pubmed.ncbi.nlm.nih.gov

The effect of education and supervised exercise on physical activity, pain, quality of life and self-efficacy - an intervention study with a reference group - PubMed

  • ️Mon Jan 01 2018

Clinical Trial

The effect of education and supervised exercise on physical activity, pain, quality of life and self-efficacy - an intervention study with a reference group

Thérése Jönsson et al. BMC Musculoskelet Disord. 2018.

Abstract

Background: Individuals with knee and hip osteoarthritis (OA) are less physically active than people in general, and many of these individuals have adopted a sedentary lifestyle. In this study we evaluate the outcome of education and supervised exercise on the level of physical activity in individuals with knee or hip OA. We also evaluate the effect on pain, quality of life and self-efficacy.

Methods: Of the 264 included individuals with knee or hip OA, 195 were allocated to the intervention group. The intervention group received education and supervised exercise that comprised information delivered by a physiotherapist and individually adapted exercises. The reference group consisted of 69 individuals with knee or hip OA awaiting joint replacement and receiving standard care. The primary outcome was physical activity (as measured with an accelerometer). The secondary outcomes were pain (Visual Analog Scale), quality of life (EQ-5D), and self-efficacy (Arthritis Self-Efficacy Scale, pain and other symptoms subscales). Participants in both groups were evaluated at baseline and after 3 months. The intervention group was also evaluated after 12 months.

Results: No differences were found in the number of minutes spent in sedentary or in physical activity between the intervention and reference groups when comparing the baseline and 3 month follow-up. However, there was a significant difference in mean change (mean diff; 95% CI; significance) between the intervention group and reference group favoring the intervention group with regard to pain (13; 7 to 19; p < 0.001), quality of life (- 0.17; - 0.24 to - 0.10; p < 0.001), self-efficacy/other symptoms (- 5; - 10 to - 0.3; p < 0.04), and self-efficacy/pain (- 7; - 13 to - 2; p < 0.01). Improvements in pain and quality of life in the intervention group persisted at the 12-month follow-up.

Conclusions: Participation in an education and exercise program following the Swedish BOA program neither decreased the average amount of sedentary time nor increased the level of physical activity. However, participation in such a program resulted in decreased pain, increased quality of life, and increased self-efficacy.

Trial registration: The trial is registered with ClinicalTrials.gov. Registration number: NCT02022566 . Retrospectively registered 12/18/2013.

Keywords: Accelerometer; Exercise; Hip; Knee; Osteoarthritis; Patient education; Physical activity.

PubMed Disclaimer

Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the Regional Ethical Review Board in Gothenburg (747–08). All patients received oral and written information about the study and provided their written informed consent before inclusion.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1

Concept of the education and supervised exercise according to the BOA program

Fig. 2
Fig. 2

Flowchart of the study

Similar articles

Cited by

References

    1. Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, Bridgett L, Williams S, Guillemin F, Hill CL, et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(7):1323–1330. doi: 10.1136/annrheumdis-2013-204763. - DOI - PubMed
    1. De Angelis G, Chen Y. Obesity among women may increase the risk of arthritis: observations from the Canadian Community Health Survey, 2007−2008. Rheumatol Int. 2013;33(9):2249–2253. doi: 10.1007/s00296-013-2712-5. - DOI - PubMed
    1. Dieppe PA, Lohmander LS. Pathogenesis and management of pain in osteoarthritis. Lancet (London, England) 2005;365(9463):965–973. doi: 10.1016/S0140-6736(05)71086-2. - DOI - PubMed
    1. Wallis JA, Webster KE, Levinger P, Taylor NF. What proportion of people with hip and knee osteoarthritis meet physical activity guidelines? A systematic review and meta-analysis. Osteoarthr Cartil. 2013;21(11):1648–1659. doi: 10.1016/j.joca.2013.08.003. - DOI - PubMed
    1. Nuesch E, Dieppe P, Reichenbach S, Williams S, Iff S, Juni P. All cause and disease specific mortality in patients with knee or hip osteoarthritis: population based cohort study. Bmj. 2011;342:d1165. doi: 10.1136/bmj.d1165. - DOI - PMC - PubMed

Publication types

MeSH terms