Effectiveness of a home-based exercise therapy and walking program on osteoarthritis of the knee

Abstract

Osteoarthritis (OA) of the knee is a very common rheumatological disease, and there are various treatment modalities for it. The aim of this study was to investigate the effects of home-based exercise and walking programs in the treatment of OA. A total of 90 patients with knee osteoarthritis were included. Their ages ranged between 48 and 71 years. The patients were separated into three groups. None of them had practiced a daily simple exercise program during the previous year. Group 1 ( n=30) was given a home-based exercise program. Group 2 ( n=30) had regular a walking program three times per week, starting with 10-min duration. Group 3 ( n=30) was accepted as the control group. Patients were assessed according to pain, functional capacity, and quality of life parameters. Pain was evaluated by the Western Ontario McMaster osteoarthritis index (WOMAC) of pain score and visual analogue scale (VAS). Functional capacity was measured by WOMAC physical function index. Quality of life was assessed by the Nottingham Health Profile questionnaire (NHP). All groups continued the program for 3 months. At the end of the therapy, the patients were called and 81 were accepted to come to the hospital. Although WOMAC pain and physical functional scores and VAS scores were statistically lower in both groups than in the control group ( P<0.001), the difference between groups 1 and 2 was not statistically significant ( P>0.05). But the result of the NHP showed a statistically significant improvement in the walking group when compared to the home-based exercise and control groups ( P<0.001). As a result, we conclude that a simple home-based exercise therapy and a regular walking program are effective in treating the symptoms of OA.

Effects of TENS on Pain, Disabiliy, Quality of Life and Depression in Patients with Knee Osteoarthritis

“…Evaluation scores range between 0-20 and higher values show more pain. (11,12) Patients were asked to report the degree of pain they suffered when coming down a ladder, climbing a ladder, standing up from a chair, standing, bending down, walking on a flat surface, getting on/off a car, going shopping, wearing sock, standing from a bed, taking off sock, lying on a bed, entering and leaving bathroom, sitting, entering and leaving toilet, making hard house works and light house works within the last 48 hours. Evaluation scores range between 0-68, high values show more disability.…”

“…Global pain was assessed by the visual analog scale (VAS) on a 0-100 mm line, with higher scores indicating more pain (11). WOMAC pain score was also recorded in all patients (12).…”

The Role of Emotional Health in Functional Outcomes After Orthopaedic Surgery: Extending the Biopsychosocial Model to Orthopaedics

“…Moderateintensity physical activity can benefit patients with osteoarthritis by reducing pain, improving function, reducing the risk of disability, improving mental health, and supporting weight maintenance 64,65 . A combination of diet and aerobic exercise can result in significant improvements in self-reported physical function, six-minute walk distance, stair-climb time, and knee pain 66,67 . In addition, regular physical activity can improve one's quality of life, function, and maintenance of independence 68 .…”

Effectiveness of Exercise Interventions in Reducing Pain Symptoms among Older Adults with Knee Osteoarthritis: A Review

“…Two trials comparing the effects of aerobic-and strength-training interventions are also summarized in this section of the review Evcik & Sonel, 2002).…”