The purpose of this study is to investigate if inclusion of exercise in an education program for patients with osteoarthritis can improve self efficacy, self-perceived health and function.
Osteoarthritis (OA) is a degenerative disease, considered to be one of the major national diseases that cause suffering for affected patients and costs for society.The predominant symptoms are pain, stiffness and impaired quality of life, often together with psychological distress. Treatment often consists of medication. Later in the disease, when the joint is destroyed, joint replacement surgery commonly occurs. Physical exercises aimed to increase muscle strength, endurance, proprioception and stability have proved to influence cartilage as well as function, symptoms and quality of life positively. Physical exercise may also reduce the need for hospital care after knee joint replacement.Research suggests that patient education is feasible and valuable in terms of improvements in quality of life, in function, in well-being and improved coping . Accordingly, guidelines recommend education and exercise as a core treatment for osteoarthritis. Since 1994, Primary Health Care in Malmö has used a patient education programme directed towards OA.The program does not include exercise. In 2007-09 a study was made to investigate this education program.The study showed improvements in self-perceived health and in a few functional tests but not in self-efficacy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
The patient do their individual exercise program in a group.
The patient exercise their individual program at home during 6 v.
Primary Health Care
Malmo, Skåne County, Sweden
Arthritis self-efficacy scale
Measure the patients self-efficacy
Time frame: at baseline
One-leg rising from sitting to standing
measure the strength
Time frame: at baseline
Grip Ability Test
Measure function of the hand
Time frame: at baseline
QuickDash
Measure self-percieved function of the arm/hand
Time frame: at baseline
Arthritis self-efficacy scale
Measure the patients self-efficacy
Time frame: after 4 month
One leg rising from sitting to standing
measure the strength
Time frame: after 4 month
Grip Ability Test
Measure function of the hand
Time frame: after 4 month
QuickDash
Measure self-percieved function of the arm/hand
Time frame: after 4 month
Bipedal rising from sitting to standing
Measure the strength
Time frame: at baseline
One-legged jump
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measure strength and balance
Time frame: at baseline
Standing on one leg with eyes open and standing on one leg with eyes closed
Measure the balance
Time frame: at baseline
Jamar
Measure the handstrength
Time frame: at baseline
PinchGauge
Measure the fingers strength
Time frame: at baseline
EQ5D
Measure self-percieved health
Time frame: at baseline
Bipedal rising from sitting to standing
measure the strength
Time frame: after 4 month
One-legged jump
measure strength and balance
Time frame: after 4 month
Standing on one leg with eyes open and standing on one leg with eyes closed
measure the balance
Time frame: after 4 month
Jamar
Measure the handstrength
Time frame: after 4 month
PinchGauge
Measure the fingers strength
Time frame: after 4 month
EQ5D
Measure self-percieved health
Time frame: after 4 month