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Titre : | Effects of Inpatient Rehabilitation in Hip and Knee Osteoarthritis: A Naturalistic Prospective Cohort Study With Intraindividual Control of Effects (2013) |
Auteurs : | Felix Angst ; Martin Verra ; Susanne Lehmann ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/11, 2013) |
Article en page(s) : | pp. 2139-2145 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthrose ; Évaluation de résultat (soins) ; Rééducation et réadaptation |
Mots-clés: | Osteoarthritis ; Outcome Assessment (Health Care) |
Résumé : |
Objectives To quantify pain, function, and health-related quality of life in comparison with normative data, and to quantify intervention effects. Design Naturalistic cohort study without a control group. Correction of the effects observed during the intervention by those observed during waiting time prior to the intervention. Setting Inpatient rehabilitation clinic. Participants Patients with hip (n=88) and knee (n=164) osteoarthritis. Intervention Comprehensive, multidisciplinary inpatient rehabilitation lasting 3 weeks. Main Outcome Measures Medical Outcomes Study 36-Item Short-Form Health Survey and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results Four or more comorbid conditions had 45.3% of the hip and 51.8% of the knee patients on entry to and discharge from the clinic. On entry, physical health and some dimensions of psychosocial health were significantly diminished compared with population norms. At discharge, hip osteoarthritis had improved by a corrected effect size of .20 to .47 in pain, .04 to .39 in function, and −.04 to .32 in psychosocial health. Knee osteoarthritis showed a corrected effect size of .43 to .62 in pain, .19 to .51 in function, and .19 to .30 in psychosocial health. All but 1 effect in WOMAC pain and WOMAC function were higher than the minimal clinically important differences. Conclusions Hip and knee osteoarthritis patients admitted to the inpatient intervention were affected by a substantial burden of disease and comorbidities. Inpatient rehabilitation resulted in small to moderate, statistically significant, and clinically important improvements in pain, function, and psychosocial health. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |