Article

PURPOSE: To determine if a pre-operative group rehabilitation programme can
improve arthritis self-efficacy for people with severe hip and knee
osteoarthritis. METHOD: Single group, repeated measures design: 4-week baseline
phase followed by a 6-week intervention phase of water exercise, and education
with self-management strategies. The primary outcome was arthritis self-efficacy.
The secondary outcomes were measures of pain (WOMAC), activity limitation
(WOMAC), activity performance (30 s chair stand test, 10 m walk test) and
health-related quality of life (EuroQol). RESULTS: Twenty participants (10 knee
osteoarthritis and 10 hip osteoarthritis) with a mean age of 71 years (SD 7)
attended 92% (SD 10%) of the scheduled sessions. All measures demonstrated
baseline stability between two time points for measurements at week 1 and
measurements at week 4. After the 6-week intervention programme there were no
significant improvements for arthritis self-efficacy. There was a 12% increase
for fast walking speed (mean increase of 0.14 m/s, 95% CI 0.07, 0.22). There were
no significant improvements for other secondary outcomes. CONCLUSIONS: A
pre-operative water-based exercise and educational programme did not improve
arthritis self-efficacy, self-reported pain and activity limitation, and
health-related quality of life for people with hip and knee osteoarthritis who
were candidates for joint replacement. While there was a significant increase in
one measure of activity performance (walking speed), these findings suggest the
current programme may be of little value. Implications for Rehabilitation This
pre-operative group rehabilitation programme for people with severe hip and knee
osteoarthritis did not change arthritis self-efficacy, pain, activity limitation
and health-related quality of life. This programme may have little value in
preparing people for joint replacement surgery. The optimal pre-operative
programme requires further design and investigation.

Langue : ANGLAIS