Follow-up of individualised physical activity on prescription and individualised advice in patients with hip or knee osteoarthritis: A randomised controlled trial.
Clin Rehabil
; 38(6): 770-782, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38409798
ABSTRACT
OBJECTIVE:
Compare the long-term effects of two different individualised physical activity interventions in hip or knee osteoarthritis patients.DESIGN:
Randomised, assessor-blinded, controlled trial.SETTING:
Primary care.SUBJECTS:
Patients with clinically verified hip or knee osteoarthritis, <150â min/week with moderate or vigorous physical activity, aged 40-74. INTERVENTION The advice group (n = 69) received a 1-h information and goalsetting session for individualised physical activity. The prescription group (n = 72) received information, goalsetting, individualised written prescription, self-monitoring, and four follow-ups. MAINMEASURES:
Physical activity, physical function, pain and quality of life at baseline, 6, 12 and 24 months.RESULTS:
There were only minor differences in outcomes between the two groups. For self-reported physical activity, the advice group had improved from a mean of 102 (95% CI 74-130) minutes/week at baseline to 214 (95% CI 183-245) minutes/week at 24 months, while the prescription group had improved from 130 (95% CI 103-157) to 176 (95% CI 145-207) minutes/week (p = 0.01 between groups). Number of steps/day decreased by -514 (95% CI -567-462) steps from baseline to 24 months in the advice group, and the decrease in the prescription group was -852 (95% CI -900-804) steps (p = 0.415 between groups). Pain (HOOS/KOOS) in the advice group had improved by 7.9 points (95% CI 7.5-8.2) and in the prescription group by 14.7 points (95% CI 14.3-15.1) from baseline to 24 months (p = 0.024 between groups).CONCLUSIONS:
There is no evidence that individualised physical activity on prescription differs from individualised advice in improving long-term effects in patients with hip or knee osteoarthritis.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Exercício Físico
/
Osteoartrite do Quadril
/
Osteoartrite do Joelho
/
Terapia por Exercício
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Suécia