Exercise Adherence Improving Long-Term Patient Outcome in Patients With Osteoarthritis of the Hip and/or Knee
Exercise Adherence Improving Long-Term Patient Outcome in Patients With Osteoarthritis of the Hip and/or Knee
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DOI：
10.1002/acr.20182
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发表时间：
2010-08-01
影响因子：
4.7
通讯作者：
De Bakker, Dinny H.
中科院分区：
文献类型：
--
作者：
Pisters, Martijn F.;Veenhof, Cindy;De Bakker, Dinny H.
客观的。确定患者在规定的物理治疗治疗期内和物理治疗出院后坚持锻炼对髋部和/或膝骨关节炎 (OA) 患者疼痛、身体功能和患者自我感知效果的影响。方法。我们进行了一项前瞻性观察性随访研究，对 150 名接受运动治疗的髋部和/或膝部 OA 患者进行了为期 60 个月的随访。数据来自一项随机对照试验，在基线以及 3、15 和 60 个月的随访时进行评估。使用广义估计方程分析检查运动依从性与患者疼痛、身体功能和自我感知效果结果之间的关联。结果。坚持推荐的家庭锻炼和更加活跃的身体活动与更好的疼痛治疗结果、自我报告的身体功能、身体表现和自我感知效果显着相关。随着时间的推移，依从性和结果之间的关联是一致的。坚持家庭活动只与更好的自我感知效果相关。结论。更好地坚持推荐的家庭锻炼以及更多的身体活动可以提高髋部和/或膝部骨关节炎患者运动疗法的长期有效性。在治疗期间和治疗之后，更好的依从性与更好的患者疼痛、身体功能和自我感知效果的结果相关。由于运动依从性会随着时间的推移而下降，因此未来的研究应该集中于如何长期刺激和维持运动行为。
Objective. To determine the effect of patient exercise adherence within the prescribed physical therapy treatment period and after physical therapy discharge on patient outcomes of pain, physical function, and patient self-perceived effect in individuals with osteoarthritis (OA) of the hip and/or knee.Methods. We performed a prospective observational followup study in which 150 patients with OA of the hip and/or knee receiving exercise therapy were followed for 60 months. Data were obtained from a randomized controlled trial, with assessments at baseline and 3, 15, and 60 months of followup. The association between exercise adherence and patient outcomes of pain, physical function, and self-perceived effect was examined using generalized estimating equations analyses.Results. Adherence to recommended home exercises and being more physically active were significantly associated with better treatment outcomes of pain, self-reported physical function, physical performance, and self-perceived effect. The association between adherence and outcome was consistent over time. Adherence to home activities was only associated with better self-perceived effect.Conclusion. Better adherence to recommended home exercises as well as being more physically active improves the long-term effectiveness of exercise therapy in patients with OA of the hip and/or knee. Both within and after the treatment period, better adherence is associated with better patient outcomes of pain, physical function, and self-perceived effect. Since exercise adherence declines over time, future research should focus on how exercise behavior can be stimulated and maintained in the long term.