Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.
J Physiother. 2010;56(1):41-7. doi: 10.1016/s1836-9553(10)70053-9.
Does behavioural graded activity result in better exercise adherence and more physical activity than usual care in people with osteoarthritis of the hip or knee?
Analysis of secondary outcomes of a cluster-randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis.
Two hundred patients with hip and/or knee osteoarthritis.
Experimental group received 18 sessions of behavioural graded activity over 12 weeks and up to 7 booster sessions over the next year. The control group received 18 sessions of usual care over 12 weeks according to the Dutch physiotherapy guideline.
Exercise adherence was measured using a questionnaire and physical activity was measured using the SQUASH questionnaire at baseline, 13, and 65 weeks.
Adherence to recommended exercises was significantly higher in the experimental group than in the control group at 13 weeks (OR 4.3, 95% CI 2.1 to 9.0) and at 65 weeks (OR 3.0, 95% CI 1.5 to 6.0). Significantly more of the experimental than the control group met the recommendations for physical activity at 13 weeks (OR 5.3, 95% CI 1.9 to 14.8) and at 65 weeks (OR 2.9, 95% CI 1.2 to 6.7).
Behavioural graded activity results in better exercise adherence and more physical activity than usual care in people with osteoarthritis of the hip or knee, both in the short- and long-term.
NCT00522106.
与常规护理相比，行为分级活动是否能提高髋或膝关节骨关节炎患者的锻炼依从性和增加身体活动量？
对一项集群随机试验的次要结局进行分析，该试验采用了隐藏分组、评估者设盲和意向治疗分析。
200 名髋和/或膝关节骨关节炎患者。
实验组接受 18 次行为分级活动，共 12 周，并在接下来的 1 年内接受最多 7 次强化活动。对照组在 12 周内根据荷兰物理治疗指南接受 18 次常规护理。
使用问卷测量锻炼依从性，使用 SQUASH 问卷测量身体活动量，在基线、13 周和 65 周时进行测量。
在 13 周和 65 周时，实验组患者的推荐锻炼依从性明显高于对照组（OR 4.3，95%CI 2.1 至 9.0）和（OR 3.0，95%CI 1.5 至 6.0）。在 13 周和 65 周时，实验组患者符合身体活动推荐的比例明显高于对照组（OR 5.3，95%CI 1.9 至 14.8）和（OR 2.9，95%CI 1.2 至 6.7）。
与常规护理相比，行为分级活动能提高髋或膝关节骨关节炎患者的锻炼依从性和增加身体活动量，无论是在短期还是长期。
NCT00522106。
