Chronic disease management programme in people with severe knee osteoarthritis: efficacy and moderators of response

Clinical Rehabilitation
S E LambK L Barker

Abstract

To establish (1) the efficacy of a six-week chronic disease management programme for knee osteoarthritis and (2) whether previous physiotherapy or being wait listed for surgery moderated the outcome of the programme. A pretest, posttest design with multivariate statistical modelling. One hundred and twenty-one people with severe osteoarthritis who were waiting, or being considered, for surgery. Western Ontario Osteoarthritis Index (WOMAC) scores, arthritis self-efficacy, distress and a patient-rated global indicator of response were collected at baseline, 6 and 12 weeks. History of previous physiotherapy, waiting list status, symptom duration, New Zealand disease severity score, radiographic changes and self-perceived need for surgery were recorded at baseline. There were moderate improvements in most outcomes; WOMAC function decreased by 0.29, WOMAC pain by 0.27, pain self-efficacy by 4.4, function self-efficacy by 5.6 and visual analogue scale (VAS) distress by 0.2 (effect sizes ranging from 0.3 to 0.5 at 12 weeks). Waiting list status was a significant modifier for function, pain, distress and self-related outcomes. Participants on the waiting list for surgery experienced lesser improvements. Previous physiotherapy was assoc...Continue Reading

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Citations

Apr 3, 2009·Current Opinion in Rheumatology·Michael V Hurley, Nicola E Walsh
Jul 21, 2009·Current Opinion in Rheumatology·Tamara J SomersGeorgia H Hoyler
Dec 19, 2012·Biology of Sex Differences·Kathleen A SlukaWendy M Kohrt
Jun 29, 2016·The South African Journal of Physiotherapy·Tina Kruger-JakinsRomy Parker

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