Document Detail

Evaluation of the Bristol Royal Infirmary physiotherapy programme for the management of patients with osteoarthritis of the knee.
MedLine Citation:
PMID:  17042019     Owner:  NLM     Status:  MEDLINE    
The aim of this paper is to investigate whether comparable outcomes can be achieved when research evidence is translated into clinical practice in the management of osteoarthritis (OA) of the knee. An evidence-based physiotherapy programme for the management of OA of the knee was established at the Bristol Royal Infirmary (BRI). It incorporated both group education and exercise into a six week course. Outcomes from the programme were measured using the WOMAC self-evaluated questionnaire which is sub-divided into pain, stiffness and function sections with an additional visual analogue scale (VAS) for pain in each knee. Outcomes from the BRI programme were compared with those reported in four papers which used similar interventions and evaluation tools. A reduction in pain (VAS) of 43% was demonstrated following this programme compared with a mean reduction of 16% reported in the other programmes investigated. It is concluded that favourable outcomes for patients can be achieved by implementing evidence into practice, e.g. in the BRI knee programme.
Melissa Domaille; Ravik Mascarenhas; Nimesh Dayal; John Kirwan
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Musculoskeletal care     Volume:  4     ISSN:  1478-2189     ISO Abbreviation:  Musculoskeletal Care     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-10-16     Completed Date:  2006-12-20     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  101181344     Medline TA:  Musculoskeletal Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  78-87     Citation Subset:  IM    
Copyright Information:
Copyright 2006 John Wiley & Sons, Ltd.
University of Bristol Academic Rheumatology and United Bristol Healthcare Trust Rheumatology Service, Bristol Royal Infirmary, Bristol, UK.
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MeSH Terms
Aged, 80 and over
Great Britain
Middle Aged
Osteoarthritis, Knee / complications,  physiopathology,  therapy*
Pain Measurement
Patient Education as Topic*
Physical Therapy Modalities*
Range of Motion, Articular / physiology
Treatment Outcome

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