Remotely Delivered Exercise to Rural Older Adults With Knee Osteoarthritis: A Pilot Study.
Remotely Delivered Exercise to Rural Older Adults With Knee Osteoarthritis: A Pilot Study.
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DOI：
10.1002/acr2.11452
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发表时间：
2022-08
影响因子：
3.4
通讯作者：
中科院分区：
文献类型：
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作者：
EnhanceFitness (EF) 是一项推荐用于治疗骨关节炎 (OA) 的循证锻炼计划。然而，在农村地区，获得EF的机会有限。因此，我们评估了远程 EF (tele-EF) 对于患有膝关节 OA 症状的农村社区老年人的可行性和可接受性。进行了远程 EF 课程的单臂试点试验。使用视频会议直播由讲师指导的 1 小时 EF 课程，每周 3 天，持续 12 周。在基线和干预后立即评估结果。 27 名潜在参与者中共有 15 名（55%）符合筛选条件并参加了试验。参与者的中位年龄为 70 岁（四分位距：67‐75），其中 14 名（93%）是女性。 EF 课堂出勤率中位数为 91%（四分位数范围：85%‐94%）。通过膝关节损伤和骨关节炎结果评分 (KOOS) 测量，膝关节疼痛从基线到 12 周终点显着改善（平均差 = -11.4 [95% 置信区间 (CI)：-20.9 至 -2.0]；P = 0.02）。此外，参与者自我报告的膝关节功能显着改善（KOOS 功能评分的平均差异 = −11.8 [95% CI: −18.4 至 −5.2]；P < 0.01）以及身体能力（Timed Up and Go 测试时间的平均差异 = 1.8 秒 [95% CI: 0.2‐3.4]；P = 0.03）。所有参与者 (100%) 对远程 EF 课程都非常满意，12 名参与者 (86%) 报告说，自从开始 EF 锻炼计划以来，他们的状况有了很大改善或非常好转。最后，没有发生严重的不良事件。该试点试验的结果表明，远程 EF 对于患有膝骨关节炎的农村老年人来说是可行且可接受的。
EnhanceFitness (EF) is an evidence‐based exercise program recommended for management of osteoarthritis (OA). However, access to EF is limited in rural areas. Accordingly, we evaluated the feasibility and acceptability of remotely delivered EF (tele‐EF) in rural, community‐dwelling older adults with symptomatic knee OA. A single‐arm pilot trial of tele‐EF classes was conducted. Videoconferencing was used to livestream the instructor‐led, 1‐hour EF classes 3 days/week for 12 weeks. Outcomes were assessed at baseline and immediately post intervention. A total of 15 of 27 potential participants (55%) were screen eligible and enrolled into the trial. Participants had a median age of 70 years (interquartile range: 67‐75), and 14 (93%) were women. The median EF class attendance rate was 91% (interquartile range: 85%‐94%). Knee pain, as measured by the Knee Injury and Osteoarthritis Outcome Score (KOOS), improved significantly from baseline to the 12‐week end point (mean difference = −11.4 [95% confidence interval (CI): −20.9 to −2.0]; P = 0.02). In addition, participants’ self‐reported knee function improved significantly (mean difference in KOOS function score = −11.8 [95% CI: −18.4 to −5.2]; P < 0.01) as well as their physical capacity (mean difference in Timed Up and Go test time = 1.8 seconds [95% CI: 0.2‐3.4]; P = 0.03). All participants (100%) were very satisfied with tele‐EF classes, and 12 participants (86%) reported that their condition had much improved or very much improved since beginning the EF exercise program. Lastly, there were no serious adverse events. Findings from this pilot trial indicate that tele‐EF is feasible and acceptable in rural older adults with knee OA.
影响因子：
5.2
作者：
Snyder SJ;Thompson M;Denison P
通讯作者：
Denison P