RT Journal Article
SR Electronic
T1 Do exercise and self-management interventions benefit patients with osteoarthritis of the knee? A metaanalytic review.
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 744
OP 756
VO 33
IS 4
A1 Loraine Devos-Comby
A1 Terry Cronan
A1 Scott C Roesch
YR 2006
UL http://www.jrheum.org/content/33/4/744.abstract
AB OBJECTIVE: Osteoarthritis (OA) is the most prevalent health condition among seniors and it causes significant pain and disability. We assessed the influence of patient education and exercise regimens on the well-being of patients with knee OA. METHODS: A metaanalysis was conducted on 16 studies reporting exercise and/or self-management interventions for patients with knee OA. The effects on physical and psychological well-being were assessed immediately after the interventions. RESULTS: Compared to control conditions, exercise regimens led to improvement in physical health (by self-report and direct measures) and in overall impact of OA. Perceived psychological health remained unchanged by the exercise programs. Although the effect sizes for the self-management programs were significant for psychological outcomes and for the overall effect of OA, there was a significant difference between self-management and control groups only in psychological outcomes. CONCLUSION: Overall, both patient education and exercise regimens had a modest, yet clinically important, influence on patients' well-being.