Gymnastik- och idrottshögskolan, GIH

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Physical activity on prescription in patients with hip or knee osteoarthritis: A randomized controlled trial.
Uppsala University, Sweden.
Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Uppsala University, Sweden.ORCID-id: 0000-0002-3185-9702
Uppsala University, Sweden.
Mahidol University, Bangkok, Thailand.
Vise andre og tillknytning
2021 (engelsk)Inngår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 35, nr 10, s. 1465-1477Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVE: To evaluate whether physical activity on prescription, comprising five sessions, was more effective in increasing physical activity than a one-hour advice session after six months.

DESIGN: Randomized, assessor-blinded, controlled trial.

SETTING: Primary care.

SUBJECTS: Patients with clinically verified osteoarthritis of the hip or knee who undertook less than 150 minute/week of moderate physical activity, and were aged 40-74 years.

INTERVENTIONS: The advice group (n = 69) received a one-hour session with individually tailored advice about physical activity. The physical activity on prescription group (n = 72) received individually tailored physical activity recommendations with written prescription, and four follow-ups during six months.

MAIN MEASURES: Patients were assessed at baseline and six months: physical activity (accelerometer, questionnaires); fitness (six-minute walk test, 30-second chair-stand test, maximal step-up test, one-leg rise test); pain after walking (VAS); symptoms (HOOS/KOOS); and health-related quality of life (EQ-5D).

RESULTS: One hundred four patients had knee osteoarthritis, 102 were women, and mean age was 60.3 ± 8.3 years. Pain after walking decreased significantly more in the prescription group, from VAS 31 ± 22 to 18 ± 23. There was no other between groups difference. Both groups increased self-reported activity minutes significantly, from 105 (95% CI 75-120) to 165 (95% CI 135-218) minute/week in the prescription group versus 75 (95% CI 75-105) to 150 (95% CI 120-225) in the advice group. Also symptoms and quality of life improved significantly in both groups.

CONCLUSION: Individually tailored physical activity with written prescription and four follow-ups does not materially improve physical activity level more than advice about osteoarthritis and physical activity.

TRIAL REGISTRATION: ClinicalTrials.gov (NCT02387034).

sted, utgiver, år, opplag, sider
Sage Publications, 2021. Vol. 35, nr 10, s. 1465-1477
Emneord [en]
Accelerometry, exercise therapy, osteoarthritis, physical activity
HSV kategori
Forskningsprogram
Medicin/Teknik
Identifikatorer
URN: urn:nbn:se:gih:diva-6671DOI: 10.1177/02692155211008807ISI: 000641100200001PubMedID: 33843297OAI: oai:DiVA.org:gih-6671DiVA, id: diva2:1552510
Tilgjengelig fra: 2021-05-05 Laget: 2021-05-05 Sist oppdatert: 2021-10-14

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