Is telephysiotherapy an option for improved quality of life in patients with osteoarthritis of the knee?
Is telephysiotherapy an option for improved quality of life in patients with osteoarthritis of the knee?
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DOI：
10.1155/2014/903816
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发表时间：
2014
影响因子：
4.4
通讯作者：
Ojo OD
中科院分区：
文献类型：
--
作者：
Odole AC;Ojo OD
本研究调查了为期 6 周的远程物理治疗计划对膝骨关节炎 (OA) 患者生活质量 (QoL) 的影响。 50 例膝关节 OA 患者随机均分为两个治疗组：临床组（CG）和远程物理治疗组（TG）。 CG 在诊所接受物理治疗师进行的骨关节炎特定练习，每周三次，持续 6 周，而 TG 在同一时间内在家中接受结构化电话监测，并自行进行骨关节炎特定练习。使用 WHOQoL-Bref 在基线、干预的第二周、第四周和第六周评估参与者的生活质量。使用方差分析和独立学生 t 检验分析数据。组内比较显示，六周干预后，WHOQoL 的身体健康领域（TG 和 CG P = 0.00*）和心理领域（TG P = 0.02*；CG = 0.00*）显着改善。然而，TG和CG的社会关系和环境领域没有显着差异（P>0.05）。组间比较显示，6周干预后，CG和TG在WHOQoL的身体健康、心理和社会关系领域无显着差异（P > 0.05）。但在环境领域存在显着差异（P < 0.05）。与临床治疗相比，使用电话媒介的远程物理治疗可改善膝关节骨关节炎患者的生活质量。
This study investigated effect of a 6-week telephysiotherapy programme on quality of life (QoL) of patients with knee osteoarthritis (OA). Fifty patients with knee OA were randomly and equally assigned into two treatment groups: clinic group (CG) and telephysiotherapy group (TG). The CG received physiotherapist-administered osteoarthritis-specific exercises in the clinic thrice weekly for 6 weeks while the TG received structured telephone monitoring with self-administered osteoarthritis-specific exercises for the same duration at home. Participants' QoL was assessed using WHOQoL-Bref at baseline, second, fourth, and sixth week of intervention. Data were analyzed using ANOVA and independent Student's t-test. Within-group comparison showed significant improvements in physical health domain (P = 0.00* for TG and CG) and psychological domain (P = 0.02* for TG; P = 0.00* for CG) of WHOQoL following six-week intervention. However, there were no significant differences (P > 0.05) in TG and CG's social relationship and environment domains. Between-group comparison showed no significant differences (P > 0.05) between CG and TG's physical health, psychological, and social relationships domains of WHOQoL following 6-week intervention. However, there was significant difference in the environment domain (P < 0.05). Telephysiotherapy using telephone medium improved QoL in patients with knee OA comparable to clinic based treatment.