The effect of a group education programme on pain and function through knowledge acquisition and home-based exercise among patients with knee osteoarthritis: A parallel randomised single-blind clinical trial
The effect of a group education programme on pain and function through knowledge acquisition and home-based exercise among patients with knee osteoarthritis: A parallel randomised single-blind clinical trial
复制标题
DOI：
10.1016/j.physio.2009.09.009
复制
发表时间：
2010-06-01
期刊：
影响因子：
3.3
通讯作者：
Katz-Leurer, Michal
中科院分区：
文献类型：
--
作者：
Bezalel, Tomer;Carmeli, Eli;Katz-Leurer, Michal
目的通过知识获取和家庭锻炼计划评估团体教育计划对疼痛和功能的影响。设计平行随机单盲临床试验。参与者50名65岁或以上的膝关节骨关节炎患者。干预研究组（n=25）每周接受一次团体教育计划，持续4周，然后进行自我执行的家庭锻炼计划。对照组（n=25）接受短期短波透热疗法治疗。主要观察指标在干预前、干预后（4周）和8周后再次对患者进行评估（随访）采用西安大略麦克马斯特骨关节炎指数（WOMAC）、反复坐立试验和起身行走试验。除WOMAC僵硬评分外，两组的所有结局变量均显著改善;例如，WOMAC总分平均降低9.5分[95%置信区间（CI）-12.3至-6.7]。然而，在随访时，研究组患者在起床和行走测试以及WOMAC总分、疼痛和残疾评分方面表现出持续改善，但对照组中没有观察到此类改善。这种差异是显著的;例如，两组间WOMAC总分的平均差异为-9.0分（95%CI为-14.5 ~-3.4）。结论膝关节骨关节炎患者采用简单的团体教育方案，可提高患者的功能能力，减轻疼痛。需要进一步的研究来确定这种积极的影响是否可以维持更长的时间。2009年获物理治疗学会特许。由爱思唯尔有限公司出版。保留所有权利。
Objectives To assess the effect of a group education programme on pain and function through knowledge acquisition and a home-based exercise programme.Design A parallel randomised single-blind clinical trial.Participants Fifty patients aged 65 years or over with knee osteoarthritis.Interventions The study group (n=25) was given a group education programme once a week for 4 weeks, followed by a self-executed home-based exercise programme. The controls (n=25) were given a brief course in short-wave diathermy treatment.Main outcome measures Patients were assessed before the intervention, after the intervention (4 weeks) and again 8 weeks later (follow-up) using the Western Ontario McMaster Osteoarthritis Index (WOMAC), the repeated sit-to-stand test and the get-up-and-go test.Results At 4 weeks, there was a significant improvement in both groups in all outcome variables except the WOMAC stiffness score; for example, the WOMAC total score was reduced by a mean of 9.5 points [95% confidence interval (CI) -12.3 to -6.7]. However, at follow-up, patients in the study group demonstrated continued improvement in the get-up-and-go test and the WOMAC total, pain and disability scores, but no such improvement was noted among the controls. This difference was significant; for example, the difference in mean WOMAC total score between the groups was -9.0 points (95%CI -14.5 to -3.4).Conclusion A simple group education programme for patients with knee osteoarthritis is associated with improved functional abilities and pain reduction. Further study is required to determine if this positive effect can be maintained over a longer period. 2009 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.