Predictors of long-term effect from education and exercise in patients with knee and hip pain
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Predictors of long-term effect from education and exercise in patients with knee and hip pain. / Skou, Søren Thorgaard; Simonsen, Mikkel Elstrup; Odgaard, Anders; Roos, Ewa M.
In: Danish Medical Journal, Vol. 61, No. 7, A4867, 07.2014, p. 1-5.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Predictors of long-term effect from education and exercise in patients with knee and hip pain
AU - Skou, Søren Thorgaard
AU - Simonsen, Mikkel Elstrup
AU - Odgaard, Anders
AU - Roos, Ewa M
PY - 2014/7
Y1 - 2014/7
N2 - INTRODUCTION: Education and exercise are poorly implemented in osteoarthritis care. The purpose of the present study was to identify predictors of effectiveness at one year from education and exercise in patients with knee or hip pain in clinical practice.MATERIAL AND METHODS: Good Life with Arthritis in Denmark is an implementation initiative consisting of education and 12 sessions of neuromuscular exercise delivered by trained physiotherapists. Pain (visual analogue scale 0-100) and quality of life (EQ-5D) were assessed at baseline and after three and 12 months. Changes in outcome from baseline to one year were dependent variables in regression analyses, while changes from baseline to 3 months and absolute results at three months in physical performance (30-second chair stand test) and self-efficacy were predictor variables.RESULTS: A total of 79/82 patients completed the one-year follow-up. Improvements in pain and EQ-5D at three months were maintained at one year (p < 0.006). Change in self-efficacy from baseline to three months (Beta = -0.369) and 30-second chair stand test (Beta = -0.251) and self-efficacy at three months (Beta = -0.492) were predictors of one-year improvement in pain (p < 0.05). Furthermore, self-efficacy at three months (Beta = 0.304) was a predictor of one-year improvement in EQ-5D (p = 0.01).CONCLUSION: The identified predictors highlight the importance of combining education and exercise. This study indicates that good long-term treatment results are achievable in clinical practice.
AB - INTRODUCTION: Education and exercise are poorly implemented in osteoarthritis care. The purpose of the present study was to identify predictors of effectiveness at one year from education and exercise in patients with knee or hip pain in clinical practice.MATERIAL AND METHODS: Good Life with Arthritis in Denmark is an implementation initiative consisting of education and 12 sessions of neuromuscular exercise delivered by trained physiotherapists. Pain (visual analogue scale 0-100) and quality of life (EQ-5D) were assessed at baseline and after three and 12 months. Changes in outcome from baseline to one year were dependent variables in regression analyses, while changes from baseline to 3 months and absolute results at three months in physical performance (30-second chair stand test) and self-efficacy were predictor variables.RESULTS: A total of 79/82 patients completed the one-year follow-up. Improvements in pain and EQ-5D at three months were maintained at one year (p < 0.006). Change in self-efficacy from baseline to three months (Beta = -0.369) and 30-second chair stand test (Beta = -0.251) and self-efficacy at three months (Beta = -0.492) were predictors of one-year improvement in pain (p < 0.05). Furthermore, self-efficacy at three months (Beta = 0.304) was a predictor of one-year improvement in EQ-5D (p = 0.01).CONCLUSION: The identified predictors highlight the importance of combining education and exercise. This study indicates that good long-term treatment results are achievable in clinical practice.
KW - Aged
KW - Arthralgia
KW - Exercise Test
KW - Exercise Therapy
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Osteoarthritis, Hip
KW - Osteoarthritis, Knee
KW - Pain Measurement
KW - Patient Education as Topic
KW - Pilot Projects
KW - Prospective Studies
KW - Quality of Life
KW - Self Efficacy
KW - Time Factors
M3 - Journal article
C2 - 25123117
VL - 61
SP - 1
EP - 5
JO - Danish Medical Journal
JF - Danish Medical Journal
SN - 2245-1919
IS - 7
M1 - A4867
ER -
ID: 137627281