Osteoarthritis Clinical Trial
Official title:
The Effect of Including Exercise in an Education Program for Patients With Osteoarthritis in Primary Health Care
The purpose of this study is to investigate if inclusion of exercise in an education program for patients with osteoarthritis can improve self efficacy, self-perceived health and function.
Osteoarthritis (OA) is a degenerative disease, considered to be one of the major national
diseases that cause suffering for affected patients and costs for society.The predominant
symptoms are pain, stiffness and impaired quality of life, often together with psychological
distress. Treatment often consists of medication. Later in the disease, when the joint is
destroyed, joint replacement surgery commonly occurs. Physical exercises aimed to increase
muscle strength, endurance, proprioception and stability have proved to influence cartilage
as well as function, symptoms and quality of life positively. Physical exercise may also
reduce the need for hospital care after knee joint replacement.Research suggests that patient
education is feasible and valuable in terms of improvements in quality of life, in function,
in well-being and improved coping . Accordingly, guidelines recommend education and exercise
as a core treatment for osteoarthritis.
Since 1994, Primary Health Care in Malmö has used a patient education programme directed
towards OA.The program does not include exercise. In 2007-09 a study was made to investigate
this education program.The study showed improvements in self-perceived health and in a few
functional tests but not in self-efficacy.
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