Min Ryan Cheok Chi, Joo Lim Chien, Yijia Tan Bryan, Hao Pua Yong, Jessica Pereira Michelle
Faculty of Science, National University of Singapore, Singapore 117546, Singapore.
Health Services & Outcomes Research Department, National Healthcare Group, Singapore 138543, Singapore.
Hong Kong Physiother J. 2025 Jun;45(1):71-81. doi: 10.1142/S1013702525500064. Epub 2025 Feb 28.
Improvements for knee osteoarthritis (OA) care models are carried out widely. Yet, patient attendance behaviours in present care models are not fully understood, without the readily available localised evidence.
Hence, we examined the relationships of patient-specific factors with the physiotherapy attendance for patients with knee OA.
A retrospective, cohort study was conducted. Primary data from a randomised controlled trial of a community-based, individualised, multidisciplinary programme for patients with knee OA was analysed. Patient-specific factors like demographics, medical factors, self-reported knee function, physical function testing, activity levels and psychological factors were considered. We ran multiple ordered logistic models to examine the relationships between these factors and patients' physiotherapy attendance.
We found that factors like gender, BMI, pain during physical function, previous knee injections and psychological symptoms were associated with the physiotherapy attendances of patients with knee OA.
There's evidence to suggest that patient-specific factors are associated with different levels of physiotherapy attendance among the patients with knee OA. Our results further the understanding of physiotherapy attendance patterns of patients with knee OA, and reinforces the need to consider these factors when developing informed treatment strategies that optimises the physiotherapy attendance of these patients.
膝关节骨关节炎（OA）护理模式的改进正在广泛开展。然而，当前护理模式下患者的就诊行为尚未得到充分理解，且缺乏现成的本地化证据。
因此，我们研究了膝关节OA患者的个体因素与物理治疗就诊率之间的关系。
进行了一项回顾性队列研究。分析了一项针对膝关节OA患者的基于社区的个体化多学科项目随机对照试验的原始数据。考虑了患者的个体因素，如人口统计学、医学因素、自我报告的膝关节功能、身体功能测试、活动水平和心理因素。我们运行了多个有序逻辑模型来研究这些因素与患者物理治疗就诊率之间的关系。
我们发现，性别、体重指数、身体功能时的疼痛、先前的膝关节注射和心理症状等因素与膝关节OA患者的物理治疗就诊率相关。
有证据表明，个体因素与膝关节OA患者不同水平的物理治疗就诊率相关。我们的结果进一步加深了对膝关节OA患者物理治疗就诊模式的理解，并强化了在制定优化这些患者物理治疗就诊率的明智治疗策略时考虑这些因素的必要性。
