handgrip strength were found.CONCLUSION:
This study supports the importance of a combined self-management and exercise intervention to improve functional lower limb strength and aerobic capacity in a Portuguese sample. Additionally, pain and other symptoms have improved clinically.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Amplitude de Movimento Articular
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Osteoartrite do Joelho
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Recuperação de Função Fisiológica
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Terapia por Exercício
/
Autogestão
Tipo de estudo:
Clinical_trials
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Diagnostic_studies
/
Prognostic_studies
Aspecto:
Patient_preference
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Clin Rehabil
Ano de publicação:
2018
Tipo de documento:
Article