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Efficacy of simple integrated group rehabilitation program for patients with knee osteoarthritis: Single-blind randomized controlled trial. Flávio S. da Silva, MS; Flávio E. S. de Melo, PT; Marcelo M. G. do Amaral, PT; Vinícius V. A. Caldas, PT; Íria Lúcia D. Pinheiro, PT; Bento J. Abreu, PhD;
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Efficacy of simple integrated group rehabilitation program for patients with knee osteoarthritis: Single-blind randomized controlled trial Flávio S. da Silva, MS; Flávio E. S. de Melo, PT; Marcelo M. G. do Amaral, PT; Vinícius V. A. Caldas, PT; Íria Lúcia D. Pinheiro, PT; Bento J. Abreu, PhD; Wouber H. Vieira, PhD
Aim • Investigate the role of an evidence-based integrated group rehabilitation program on the treatment of patients with knee osteoarthritis (KOA). • Relevance • Patients with KOA often report muscle weakness, pain, and decreased range of motions, symptoms associated with limited functional capacity and decreased quality of life.
Method • Assigned 41 patients with moderate to severe KOA to control group (CG) or intervention group (IG). • After both groups received a self-management education program, IG participants underwent rehabilitation program with education about KOA and exercises. • Outcome measures: • Lequesne algofunctional index. • 36-Item Short Form Health Survey (SF-36). • Chair-stand, sit-and-reach, timed up-and-go, and 6-minute walk tests.
Results • Analysis of covariance revealed significant postintervention improvements of IG participants compared with CG participants: • Lequesne total score and pain and function subdomains. • SF-36 physical function, role physical, bodily pain, general health, vitality, and role emotional subdomains. • Chair-stand, timed up-and-go, and 6-minute walk tests.
Conclusion • The presented rehabilitation program reduced pain and improved quality of life and function in patients with KOA.