Physical activity in individuals with early signs of hip/knee osteoarthritis : A feasibility study
ISPAH ePoster Library. Jayakaran P. 10/15/18; 225596; 392
Dr. Prasath Jayakaran
Dr. Prasath Jayakaran
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Abstract
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Abstract Introduction:<\b>
Osteoarthritis (OA) of hip/knee significantly impacts daily activities. Undertaking physical activity is a challenge in later stages of OA, with significant pain and disability reinforcing fear of movement and reducing self-efficacy. This study aimed to identify individuals with early signs of OA in the community and test the feasibility of a walking programme to improve their self-efficacy.Method: A single-blind randomised controlled trial (RCT) design was used to test the feasibility of a 6-week walking programme. Participants aged 40-75 years were sampled from the New Zealand electoral roll database. A total of 225 respondents reported undiagnosed early signs of hip/knee OA; and N=33 enrolled in the RCT. After baseline assessment participants were randomised into the following three intervention groups: tailored physiotherapy (G1 = 12); tailored physiotherapy + walking programme (G2 =11) and usual care (G3 = 10). Results:<\b>
The mean (SD) age of participants was 60 (7) years. At least 50% of the participants in G1 and G2 completed all appointments for the 6-week intervention. The dropout rate for follow-up assessment at 6 weeks and 12 weeks was high (45 and 58%). The mean self-efficacy scores (max 20) at baseline and six weeks were G1=15.87 and 16; G2=16.85 and 11.5; G3=16.16 and 17. Conclusion:<\b>
Feasibility of a future trial with the same design is questionable due to the issues with recruitment and retention of participants with early hip/knee OA. Preliminary data suggests that the treatment package has the potential to modify self-efficacy. External funding details The study was funded by the Jack Thompson Arthritis Research Fund of the Otago Medical Research Foundation and the Lottery Health Research Grants, New Zealand
Abstract Introduction:<\b>
Osteoarthritis (OA) of hip/knee significantly impacts daily activities. Undertaking physical activity is a challenge in later stages of OA, with significant pain and disability reinforcing fear of movement and reducing self-efficacy. This study aimed to identify individuals with early signs of OA in the community and test the feasibility of a walking programme to improve their self-efficacy.Method: A single-blind randomised controlled trial (RCT) design was used to test the feasibility of a 6-week walking programme. Participants aged 40-75 years were sampled from the New Zealand electoral roll database. A total of 225 respondents reported undiagnosed early signs of hip/knee OA; and N=33 enrolled in the RCT. After baseline assessment participants were randomised into the following three intervention groups: tailored physiotherapy (G1 = 12); tailored physiotherapy + walking programme (G2 =11) and usual care (G3 = 10). Results:<\b>
The mean (SD) age of participants was 60 (7) years. At least 50% of the participants in G1 and G2 completed all appointments for the 6-week intervention. The dropout rate for follow-up assessment at 6 weeks and 12 weeks was high (45 and 58%). The mean self-efficacy scores (max 20) at baseline and six weeks were G1=15.87 and 16; G2=16.85 and 11.5; G3=16.16 and 17. Conclusion:<\b>
Feasibility of a future trial with the same design is questionable due to the issues with recruitment and retention of participants with early hip/knee OA. Preliminary data suggests that the treatment package has the potential to modify self-efficacy. External funding details The study was funded by the Jack Thompson Arthritis Research Fund of the Otago Medical Research Foundation and the Lottery Health Research Grants, New Zealand
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