scholarly journals Hospital-based versus home-based proprioceptive and strengthening exercise programs in knee osteoarthritis

2010 ◽  
Vol 44 (4) ◽  
pp. 270-277 ◽  
Author(s):  
Volga Bayrakci Tunay
Keyword(s):  
Knee Osteoarthritis ◽  
Exercise Programs ◽  
Home Based ◽  
Strengthening Exercise

The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part two: strengthening exercise programs

2017 ◽  
Vol 31 (5) ◽  
pp. 596-611 ◽  
Author(s):  
Lucie Brosseau ◽  
Jade Taki ◽  
Brigit Desjardins ◽  
Odette Thevenot ◽  
Marlene Fransen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pain Relief ◽  
Knee Osteoarthritis ◽  
Physical Function ◽  
Statistical Significance ◽  
Exercise Programs ◽  
High Quality ◽  
Strengthening Exercise ◽  
Therapeutic Exercises

Objective: To identify effective strengthening exercise programs and provide rehabilitation teams and patients with updated, high-quality recommendations concerning traditional land-based exercises for knee osteoarthritis. Methods: A systematic search and adapted selection criteria included comparative controlled trials with strengthening exercise programs for patients with knee osteoarthritis. A panel of experts reached consensus on the recommendations using a Delphi survey. A hierarchical alphabetical grading system (A, B, C+, C, D, D+ or D-) was based on statistical significance ( p < 0.5) and clinical importance (⩾15% improvement). Results: The 26 high-quality studies identified demonstrated that various strengthening exercise programs with/without other types of therapeutic exercises are generally effective for improving knee osteoarthritis management within a six-month period. Strengthening exercise programs demonstrated a significant improvement for pain relief (four Grade A, ten Grade B, two Grade C+), physical function (four Grade A, eight Grade B) and quality of life (three Grade B). Strengthening in combination with other types of exercises (coordination, balance, functional) showed a significant improvement in pain relief (three Grade A, 11 Grade B, eight Grade C+), physical function (two Grade A, four Grade B, three Grade C+) and quality of life (one Grade A, one Grade C+). Conclusion: There are a variety of choices for strengthening exercise programs with positive recommendations for healthcare professionals and knee osteoarthritis patients. There is a need to develop combined behavioral and muscle-strengthening strategies to improve long-term maintenance of regular strengthening exercise programs.

scholarly journals SAT0617-HPR QUALITATIVE STUDY EXPLORING THE BARRIERS AND FACILITATORS TO HOME-BASED EXERCISE PROGRAMS ADHERENCE WITH KNEE OSTEOARTHRITIS: THE PERSPECTIVES PHYSIOTHERAPISTS AND PATIENTS.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1268.3-1269
Author(s):  
H. Akgül ◽  
N. Sermenlİ Aydin ◽  
Z. Sari ◽  
M. Bİrtane ◽  
E. Tonga
Keyword(s):  
Patient Education ◽  
Focus Group ◽  
Qualitative Study ◽  
Knee Osteoarthritis ◽  
Exercise Adherence ◽  
Barriers And Facilitators ◽  
Home Exercise ◽  
Exercise Programs ◽  
Home Based ◽  
Turkish Patients

Background:Home exercise programs are widely used in the treatment of knee osteoarthritis (OA). However, adherence to these exercises decreases in the long term due to different factors. In recent years, new approaches are being developed to increase exercise adherence (EA) for patients with OA. Although it is known that EA is low in Turkish patients, there is no study that examines the barriers of adherence to home exercise programs in patients with OA by qualitative research methods.Objectives:Aim of our study was to investigate the barriers and facilitators for adherence of home-based exercises for knee osteoarthritis management from the perspective of physiotherapists and patients.Methods:A Qualitative study by using focus groups discussions and semi-structured interviews were designed to investigate the barriers and facilitators to home-based exercise program adherence for OA. Two researchers facilitated focus group interview. Participants of focus group members were eight physiotherapists (PT) working with OA with different experience levels. Third researcher conduct the interviews which lasted 30-60 minutes with patients (patients with knee OA, n=5 ages>50). Data were audio recorded, transcribed verbatim and thematically analyzed with NVIVO 12 software. Three researchers conducted the thematic analysis to ensure the validity.Results:In total, 25 main themes from the focus group discussions and interviews were determined. Major barrier themes from focus group were (a) beliefs to exercise benefits (b) patient education and (c)fear avoidance beliefs on exercise; from the interviews were (a)negligence of self-management (b)fatigue and (c)patient education. Patients and therapists all agreed for patient education is one of the most important factors for home EA. Patients wanted to get education on arthritis management. A patient said:“Actually, the clinicians should give information more deeply. I don’t know which is correct for me after therapy, resting or moving?”Major facilitator themes from the focus group were (a)motivation from PT (b)client-centred exercise (c)digital technology; from interviews were (a) motivational approaches of therapists (wats-up messages) (b) having pain and (c)patient education for disease management. Therapists agreed on that personalized exercise is the most important facilitator. A therapist commented,“If the personalized exercise given the patient with correct intensity and repetitions, I don’t think that patients would not do their home exercises.”Conclusion:This is the first qualitative study about exercise adherence in knee osteoarthritis in Turkey. It has been determined that the lack of education and motivation are the most important barriers. More studies are needed to examine the factors affecting EA for patients with OA. In future studies, implementations to increase home EA on Turkish patients with OA should be investigated by qualitative research methods.References:[1]MacKay C. Qualitative study exploring the factors influencing physical therapy management of early knee osteoarthritis in Canada. BMJ 2018 open.[2]Carmona-Terés, Understanding knee osteoarthritis from the patients’ perspective: a qualitative study.” BMC musculoskeletal disorders 18.1 (2017): 225.[3]Marlene F.Exercise for osteoarthritis of the knee: a Cochrane systematic review. British journal of sports medicine 2015 49(24).Disclosure of Interests:None declared

scholarly journals A Short Message Service Intervention to Support Adherence to Home-Based Strengthening Exercise for People With Knee Osteoarthritis: Intervention Design Applying the Behavior Change Wheel

