Effectiveness and clinical applicability of integrated rehabilitation programs for knee osteoarthritis

Hurley, Michael V and Walsh, Nicola E (2009) Effectiveness and clinical applicability of integrated rehabilitation programs for knee osteoarthritis. Current Opinion in Rheumatology, 21(2), pp. 171-176. ISSN (print) 1040-8711

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Abstract

PURPOSE OF REVIEW: Knee osteoarthritis is a common and increasing cause of pain and disability. Exercise and self-management interventions reduce pain and improve function. These interventions are usually delivered separately but, theoretically, the benefits of the physical approach of exercise and the educational approach of self-management interventions could be additive. If correct, rehabilitation programmes that integrate exercise and self-management components might be more effective. This review summarizes and comments on the clinical effectiveness, practicality, cost and implementation of recent studies of integrated rehabilitation programmes. RECENT FINDINGS: The programmes varied considerably in content and duration, but in general were safe and effective (improving pain, physical function and other relevant variables). The length, complexity and burden of some programmes limit their acceptability, clinical applicability and increase costs. The most recent programmes have addressed these issues producing programmes that are more clinically and cost-effective than usual care. Implementation of these programmes will require considerable effort and commitment. SUMMARY: Integrated rehabilitation programmes that are acceptable, clinically effective, deliverable and affordable may be the best way of managing the large and increasing number of people suffering chronic knee pain.

Item Type: Article
Additional Information: This work was supported by the Arthritis Research Campaign.
Research Area: Allied health professions and studies
Health services research
Faculty, School or Research Centre: Faculty of Health and Social Care Sciences
Related URLs:
Depositing User: Katrina Clifford
Date Deposited: 22 Nov 2010 12:14
Last Modified: 24 Nov 2010 14:08
URI: http://eprints.kingston.ac.uk/id/eprint/17320

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