Brief self-exercise education for adults with chronic knee pain: A randomized controlled trial
Brief self-exercise education for adults with chronic knee pain: A randomized controlled trial
复制标题
对患有慢性膝痛的成年人进行简短的自我锻炼教育：一项随机对照试验
DOI：
10.1093/mr/roac009
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发表时间：
2022
影响因子：
2.2
通讯作者：
Iso Hiroyasu
中科院分区：
文献类型：
--
作者：
Jinnouchi Hiroshige;Kitamura Akihiko;Matsudaira Ko;Kakihana Hironobu;Oka Hiroyuki;Yamagishi Kazumasa;Kiyama Masahiko;Iso Hiroyasu
目的需要对慢性膝关节疼痛的自我管理进行有效的简短指导。方法将 46 名患有慢性膝关节疼痛的参与者随机分配到两个方案：单独的基于材料的教育或简短的自我锻炼教育（brief-See），其中包括 100 分钟的自我锻炼指导与紧凑的疼痛教育。在基线以及初始干预后 4 周和 12 周评估总功能（KOOS4，膝关节损伤和骨关节炎结果评分的 4 个分量表平均值）、疼痛强度（NRS，数字评定量表）、自我效能（PSEQ，疼痛自我效能问卷）和健康相关生活质量（EQ-5D，欧洲生活质量 5 个维度）。广义混合线性模型使用意向治疗原则估计了相对于基线和 95% 置信区间 (95% CI) 变化的平均组差异。结果与单独基于材料的教育相比，brief-See 在 12 周时对 KOOS4 提供了 9.4%（95% CI：2.3 至 16.4）的显着额外改善，对 PSEQ 提供了 5.4 分（0.3 至 10.4）的显着额外改善，但不在 NRS 上并且 EQ-5D。简报中的依从性和满意度良好，没有任何明显的不良事件。结论将简报添加到基于材料的教育中可能更容易被接受，并恢复总体功能和自我效能，这可能有助于初级保健中慢性膝关节疼痛的自我管理。
ObjectivesEffective brief instructions for self-management of chronic knee pain are needed.MethodsForty-six participants with chronic knee pain were randomly allocated into two programmes: material-based education alone or brief self-exercise education (brief-See), which comprised a 100-minute instruction for self-exercise combined with compact pain education. Total function (KOOS4, 4-subscale average of knee injury and osteoarthritis outcome score), pain intensity (NRS, numeric rating scale), self-efficacy (PSEQ, pain self-efficacy questionnaire), and health-related quality of life (EQ-5D, European quality of life-5 dimensions) were evaluated at baseline and 4 and 12 weeks after the initial intervention. A generalized mixed linear model estimated average group differences in changes from baseline and 95% confidence intervals (95% CIs) using intention-to-treat principle.ResultsCompared to material-based education alone, the brief-See provided significant additional improvements of 9.4% (95% CI: 2.3 to 16.4) on the KOOS4and 5.4 points (0.3 to 10.4) on the PSEQ at 12 weeks but did not on the NRS and EQ-5D. Adherence and satisfaction were favourable in the brief-See without any notable adverse event.ConclusionsAdding the brief-See to material-based education could be more acceptable and restore total function and self-efficacy, which could contribute to the self-management of chronic knee pain in primary care.