OBJECTIVE: To determine whether the effects of an exercise programme in patients with osteoarthritis of hip or knee are sustained at six and nine months' follow up. METHODS: A randomised, single blind, clinical trial was conducted in a primary care setting. Patients with osteoarthritis of hip or knee (ACR criteria) were selected. Two intervention groups were compared. Both groups received treatment from their general practitioner, including patient education and drug treatment if necessary. The experimental group also received exercise treatment from a physiotherapist in primary care. The treatment period was 12 weeks, with an ensuing 24 week follow up. The main outcome measures were pain, drug use (non-steroidal anti-inflammatory drugs), and observed disability. RESULTS:201 patients were randomly allocated to the exercise or controlgroup, and 183 patients completed the trial. At 24 weeks exercise treatment was associated with a small to moderate effect on pain during the past week (difference in change between the two groups -11.5 (95% CI -19.7 to -3.3). At 36 weeks no differences were found between the groups. CONCLUSIONS: Beneficial effects of exercise decline over time and finally disappear.
RCT Entities:
OBJECTIVE: To determine whether the effects of an exercise programme in patients with osteoarthritis of hip or knee are sustained at six and nine months' follow up. METHODS: A randomised, single blind, clinical trial was conducted in a primary care setting. Patients with osteoarthritis of hip or knee (ACR criteria) were selected. Two intervention groups were compared. Both groups received treatment from their general practitioner, including patient education and drug treatment if necessary. The experimental group also received exercise treatment from a physiotherapist in primary care. The treatment period was 12 weeks, with an ensuing 24 week follow up. The main outcome measures were pain, drug use (non-steroidal anti-inflammatory drugs), and observed disability. RESULTS: 201 patients were randomly allocated to the exercise or control group, and 183 patients completed the trial. At 24 weeks exercise treatment was associated with a small to moderate effect on pain during the past week (difference in change between the two groups -11.5 (95% CI -19.7 to -3.3). At 36 weeks no differences were found between the groups. CONCLUSIONS: Beneficial effects of exercise decline over time and finally disappear.
Authors: R Altman; E Asch; D Bloch; G Bole; D Borenstein; K Brandt; W Christy; T D Cooke; R Greenwald; M Hochberg Journal: Arthritis Rheum Date: 1986-08
Authors: R Altman; G Alarcón; D Appelrouth; D Bloch; D Borenstein; K Brandt; C Brown; T D Cooke; W Daniel; R Gray Journal: Arthritis Rheum Date: 1990-11
Authors: R Altman; G Alarcón; D Appelrouth; D Bloch; D Borenstein; K Brandt; C Brown; T D Cooke; W Daniel; D Feldman Journal: Arthritis Rheum Date: 1991-05
Authors: R D Altman; J F Fries; D A Bloch; J Carstens; T D Cooke; H Genant; P Gofton; H Groth; D J McShane; W A Murphy Journal: Arthritis Rheum Date: 1987-11
Authors: Francis J Keefe; David S Caldwell; Kate Queen; Karen M Gil; Salutario Martinez; James E Crisson; William Ogden; James Nunley Journal: Pain Date: 1987-03 Impact factor: 6.961
Authors: Lisa K McDaniel; Karen O Anderson; Laurence A Bradley; Larry D Young; Robert A Turner; Carlos A Agudelo; Francis J Keefe Journal: Pain Date: 1986-02 Impact factor: 6.961
Authors: Michael T Cibulka; Douglas M White; Judith Woehrle; Marcie Harris-Hayes; Keelan Enseki; Timothy L Fagerson; James Slover; Joseph J Godges Journal: J Orthop Sports Phys Ther Date: 2009-04 Impact factor: 4.751
Authors: J Haxby Abbott; M Clare Robertson; Joanne E McKenzie; G David Baxter; Jean-Claude Theis; A John Campbell Journal: Trials Date: 2009-02-08 Impact factor: 2.279
Authors: Nefyn H Williams; Elvis Amoakwa; Kim Burton; Maggie Hendry; John Belcher; Ruth Lewis; Kerenza Hood; Jeremy Jones; Paul Bennett; Rhiannon T Edwards; Richard D Neal; Glynne Andrew; Clare Wilkinson Journal: BMC Fam Pract Date: 2009-09-04 Impact factor: 2.497