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KMID : 1024720200100020070
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Geriatric Rehabilitation
2020 Volume.10 No. 2 p.70 ~ p.78
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Short Term Effects of a Staged Home-Based Exercise in Patients with Knee Osteoarthritis
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Park Joon-Hyun
Oh Hyun-Jung
Kwak Hyun-Seok
Park Woo-Kyung
Kim Min-Young
Kim Jong-Moon
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Abstract
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Objective: The purpose of this study was to assess the effect of staged home-based exercise in patients with knee osteoarthritis, which is designed to allow patients to adjust difficulty level.
Methods: In this prospective study, knee osteoarthritis patients with history of knee pain were recruited from one organization. The subjects were instructed to perform the staged home-based exercise consisting of stretching and strengthening exercises, in which patients were able to control the difficulty level by themselves. The patients performed 20-minute self-exercise daily for about 8 weeks. Adherence was assessed by the percentage of days participant did exercise during the entire follow-up period. Outcomes assessed Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Numeric Rating Scale (NRS) and Timed Up and Go Test.
Results: A total of eleven female patients with mild knee osteoarthritis were enrolled and all patients completed home-based self-exercise program and assessment. The patients’ adherence was 91.7 ± 7.2%. At 8 weeks, significant reductions were observed in WOMAC total score and pain score compared to the baseline (p < 0.05 by Wilcoxon signed rank test), and similar results were seen at 4-week follow-up. The pain scores evaluated by NRS showed a decreasing trend during the study period.
Conclusion: A simple staged home-based self-exercise effectively showed short-term symptom improvement of patients with knee osteoarthritis.
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KEYWORD
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Osteoarthritis, Knee, Exercise, Pain
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