Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Is a model of stratified exercise therapy by physical therapists in primary care feasible in patients with knee osteoarthritis? : a mixed methods study (2020) |
Auteurs : | J. Knoop ; Marike van der Leeden ; Martin van der Esch ; Mariëtte de Rooij ; Wilfred F. H. Peter ; Kim Bennell ; M.P.M. Steultjens ; Arja H. Hakkinen ; Leo D. Roorda ; Willems F. Lems ; Joost Dekker |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 106, n° 1, Mars 2020) |
Article en page(s) : | p. 101-110 |
Note générale : | https://doi.org/10.1016/j.physio.2019.01.013 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Gonarthrose ; Phénotype ; Soins de santé primaires ; Techniques de physiothérapie ; Traitement par les exercices physiques |
Résumé : |
Objectives
To explore the feasibility of a newly developed model of stratified exercise therapy in primary care for patients with knee osteoarthritis (OA). Design Mixed method design (process, outcome and qualitative evaluation). Setting Six physical therapy practices in primary care around Amsterdam. Participants Fifty eligible patients with knee OA, visiting one of the participating physical therapists (PTs). Intervention Patients were allocated to a subgroup based on a simple stratification tool and received subgroup-specific, protocolized, 4-month, exercise therapy. Main outcome measures Feasibility of this model of stratified exercise therapy was explored by multiple process parameters, outcome measures (physical functioning and knee pain; at baseline and 4-months follow-up) and experiences from patients and PTs. Results From 97 potentially eligible patients, fifty patients were included and allocated to the high muscle strength subgroup (n = 17), depression subgroup (n = 4), obesity subgroup (n = 6) or low muscle strength subgroup (n = 23). Three patients dropped out during the study period. PTs provided relatively low numbers of sessions (on average 10 sessions), although exceedance of the recommended maximum number of sessions did occur frequently. We found clinically relevant improvements on physical functioning and knee pain (P Conclusions Our model of stratified exercise therapy seems to be feasible in primary care, although a number of limitations were reported. Future research should determine the (cost-)effectiveness of an adapted model, compared to usual, non-stratified exercise therapy. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940619300331#! |