A pre-operative group rehabilitation programme provided limited benefit for people with severe hip and knee osteoarthritis. (December 2014)

• Record Type: Journal Article
• Authors: Wallis, Jason A.; Webster, Kate E.; Levinger, Pazit; Fong, Cynthia; Taylor, Nicholas F.
• Is Part Of: Disability and rehabilitation. Volume 36:Number 24(2014:Nov.)
• Page Start: 2085
• Page End: 2090
• Publication Date: 2014-12
• Subjects: People with disabilities -- Periodicals; Rehabilitation -- Periodicals; 617.03
• DOI: 10.3109/09638288.2014.895428
• Languages: English
• ISSNs: 0963-8288

Abstract

<abstract> <title>Abstract</title> <p> <italic>Purpose</italic>: To determine if a pre-operative group rehabilitation programme can improve arthritis self-efficacy for people with severe hip and knee osteoarthritis. <italic>Method</italic>: Single group, repeated measures design: 4-week baseline phase followed by a 6-week intervention phase of water exercise, and education with self-management strategies. The primary outcome was arthritis self-efficacy. The secondary outcomes were measures of pain (WOMAC), activity limitation (WOMAC), activity performance (30 s chair stand test, 10 m walk test) and health-related quality of life (EuroQol). <italic>Results</italic>: Twenty participants (10 knee osteoarthritis and 10 hip osteoarthritis) with a mean age of 71 years (SD 7) attended 92% (SD 10%) of the scheduled sessions. All measures demonstrated baseline stability between two time points for measurements at week 1 and measurements at week 4. After the 6-week intervention programme there were no significant improvements for arthritis self-efficacy. There was a 12% increase for fast walking speed (mean increase of 0.14 m/s, 95% CI 0.07, 0.22). There were no significant improvements for other secondary outcomes. <italic>Conclusions</italic>: A pre-operative water-based exercise and educational programme did not improve arthritis self-efficacy, self-reported pain and activity limitation, and health-related quality of life for people with hip and knee osteoarthritis who were candidates for joint replacement. While there was a significant increase in one measure of activity performance (walking speed), these findings suggest the current programme may be of little value.<list list-type="bullet"><title>Implications for Rehabilitation</title><list-item><p>This pre-operative group rehabilitation programme for people with severe hip and knee osteoarthritis did not change arthritis self-efficacy, pain, activity limitation and health-related quality of life.</p></list-item><list-item><p>This programme may have little value in preparing people for joint replacement surgery.</p></list-item><list-item><p>The optimal pre-operative programme requires further design and investigation.</p></list-item></list></p> </abstract>