Gymnastik- och idrottshögskolan, GIH

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Follow-up of individualised physical activity on prescription and individualised advice in patients with hip or knee osteoarthritis: A randomised controlled trial.
Department of Public Health and Caring Sciences, General Practice, Uppsala University, Uppsala, Sweden.; Centre for Research and Development, Uppsala University/ Region Gävleborg, Gävle, Sweden.
Swedish School of Sport and Health Sciences, GIH, Department of Physical Activity and Health. Department of Public Health and Caring Sciences, General Practice, Uppsala University, Uppsala, Sweden..ORCID iD: 0000-0002-3185-9702
Department of Public Health and Caring Sciences, General Practice, Uppsala University, Uppsala, Sweden..
Department of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden..
2024 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 38, no 6, p. 770-782Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Compare the long-term effects of two different individualised physical activity interventions in hip or knee osteoarthritis patients.

DESIGN: Randomised, assessor-blinded, controlled trial.

SETTING: Primary care.

SUBJECTS: Patients with clinically verified hip or knee osteoarthritis, <150 min/week with moderate or vigorous physical activity, aged 40-74.

INTERVENTION: The advice group (n = 69) received a 1-h information and goalsetting session for individualised physical activity. The prescription group (n = 72) received information, goalsetting, individualised written prescription, self-monitoring, and four follow-ups.

MAIN MEASURES: Physical activity, physical function, pain and quality of life at baseline, 6, 12 and 24 months.

RESULTS: There were only minor differences in outcomes between the two groups. For self-reported physical activity, the advice group had improved from a mean of 102 (95% CI 74-130) minutes/week at baseline to 214 (95% CI 183-245) minutes/week at 24 months, while the prescription group had improved from 130 (95% CI 103-157) to 176 (95% CI 145-207) minutes/week (p = 0.01 between groups). Number of steps/day decreased by -514 (95% CI -567-462) steps from baseline to 24 months in the advice group, and the decrease in the prescription group was -852 (95% CI -900-804) steps (p = 0.415 between groups). Pain (HOOS/KOOS) in the advice group had improved by 7.9 points (95% CI 7.5-8.2) and in the prescription group by 14.7 points (95% CI 14.3-15.1) from baseline to 24 months (p = 0.024 between groups).

CONCLUSIONS: There is no evidence that individualised physical activity on prescription differs from individualised advice in improving long-term effects in patients with hip or knee osteoarthritis.

Place, publisher, year, edition, pages
Sage Publications, 2024. Vol. 38, no 6, p. 770-782
Keywords [en]
Osteoarthritis, accelerometer, behaviour change technique, physical activity, physical activity on prescription, physical function
National Category
Physiotherapy Rheumatology and Autoimmunity
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-8147DOI: 10.1177/02692155241234666ISI: 001176233600001PubMedID: 38409798OAI: oai:DiVA.org:gih-8147DiVA, id: diva2:1844730
Available from: 2024-03-14 Created: 2024-03-14 Last updated: 2024-05-21

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Kallings, Lena V

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