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.
Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. 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 (engelsk)Inngår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 38, nr 6, s. 770-782Artikkel i tidsskrift (Fagfellevurdert) 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.

sted, utgiver, år, opplag, sider
Sage Publications, 2024. Vol. 38, nr 6, s. 770-782
Emneord [en]
Osteoarthritis, accelerometer, behaviour change technique, physical activity, physical activity on prescription, physical function
HSV kategori
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Medicin/Teknik
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URN: urn:nbn:se:gih:diva-8147DOI: 10.1177/02692155241234666ISI: 001176233600001PubMedID: 38409798OAI: oai:DiVA.org:gih-8147DiVA, id: diva2:1844730
Tilgjengelig fra: 2024-03-14 Laget: 2024-03-14 Sist oppdatert: 2024-05-21

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