Rehabilitation protocol with or without mobile health in overweight and obese knee osteoarthritis patients - a pilot study

Abstract

Knee osteoarthritis (OA) is a degenerative and weight bearing joint disease that resulted from wear and tear of articular cartilage. It is more common in the overweight and obese knee OA patients. The objectives of pilot study were to assess the feasibility, acceptability and challenges of study design, study setting and tools of lower limb rehabilitation protocol among the knee OA patients who are overweight and obese. Twelve overweight and obese knee OA patients attending a Teaching Bay in the Pakistan were enrolled in the study and completed 6 training sessions over 2 weeks. The participants were divided randomly into Intervention Group with Mobile Health (IGW-mH), Intervention Group without Mobile Health (IGWO-mH) and the Control Group (CG). Both intervention groups were provided fifteen days of lower limb rehabilitation protocol but the CG did not. Two text messages per day for three days a week were sent to IGW-mH as a reminder to carry on their training session and instructions of daily care. All participants of intervention groups showed willingness to randomization and adherence to training sessions. The results indicated that eligibility criteria, recruitment rate and randomization procedures were feasible and there were no adverse events from training sessions. The participants demanded Urdu translation and pictures of lower limb rehabilitation protocol.

Effect of Progressive Resistance Strength Training on Body Mass Index, Quality of Life and Functional Capacity in Knee Osteoarthritis: A Randomized Controlled Trial

“…The IDC is explained elsewhere. 18 All patients were also given a diary and asked to record the attendance of completion their interventions based on leaflets.…”

“…The progressive resistance strength training of LLRP were also translated into Urdu language by two language experts because the patients demanded the need of Urdu translation in a pilot study. 18 This LLRP was consisted of a 45–60 minutes training session followed by 10 minutes’ warm-up at the start and 10 minutes cool down at the end of the training session. The frequency, intensity, and duration of training sessions of non-weight bearing progressive resistance strength training of the LLRP are explained in Supplementary Table 1 .…”

“…The IDC were also translated into Urdu language by two language experts as the patients’ preference of the Urdu translation for better understanding based on a recent pilot study. 18 …”

“…The IDC were also translated into Urdu language by two language experts as the patients' preference of the Urdu translation for better understanding based on a recent pilot study. 18 the measurements of height and weight, BMI calculation was performed according to the formula (weight (kg)/ height (m 2 ) of the World Health Organization. 21 The quality of life was measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) summary score of pain, stiffness, and physical function.…”

The effect of rehabilitation protocol using mobile health in overweight and obese patients with knee osteoarthritis: a clinical trial

“…A current systematic review on nonpharmacological interventions for treating symptoms of knee OA in overweight or obese patients concluded that strengthening exercise played a vital role in relieving knee pain and improving function [14]. Non-pharmacological interventions, primarily strengthening exercise and more recently strengthening exercises of the lower limb rehabilitation protocol (LLRP) in non-weight-bearing positions, are recommended as the first line of treatment among overweight or obese knee OA patients [15].…”