10.2196/14619 ◽  
2019 ◽  
Vol 7 (10) ◽  
pp. e14619 ◽  
Author(s):  
Rachel K Nelligan ◽  
Rana S Hinman ◽  
Lou Atkins ◽  
Kim L Bennell
Keyword(s):  
Behavior Change ◽  
Knee Osteoarthritis ◽  
Short Message Service ◽  
Exercise Adherence ◽  
Health Behavior Change ◽  
Short Message ◽  
Home Based ◽  
Behavior Change Wheel ◽  
Strengthening Exercise ◽  
Message Service

Background Knee osteoarthritis is a chronic condition with no known cure. Treatment focuses on symptom management, with exercise recommended as a core component by all clinical practice guidelines. However, long-term adherence to exercise is poor among many people with knee osteoarthritis, which limits its capacity to provide sustained symptom relief. To improve exercise outcomes, scalable interventions that facilitate exercise adherence are needed. SMS (short message service) interventions show promise in health behavior change. The Behavior Change Wheel (BCW) is a widely used framework that provides a structured approach to designing behavior change interventions and has been used extensively in health behavior change intervention design. Objective The study aimed to describe the development of, and rationale for, an SMS program to support exercise adherence in people with knee osteoarthritis using the BCW framework. Methods The intervention was developed in two phases. Phase 1 involved using the BCW to select the target behavior and associated barriers, facilitators, and behavior change techniques (BCTs). Phase 2 involved design of the program functionality and message library. Messages arranged into a 24-week schedule were provided to an external company to be developed into an automated SMS program. Results The target behavior was identified as participation in self-directed home-based strengthening exercise 3 times a week for 24 weeks. A total of 13 barriers and 9 facilitators of the behavior and 20 BCTs were selected to use in the intervention. In addition, 198 SMS text messages were developed and organized into a 24-week automated program that functions by prompting users to self-report the number of home exercise sessions completed each week. Users who reported ≥3 exercise sessions/week (adherent) received positive reinforcement messages. Users who reported &lt;3 exercise sessions/week (nonadherent) were asked to select a barrier (from a list of standardized response options) that best explains why they found performing the exercises challenging in the previous week. This automatically triggers an SMS containing a BCT suggestion relevant to overcoming the selected barrier. Users also received BCT messages to facilitate exercise adherence, irrespective of self-reported adherence. Conclusions This study demonstrates application of the BCW to guide development of an automated SMS intervention to support exercise adherence in knee osteoarthritis. Future research is needed to assess whether the intervention improves adherence to the prescribed home-based strengthening exercise.

scholarly journals Trajectories of adherence to home-based exercise programs among people with knee osteoarthritis

2018 ◽  
Vol 26 ◽  
pp. S254-S255
Author(s):  
P.J. Nicolson ◽  
R.S. Hinman ◽  
J. Kasza ◽  
K.L. Bennell
Keyword(s):  
Knee Osteoarthritis ◽  
Exercise Programs ◽  
Home Based

scholarly journals Trajectories of adherence to home-based exercise programs among people with knee osteoarthritis

2018 ◽  
Vol 26 (4) ◽  
pp. 513-521 ◽  
Author(s):  
P.J.A. Nicolson ◽  
R.S. Hinman ◽  
J. Kasza ◽  
K.L. Bennell
Keyword(s):  
Knee Osteoarthritis ◽  
Exercise Programs ◽  
Home Based

scholarly journals Home-based management of knee osteoarthritis during COVID-19 pandemic: literature review and evidence-based recommendations

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Theofilos Karasavvidis ◽  
Michael T. Hirschmann ◽  
Nanne P. Kort ◽  
Ioannis Terzidis ◽  
Trifon Totlis
Keyword(s):  
Literature Review ◽  
Knee Osteoarthritis ◽  
Evidence Based ◽  
Home Based

Key Factors Influencing Implementation of Falls Prevention Exercise Programs in the Community

2016 ◽  
Vol 24 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Lesley Day ◽  
Margaret J. Trotter ◽  
Alex Donaldson ◽  
Keith D. Hill ◽  
Caroline F. Finch
Keyword(s):  
Program Implementation ◽  
Diffusion Of Innovations ◽  
Exercise Program ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Relative Advantage ◽  
Diffusion Of Innovations Theory ◽  
Exercise Programs ◽  
Program Leaders ◽  
Home Based

The study aim was to evaluate the implementation of group- and home-based exercise falls prevention programs delivered through community health agencies to community-dwelling older people. Interviews with program staff were guided by the Diffusion of Innovations theory. Highly consistent themes emerged for the two types of programs. Both had high overall compatibility, high relative advantage, good observability and high inherent trialability—all factors known to strengthen implementation. The level of complexity and low financial compatibility emerged as the strongest potential inhibitors to program implementation in the context examined. The two main factors contributing to complexity were the need to challenge balance safely across a broad range of capability, and practical considerations associated with program delivery.A range of strategies to provide more technical support for exercise program leaders to tailor balance challenge for exercise program leaders may enhance implementation of falls prevention exercise programs.

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