The role of patient's education in knee osteoarthritis management

Hamad, W. Haj; Sghir, M.; Maraoui, M; Guedria, Mohamed; Zrour, S.; Kessomtini, W.

doi:10.1016/j.rehab.2018.05.282

Cited by 2 publications

(2 citation statements)

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“…Previous reports have reported a desire among individuals living with KOA for more knowledge particularly about the management of related symptoms [30,70]. Providing sufficient information about KOA to clients are particularly vital in supporting decision-making, promoting positive behavioral changes and improving health outcomes [71][72][73]. However, the knowledge-based of our participants were appeared to be limited to the disease process and symptoms rather than management strategies including symptom control and prevention of disease progression.…”

Section: Plos Onementioning

confidence: 83%

The knowledge and self-management educational needs of older adults with knee osteoarthritis: A qualitative study

et al. 2020

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Knee osteoarthritis (KOA) is closely related with ageing, physical disability and functional dependency. The course of KOA is considered progressive and irreversible. Engagement with self-management may, however, minimize the impact of KOA. To be fully engaged with self-management activities, knowledge about KOA is a prerequisite. There is limited empirical data on older adults' understanding on KOA and their information needs about KOA. Therefore, the aims of this study were to explore older adults' knowledge about KOA and their perspectives on the information required to enable self-management. Three focus groups were conducted with 16 older adults with KOA. The sample consisted of three men and thirteen women with the mean age 73.2 years (range from 61 to 89). Thematic content analysis revealed two themes which were understanding about KOA and information needed about KOA. Participants' knowledge about KOA varied between individuals with many expressing that they needed more information about KOA. A targeted strategy is needed to educate older adults about KOA in order to support and prepare them for selfmanagement.

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Section: Plos Onementioning

confidence: 83%

The knowledge and self-management educational needs of older adults with knee osteoarthritis: A qualitative study

et al. 2020

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“… 19 , 20 Meanwhile, an EDU program includes information on disease processes, self-management skills, coping strategies, and guidance on a healthy lifestyle. 13 , 15 , 21 These are mirrored in improved skills (managing pain and activity of daily living), 8 , 10 self-confidence, 22 , 23 self- management, 10 and awareness of knee rehabilitation exercises. 13 In contrast, a lack of knowledge among KOA patients has negatively impacted treatment outcomes.…”

Section: Introductionmentioning

confidence: 98%

Effects of Self-management Program as Adjunctive to Usual Rehabilitation Exercise on Pain and Functional Outcomes in Knee Osteoarthritis: A Randomized Controlled Trial

et al. 2023

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Background: Home-based exercise (HBE) and patient education (EDU) have been reported as beneficial additions to usual knee osteoarthritis (KOA) rehabilitation. However, previous trials mostly examined the effects of HBE and EDU separately. Thus, this study aimed to evaluate the effects of a structured combined HBE and EDU program in addition to usual KOA rehabilitation on pain score, functional mobility, and disability level. Study Design: A parallel-group, single-blinded randomized controlled trial. Methods: Eighty adults with KOA were randomly allocated to experimental (n=40) and control (n=40) groups. All participants underwent their usual physiotherapy care weekly for eight weeks. The experimental group received a structured HBE+EDU program to their usual care, while the control group performed home stretching exercises to equate treatment time. The Knee Injury and Osteoarthritis Outcome Score (KOOS) for the disability level, visual analogue scale (VAS) for pain, and timed up-and-go test (TUG) for mobility were measured pre-post intervention. Results: After eight weeks, the experimental group demonstrated significant improvements in the KOOS (all subscales), pain VAS, and TUG scores compared to baseline (P<0.001); meanwhile, only KOOS (activities of daily living and sports subscales) was significant in the control group. Relative to the control, the experimental group presented higher improvements (P<0.001) by 22.2%, 44.1%, and 15.7% for KOOS, pain VAS, and TUG, respectively. Conclusion: Integrating the HBE+EDU program into usual KOA rehabilitation could reduce pain and disability, while it improved functional mobility. The finding of this study suggests a combination of a structured HBE and EDU program to be considered as part of mainstream KOA management.

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The role of patient's education in knee osteoarthritis management

Cited by 2 publications

References 0 publications

The knowledge and self-management educational needs of older adults with knee osteoarthritis: A qualitative study

The knowledge and self-management educational needs of older adults with knee osteoarthritis: A qualitative study

Effects of Self-management Program as Adjunctive to Usual Rehabilitation Exercise on Pain and Functional Outcomes in Knee Osteoarthritis: A Randomized Controlled Trial

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