The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study
Chen, Hongbo1; Zheng, Xiaoyan2; Huang, Hongjie3; Liu, Congying1; Wan, Qiaoqin1; Shang, Shaomei1
2019-04-09
发表期刊BMC MUSCULOSKELETAL DISORDERS
ISSN1471-2474
卷号20
摘要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.
关键词Osteoarthritis Aged Exercise Pain
DOI10.1186/s12891-019-2521-4
收录类别SCIE ; SSCI
语种英语
WOS研究方向Orthopedics ; Rheumatology
WOS类目Orthopedics ; Rheumatology
WOS记录号WOS:000464853900005
出版者BMC
原始文献类型Article
引用统计
被引频次:52[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.library.ouchn.edu.cn/handle/39V7QQFX/25028
专题国家开放大学
通讯作者Shang, Shaomei
作者单位1.Peking Univ, Sch Nursing, 38 Xueyuan Rd, Beijing 100191, Peoples R China;
2.Open Univ China, 75 Fuxing Rd, Beijing 100039, Peoples R China;
3.Peking Univ, Hosp 3, Inst Sports Med, 49 Huayuan North Rd, Beijing 100191, Peoples R China
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GB/T 7714
Chen, Hongbo,Zheng, Xiaoyan,Huang, Hongjie,et al. The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study[J]. BMC MUSCULOSKELETAL DISORDERS,2019,20.
APA Chen, Hongbo,Zheng, Xiaoyan,Huang, Hongjie,Liu, Congying,Wan, Qiaoqin,&Shang, Shaomei.(2019).The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study.BMC MUSCULOSKELETAL DISORDERS,20.
MLA Chen, Hongbo,et al."The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis: a quasi-experimental study".BMC MUSCULOSKELETAL DISORDERS 20(2019).
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