OBJECTIVE: To determine the effect of patient exercise adherence within the prescribed physical therapy treatment period and after physical therapy discharge on patient outcomes of pain, physical function, and patient self-perceived effect in individuals with osteoarthritis (OA) of the hip and/or knee. METHODS: We performed a prospective observational followup study in which 150 patients with OA of the hip and/or knee receivingexercise therapy were followed for 60 months. Data were obtained from a randomized controlled trial, with assessments at baseline and 3, 15, and 60 months of followup. The association between exercise adherence and patient outcomes of pain, physical function, and self-perceived effect was examined using generalized estimating equations analyses. RESULTS: Adherence to recommended home exercises and being more physically active were significantly associated with better treatment outcomes of pain, self-reported physical function, physical performance, and self-perceived effect. The association between adherence and outcome was consistent over time. Adherence to home activities was only associated with better self-perceived effect. CONCLUSION: Better adherence to recommended home exercises as well as being more physically active improves the long-term effectiveness of exercise therapy in patients with OA of the hip and/or knee. Both within and after the treatment period, better adherence is associated with better patient outcomes of pain, physical function, and self-perceived effect. Since exercise adherence declines over time, future research should focus on how exercise behavior can be stimulated and maintained in the long term.
RCT Entities:
OBJECTIVE: To determine the effect of patient exercise adherence within the prescribed physical therapy treatment period and after physical therapy discharge on patient outcomes of pain, physical function, and patient self-perceived effect in individuals with osteoarthritis (OA) of the hip and/or knee. METHODS: We performed a prospective observational followup study in which 150 patients with OA of the hip and/or knee receiving exercise therapy were followed for 60 months. Data were obtained from a randomized controlled trial, with assessments at baseline and 3, 15, and 60 months of followup. The association between exercise adherence and patient outcomes of pain, physical function, and self-perceived effect was examined using generalized estimating equations analyses. RESULTS: Adherence to recommended home exercises and being more physically active were significantly associated with better treatment outcomes of pain, self-reported physical function, physical performance, and self-perceived effect. The association between adherence and outcome was consistent over time. Adherence to home activities was only associated with better self-perceived effect. CONCLUSION: Better adherence to recommended home exercises as well as being more physically active improves the long-term effectiveness of exercise therapy in patients with OA of the hip and/or knee. Both within and after the treatment period, better adherence is associated with better patient outcomes of pain, physical function, and self-perceived effect. Since exercise adherence declines over time, future research should focus on how exercise behavior can be stimulated and maintained in the long term.
Authors: Abigail L Gilbert; Jungwha Lee; Linda Ehrlich-Jones; Pamela A Semanik; Jing Song; Christine A Pellegrini; Daniel Pinto Pt; Dorothy D Dunlop; Rowland W Chang Journal: Semin Arthritis Rheum Date: 2017-10-05 Impact factor: 5.532
Authors: Sara A Quandt; Joseph G Grzywacz; Rebecca H Neiberg; Wei Lang; Kathryn Altizer; Ronny A Bell; Thomas A Arcury Journal: J Aging Health Date: 2011-12-14
Authors: Elizabeth A Schlenk; Joni Vander Bilt; Wei-Hsuan Lo-Ciganic; Mini E Jacob; Sarah E Woody; Molly B Conroy; C Kent Kwoh; Steven M Albert; Robert Boudreau; Anne B Newman; Janice C Zgibor Journal: Res Gerontol Nurs Date: 2015-10-26 Impact factor: 1.571