Document Detail


Exercise adherence improving long-term patient outcome in patients with osteoarthritis of the hip and/or knee.
MedLine Citation:
PMID:  20235201     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Martijn F Pisters; Cindy Veenhof; François G Schellevis; Jos W R Twisk; Joost Dekker; Dinny H De Bakker
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Arthritis care & research     Volume:  62     ISSN:  2151-4658     ISO Abbreviation:  Arthritis Care Res (Hoboken)     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-12     Completed Date:  2010-09-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101518086     Medline TA:  Arthritis Care Res (Hoboken)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1087-94     Citation Subset:  IM    
Affiliation:
Netherlands Institute for Health Services Research and Clinical Health Science, University Medical Center Utrecht, The Netherlands. pisters@nivel.nl
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MeSH Terms
Descriptor/Qualifier:
Aged
Exercise
Exercise Therapy*
Female
Follow-Up Studies
Humans
Knee Joint / physiopathology
Male
Middle Aged
Motor Activity
Osteoarthritis / complications,  rehabilitation*,  therapy
Pain / complications,  rehabilitation,  therapy
Patient Compliance*
Physical Therapy Modalities
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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