1. Follow-up of individualised physical activity on prescription and individualised advice in patients with hip or knee osteoarthritis: A randomised controlled trial.
- Author
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Bendrik, Regina, Kallings, Lena V, Bröms, Kristina, and Emtner, Margareta
- Subjects
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KNEE osteoarthritis , *PAIN measurement , *SELF-evaluation , *STATISTICAL hypothesis testing , *RESEARCH funding , *STATISTICAL sampling , *PRIMARY health care , *ACCELEROMETERS , *QUESTIONNAIRES , *TREATMENT effectiveness , *RANDOMIZED controlled trials , *GOAL (Psychology) , *DESCRIPTIVE statistics , *BEHAVIOR , *MANN Whitney U Test , *CONTROL groups , *PRE-tests & post-tests , *QUALITY of life , *PAIN , *INDIVIDUALIZED medicine , *HIP osteoarthritis , *COMPARATIVE studies , *DRUGS , *CONFIDENCE intervals , *DATA analysis software , *PHYSICAL activity - Abstract
Objective: Compare the long-term effects of two different individualised physical activity interventions in hip or knee osteoarthritis patients. Design: Randomised, assessor-blinded, controlled trial. Setting: Primary care. Subjects: Patients with clinically verified hip or knee osteoarthritis, <150 min/week with moderate or vigorous physical activity, aged 40–74. Intervention: The advice group (n = 69) received a 1-h information and goalsetting session for individualised physical activity. The prescription group (n = 72) received information, goalsetting, individualised written prescription, self-monitoring, and four follow-ups. Main measures: Physical activity, physical function, pain and quality of life at baseline, 6, 12 and 24 months. Results: There were only minor differences in outcomes between the two groups. For self-reported physical activity, the advice group had improved from a mean of 102 (95% CI 74–130) minutes/week at baseline to 214 (95% CI 183–245) minutes/week at 24 months, while the prescription group had improved from 130 (95% CI 103–157) to 176 (95% CI 145–207) minutes/week (p = 0.01 between groups). Number of steps/day decreased by −514 (95% CI −567–462) steps from baseline to 24 months in the advice group, and the decrease in the prescription group was −852 (95% CI −900–804) steps (p = 0.415 between groups). Pain (HOOS/KOOS) in the advice group had improved by 7.9 points (95% CI 7.5–8.2) and in the prescription group by 14.7 points (95% CI 14.3–15.1) from baseline to 24 months (p = 0.024 between groups). Conclusions: There is no evidence that individualised physical activity on prescription differs from individualised advice in improving long-term effects in patients with hip or knee osteoarthritis. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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