Physiotherapy Program, Centre for Rehabilitation and Special Needs Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Faculty of Sports and Exercise Science, Universiti Malaya, Kuala Lumpur, Malaysia.
J Res Health Sci. 2023 Mar;23(1):e00569. doi: 10.34172/jrhs.2023.104.
Home-based exercise (HBE) and patient education (EDU) have been reported as beneficial additions to usual knee osteoarthritis (KOA) rehabilitation. However, previous trials mostly examined the effects of HBE and EDU separately. Thus, this study aimed to evaluate the effects of a structured combined HBE and EDU program in addition to usual KOA rehabilitation on pain score, functional mobility, and disability level.
A parallel-group, single-blinded randomized controlled trial.
Eighty adults with KOA were randomly allocated to experimental (n=40) and control (n=40) groups. All participants underwent their usual physiotherapy care weekly for eight weeks. The experimental group received a structured HBE+EDU program to their usual care, while the control group performed home stretching exercises to equate treatment time. The Knee Injury and Osteoarthritis Outcome Score (KOOS) for the disability level, visual analogue scale (VAS) for pain, and timed up-and-go test (TUG) for mobility were measured pre-post intervention.
After eight weeks, the experimental group demonstrated significant improvements in the KOOS (all subscales), pain VAS, and TUG scores compared to baseline (<0.001); meanwhile, only KOOS (activities of daily living and sports subscales) was significant in the control group. Relative to the control, the experimental group presented higher improvements (<0.001) by 22.2%, 44.1%, and 15.7% for KOOS, pain VAS, and TUG, respectively.
Integrating the HBE+EDU program into usual KOA rehabilitation could reduce pain and disability, while it improved functional mobility. The finding of this study suggests a combination of a structured HBE and EDU program to be considered as part of mainstream KOA management.
家庭锻炼（HBE）和患者教育（EDU）已被报道为对膝骨关节炎（KOA）常规康复有益的补充。然而，以前的试验大多分别检查了 HBE 和 EDU 的效果。因此，本研究旨在评估结构化的 HBE 和 EDU 联合方案在常规 KOA 康复基础上对疼痛评分、功能移动性和残疾水平的影响。
平行组、单盲随机对照试验。
80 名 KOA 成年人被随机分配到实验组（n=40）和对照组（n=40）。所有参与者每周接受常规物理治疗 8 周。实验组接受结构化的 HBE+EDU 方案作为其常规治疗的补充，而对照组则在家中进行伸展运动以平衡治疗时间。采用膝关节损伤和骨关节炎结果评分（KOOS）评估残疾程度、视觉模拟量表（VAS）评估疼痛、计时起立行走测试（TUG）评估移动能力，在干预前后进行测量。
8 周后，实验组在 KOOS（所有子量表）、疼痛 VAS 和 TUG 评分方面均较基线有显著改善（<0.001）；而对照组仅在 KOOS（日常生活活动和运动子量表）方面有显著改善。与对照组相比，实验组在 KOOS、疼痛 VAS 和 TUG 方面的改善程度更高（<0.001），分别为 22.2%、44.1%和 15.7%。
将 HBE+EDU 方案整合到常规 KOA 康复中可以减轻疼痛和残疾，同时改善功能移动性。本研究的结果表明，结构化的 HBE 和 EDU 联合方案可以作为 KOA 管理的主流方法之一。
