The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study
Abstract Background Knee osteoarthritis (KOA) is common in elderly people, causes pain, loss of physical functioning, and disability. This was a two-arm, superiority, quasi-experimental trial. The aim of this study was to evaluate the effectiveness of a home-based exercise intervention (HBEI) to red...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-04-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-019-2521-4 |
| _version_ | 1818527759475933184 |
|---|---|
| author | Hongbo Chen Xiaoyan Zheng Hongjie Huang Congying Liu Qiaoqin Wan Shaomei Shang |
| author_facet | Hongbo Chen Xiaoyan Zheng Hongjie Huang Congying Liu Qiaoqin Wan Shaomei Shang |
| author_sort | Hongbo Chen |
| collection | DOAJ |
| description | Abstract Background Knee osteoarthritis (KOA) is common in elderly people, causes pain, loss of physical functioning, and disability. This was a two-arm, superiority, quasi-experimental trial. The aim of this study was to evaluate the effectiveness of a home-based exercise intervention (HBEI) to reduce KOA symptoms and improve the physical functioning of elderly patients. Methods A total of 171 elderly patients (60 years of age or older) with KOA were recruited from four community centers. Patients from two community centers were randomly assigned to the intervention group (IG) and the other two centers were randomly assigned to the control group (CG). Participants in the IG received a 12-week HBEI (including four 2-h sessions supervised by a physiotherapist and fortnightly telephone support) combined with health education, while patients in the CG only received health education. The participants and physiotherapists were aware of the group assignment and alternative treatment components, but the study’s hypotheses were not disclosed to the participants. Pain intensity, joint stiffness, lower-limb muscle strength, balance, mobility, and quality of life were measured before and after the intervention by the same blinded assessor. Results A total of 171 patients (IG: n = 84, CG: n = 87) were enrolled. Data were obtained from 141 patients with an average age of 68 (range, 60–86 years) who completed the 12-week study (IG: n = 71, CG: n = 70). No significant group differences were found in any outcome measures at baseline. At week 12, the pretest/posttest changes 3significant between-group differences in decreases in pain intensity (− 1.60 (CI, − 2.75 to − 0.58)) and stiffness (− 0.79 (CI, − 1.37 to − 0.21)), with the IG exhibiting significantly larger improvements on both measures than the CG. The IG also showed significantly greater improvements on all the secondary outcomes than the CG did. Conclusions HBEI may be effective for relieving KOA symptoms, increasing the physical functioning, and improving quality of life in community-dwelling KOA elderly patients. A large randomized controlled trial with long-term follow-up is needed to confirm these findings. Trial registration Chinese Clinical Trails Registry number ChiCTR1800017026 (retrospectively registered). Registered 9 July 2018. |
| first_indexed | 2024-12-11T06:40:32Z |
| format | Article |
| id | doaj.art-4467a738a3114f188f9ac7b706403c1e |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-11T06:40:32Z |
| publishDate | 2019-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-4467a738a3114f188f9ac7b706403c1e2022-12-22T01:17:15ZengBMCBMC Musculoskeletal Disorders1471-24742019-04-0120111110.1186/s12891-019-2521-4The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental studyHongbo Chen0Xiaoyan Zheng1Hongjie Huang2Congying Liu3Qiaoqin Wan4Shaomei Shang5School of Nursing, Peking UniversityThe Open University of ChinaInstitute of Sports Medicine, Peking University Third HospitalSchool of Nursing, Peking UniversitySchool of Nursing, Peking UniversitySchool of Nursing, Peking UniversityAbstract Background Knee osteoarthritis (KOA) is common in elderly people, causes pain, loss of physical functioning, and disability. This was a two-arm, superiority, quasi-experimental trial. The aim of this study was to evaluate the effectiveness of a home-based exercise intervention (HBEI) to reduce KOA symptoms and improve the physical functioning of elderly patients. Methods A total of 171 elderly patients (60 years of age or older) with KOA were recruited from four community centers. Patients from two community centers were randomly assigned to the intervention group (IG) and the other two centers were randomly assigned to the control group (CG). Participants in the IG received a 12-week HBEI (including four 2-h sessions supervised by a physiotherapist and fortnightly telephone support) combined with health education, while patients in the CG only received health education. The participants and physiotherapists were aware of the group assignment and alternative treatment components, but the study’s hypotheses were not disclosed to the participants. Pain intensity, joint stiffness, lower-limb muscle strength, balance, mobility, and quality of life were measured before and after the intervention by the same blinded assessor. Results A total of 171 patients (IG: n = 84, CG: n = 87) were enrolled. Data were obtained from 141 patients with an average age of 68 (range, 60–86 years) who completed the 12-week study (IG: n = 71, CG: n = 70). No significant group differences were found in any outcome measures at baseline. At week 12, the pretest/posttest changes 3significant between-group differences in decreases in pain intensity (− 1.60 (CI, − 2.75 to − 0.58)) and stiffness (− 0.79 (CI, − 1.37 to − 0.21)), with the IG exhibiting significantly larger improvements on both measures than the CG. The IG also showed significantly greater improvements on all the secondary outcomes than the CG did. Conclusions HBEI may be effective for relieving KOA symptoms, increasing the physical functioning, and improving quality of life in community-dwelling KOA elderly patients. A large randomized controlled trial with long-term follow-up is needed to confirm these findings. Trial registration Chinese Clinical Trails Registry number ChiCTR1800017026 (retrospectively registered). Registered 9 July 2018.http://link.springer.com/article/10.1186/s12891-019-2521-4OsteoarthritisAgedExercisePain |
| spellingShingle | Hongbo Chen Xiaoyan Zheng Hongjie Huang Congying Liu Qiaoqin Wan Shaomei Shang The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study BMC Musculoskeletal Disorders Osteoarthritis Aged Exercise Pain |
| title | The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study |
| title_full | The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study |
| title_fullStr | The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study |
| title_full_unstemmed | The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study |
| title_short | The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study |
| title_sort | effects of a home based exercise intervention on elderly patients with knee osteoarthritis a quasi experimental study |
| topic | Osteoarthritis Aged Exercise Pain |
| url | http://link.springer.com/article/10.1186/s12891-019-2521-4 |
| work_keys_str_mv | AT hongbochen theeffectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy AT xiaoyanzheng theeffectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy AT hongjiehuang theeffectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy AT congyingliu theeffectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy AT qiaoqinwan theeffectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy AT shaomeishang theeffectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy AT hongbochen effectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy AT xiaoyanzheng effectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy AT hongjiehuang effectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy AT congyingliu effectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy AT qiaoqinwan effectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy AT shaomeishang effectsofahomebasedexerciseinterventiononelderlypatientswithkneeosteoarthritisaquasiexperimentalstudy |