High-dose versus low-dose exercise in patients with osteoarthritis of the knee Articles

summary

High dose versus low dose exercise therapy in osteoarthritis of the knee

background:

The benefits of exercise in patients with osteoarthritis of the knee have been well documented, but the optimal dose of exercise is still unknown.

Goal:

To compare high-dose versus low-dose exercise therapy with regard to knee function, pain, and quality of life (QoL) in subjects with symptomatic long-term symptomatic knee osteoarthritis.

design:

A Swedish and Norwegian multicenter randomized controlled trial of superiority with multiple follow-up up to 12 months post-intervention. (ClinicalTrials.gov: NCT02024126)

session:

Primary health care institutions.

Patients:

189 patients with diagnosed knee osteoarthritis and a history of knee pain and decreased function were assigned to either high-dose treatment (n = 98; 11 exercises; 70 to 90 minutes) or low-dose treatment (n = 91; 5 exercises; 20 to 30 minutes). .

to intervene:

Exercise programs adapted to the patient according to the principles of medical exercise therapy. Global (aerobic), semi-universal (multi-part), and local (joint-specific) exercises were performed 3 times per week for 12 weeks under the supervision of a physical therapist.

Measurements:

The knee injury and osteoarthritis score (KOOS) was measured every two weeks during the 3-month intervention period and at 6 and 12 months after the intervention.