| Group education and exercise is feasible in knee and hip osteoarthritis. | |
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MedLine Citation:
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PMID: 23290290 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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INTRODUCTION: Clinical practice does not reflect current clinical guidelines recommending an early multimodal non-surgical treatment for knee and hip osteoarthritis (OA). The purpose of this study was to examine the feasibility of such an initiative (Good Life with osteoArthritis in Denmark (GLA:D) in persons with mild to moderate knee and/or hip OA-related pain. MATERIAL AND METHODS: This was a pilot study with a 36-patient cohort and three-month follow-up. The treatment consisted of two 1.5-hour sessions of patient education and six weeks of individualized supervised neuromuscular exercise according to the previously published NEuroMuscular Exercise programme. The primary outcome was pain on a visual analogue scale (0-100). Secondary outcomes were Euro-Quality-of-Life - 5 Dimensional form (EQ-5D), Arthritis Self-Efficacy Scale (ASES), 30-second chair stand test, timed 20-meter walk and body mass index. Furthermore, compliance was registered. RESULTS: Thirty-four (94%) participants completed the follow-up. There were significant improvements (p < 0.05) in the primary outcome pain (--16 mm), in time in the 20-meter walk test (--0.7 s), in EQ-5D (0.053), in ASES (7.3) and in the number of complete chair stands (1.4). Compliance was high in relation to both patient education and exercise. CONCLUSION: The pilot study demonstrated that the intervention is feasible and that it is possible to implement GLA:D in clinical care. Introducing GLA:D nationwide could improve the adherence to clinical guidelines and the quality of the treatment of knee and hip OA. FUNDING: This trial was funded by The Association of Danish Physiotherapists' Research Fund. TRIAL REGISTRATION: not relevant. |
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Authors:
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Søren Thorgaard Skou; Anders Odgaard; Jens Ole Rasmussen; Ewa M Roos |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Danish medical journal Volume: 59 ISSN: 2245-1919 ISO Abbreviation: Dan Med J Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2013-01-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101576205 Medline TA: Dan Med J Country: Denmark |
Other Details:
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Languages: eng Pagination: A4554 Citation Subset: IM |
Affiliation:
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Ortopædkirurgisk Forskningsenhed, Aalborg Hospital, Aarhus University Hospital, Research and Innovation Center, Søndre Skovvej 15, Aalborg 9000, Denmark. sots@rn.dk. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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