Effect of Home Exercise Program in Patients With Knee Osteoarthritis

Anwer, Shahnawaz; Alghadir, Ahmad H.; Brismée, Jean‐Michel

doi:10.1519/jpt.0000000000000045

Cited by 73 publications

(53 citation statements)

References 42 publications

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“…Only very few authors have studied the effectiveness of a self‐rehabilitation programme in patients with OA or haemophilic arthropathies. Based on a meta‐analysis, Anwer et al concluded that home exercise programmes reduced knee pain and improved function in individuals with knee OA. Cuesta‐Barriuso et al assessed for the first time the efficacy of a 15‐week physiotherapy home exercise intervention in patients with haemophilic arthropathy.…”

Section: Discussionmentioning

confidence: 99%

Implementation and assessment of a self‐ and community‐based rehabilitation programme in patients with haemophilia from Côte d’Ivoire

Lobet

Meité²,

Koninckx

et al. 2019

Haemophilia

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Introduction:In resource-constrained countries, few patients with haemophilia (PWH) have access to clotting factor concentrates (CFC), with increased musculoskeletal (MSK) complications. Physiotherapy actively contributes to preventing MSK complications, minimizing joint damage and reducing pain. Aim: To assess the impact of a 20-week self-and community-based rehabilitation (CBR) programme in Ivorian PWH. Methods: Fifty participants underwent a clinical and functional baseline assessment with identification of joints' functional defects and initiation of an individualized exercise programme comprising exercises to improve strength, joint mobility and proprioception. Hemophilia Joint Health Score (HJHS), 2-minute walking test (2MWT), Timed Up and Go (TUG), goniometry and maximal isometric voluntary contractions using the MicroFET2 were performed at baseline (T1) and at Week 20 (T2).Results: At T2, there was a significant improvement in both the 2MWT and TUG tests.The HJHS total score decreased significantly from 23.6 ± 14.2 at T1 to 20.4 ± 13 at T2. A significant improvement in joint health was found in the left elbow, right knee and right ankle, with elements correlating with joint function responsible for these improvements. A strong programme adherence was observed, with 94% of participants reporting regular exercise performance and a high degree of satisfaction. Conclusion:The programme with its encouraging results is meant to be the first step towards a more ambitious project. Self-based and CBR programmes are inexpensive and efficient treatment options designed to minimize the detrimental effects of joint and muscle bleedings, and to increase the functional independence and quality of life of PWH with limited access to CFC and physiotherapy. K E Y W O R D SCôte d'Ivoire, developing country, exercise, haemophilia, physiotherapy, self-and communitybased rehabilitation programme

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Section: Discussionmentioning

confidence: 99%

Implementation and assessment of a self‐ and community‐based rehabilitation programme in patients with haemophilia from Côte d’Ivoire

Lobet

Meité²,

Koninckx

et al. 2019

Haemophilia

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“…Reflecting on accepted clinical guidelines emphasise on the importance of non-drug nonsurgical treatments such as physiotherapy [11][12][13]. Exercise therapy is recommended by all clinical guidelines and recent reviews [14][15][16]. Nonetheless, there is no consensus on the optimal content of an exercise-programme [17].…”

Section: Introductionmentioning

confidence: 99%

Treatment using 448 kHz capacitive resistive monopolar radiofrequency improves pain and function in patients with osteoarthritis of the knee joint: a randomised controlled trial

Kumaran

Watson

2019

Physiotherapy

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Objective This study investigated whether capacitive resistive monopolar radiofrequency (CRMRF)-based treatment improves pain and function among patients with osteoarthritis of the knee. Design and setting Three-group randomised controlled trial with concealed allocation, participant blinding and intention-to-treat analysis. Forty-five patients diagnosed with osteoarthritis, from the waiting list for physiotherapy at a local hospital were enrolled. Intervention Participants in the active and sham groups received eight sessions of CRMRF and sham-CRMRF respectively over four weeks, along with standard care. The control group received standard care only. Assessment Pain and function were measured at four time points: week zero (baseline), week four (post intervention), week eight and week 16 (two follow-ups) using visual analogue scale (VAS), Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, timed up and go (TUG) test and knee range of motion (ROM). Results For pain (VAS), there were clinically significant changes in the active group at post treatment compared to sham (Mean difference: 0.79 (95% CI: 0.29 to 1.3), effect size: 1.3) and control (Mean difference: 0.82 (95% CI: 0.32 to 1.3), effect size: 1.5), and at one-month follow-up compared to control (Mean difference: 0.68 (95% CI: 0.10 to 1.3), effect size: 1.1). For function (WOMAC), there was clinically significant change in the active group at post treatment compared to control (Mean difference: 1.3 (95% CI: 0.02 to 2.6), effect size: 0.94), but not compared to sham. No meaningful differences were noted for TUG or knee ROM. No differences were noted at three-month follow-up for any outcomes. Conclusion CRMRF treatment can improve pain and function in patients with knee osteoarthritis in the short term.

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“…Although PT has been shown to be very effective in the management of arthritis and its prevention and progression29,30,31,32 ) , this study suggests that additional pre-op PT did not bring about any further improvement in pain intensity or function after TKA. The reduction of pain and recovery of function were similar in subjects who received pre-op and post-op PT and those who received only post-op PT after TKA.…”

Section: Discussionmentioning

confidence: 57%

Comparison of the effect of pre- and post-operative physical therapy versus post-operative physical therapy alone on pain and recovery of function after total knee arthroplasty

2016

Self Cite

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[Purpose] The aim of the present study was to compare the effect of pre-operative and post-operative physical therapy versus post-operative physical therapy alone on pain and recovery of function after total knee arthroplasty. [Subjects and Methods] Fifty patients (18 males and 32 females) ranging in age from 48 to 80 years (mean 63.28, SD 9.44) participated in a 6-week two-arm randomized rater-blinded trial. One group received pre- and post-operative physical therapy whereas the other group received only post-operative physical therapy. Pain and function were measured with a visual analogue scale and a lower extremity functional scale at baseline (pre-operative) as well as week 3 and week 6 post-operative. [Results] The differences in pain intensity and functional score at week 3 and week 6 post-operative remained statistically insignificant between the two groups. [Conclusion] The reduction of pain and recovery of function was similar in subjects who received pre- and post-operative physical therapy and those who received only post-operative physical therapy after total knee arthroplasty. Additional pre-operative physical therapy did not bring about any further improvement in pain intensity or recovery of function after total knee arthroplasty.

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Effect of Home Exercise Program in Patients With Knee Osteoarthritis

Cited by 73 publications

References 42 publications

Implementation and assessment of a self‐ and community‐based rehabilitation programme in patients with haemophilia from Côte d’Ivoire

Implementation and assessment of a self‐ and community‐based rehabilitation programme in patients with haemophilia from Côte d’Ivoire

Treatment using 448 kHz capacitive resistive monopolar radiofrequency improves pain and function in patients with osteoarthritis of the knee joint: a randomised controlled trial

Comparison of the effect of pre- and post-operative physical therapy versus post-operative physical therapy alone on pain and recovery of function after total knee arthroplasty

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