Document Detail


Impact of an exercise and walking protocol on quality of life for elderly people with OA of the knee.
MedLine Citation:
PMID:  14533368     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: The knee is the weight-bearing joint most commonly affected by osteoarthritis (OA). The symptoms of pain, morning stiffness of short duration and physical dysfunction in the activities of daily living (ADL) can have an effect on many aspects of health, affecting quality of life. Regular and moderate physical activity adapted to individuals' life-styles and education, and joint protection strategies have been advocated as conservative management. The purpose of the present study was to assess the impact of an exercise and walking protocol on the quality of life of elderly people with knee OA. METHOD: The study design was a randomized controlled clinical trial. The subjects comprised 50 elderly people, aged 65 or more, with knee OA who had been referred to the geriatric outpatient unit for rehabilitation. Changes in severity of pain and quality of life were compared between a control group (CG) and an experimental group (EG). Both groups participated in an educational session and the EG also received a 12-week exercise and walking protocol. Both groups were assessed at baseline and after three and six months by an independent observer. The Lequesne Index of Knee OA Severity (LI), the Health Assessment Questionnaire (HAQ) and the Medical Outcomes Short-Form Health Survey (SF-36) were used as measurement instruments. RESULTS: In the CG, the measures of quality of life (SF-36), the HAQ and the LI between subjects did not yield statistically significant differences over the three measurement points. For the EG, there was a significant improvement in function, measured by HAQ, and decreasing OA symptom severity, measured by LI. For the SF-36 there were significant improvements in physical function, functional role limitation and pain. Comparisons between the groups showed statistically significant differences after three and six months for all measures, except for the SF-36 emotional domains. CONCLUSION: The exercise protocol and walking programme had a positive effect on the quality of life of elderly individuals with knee OA.
Authors:
Rosângela Corrêa Dias; João Marcos Domingues Dias; Luiz Roberto Ramos
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Physiotherapy research international : the journal for researchers and clinicians in physical therapy     Volume:  8     ISSN:  1358-2267     ISO Abbreviation:  Physiother Res Int     Publication Date:  2003  
Date Detail:
Created Date:  2003-10-09     Completed Date:  2004-01-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9612022     Medline TA:  Physiother Res Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  121-30     Citation Subset:  IM    
Affiliation:
Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. rosandi@metalink.com.br
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MeSH Terms
Descriptor/Qualifier:
Aged
Disability Evaluation
Exercise Therapy*
Female
Humans
Male
Osteoarthritis, Knee / rehabilitation*
Outcome Assessment (Health Care)
Quality of Life*
Time Factors
Walking*

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


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