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