Patient Education Program for Osteoarthritis With Exercise Included

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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The Effect of Including Exercise in an Education Program for Patients With Osteoarthritis in Primary Health Care

Conditions
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Osteoarthritis

Intervention / Treatment
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* Other: Exercise in a group
* Other: Home exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinical diagnosis of osteoarthritis Exclusion Criteria: Must be able to speak and understand swedish
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Home exercise<br>The patients is training at home during 6 v. with an individual exercise program. | Other: Home exercise<br>* The patient exercise their individual program at home during 6 v.<br>|
| Experimental: Exercise in group<br>The patients is doing their individual exercise program in a group. | Other: Exercise in a group<br>* The patient do their individual exercise program in a group.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Arthritis self-efficacy scale | Measure the patients self-efficacy | at baseline | 
| One-leg rising from sitting to standing | measure the strength | at baseline | 
| Grip Ability Test | Measure function of the hand | at baseline | 
| QuickDash | Measure self-percieved function of the arm/hand | at baseline | 
| Arthritis self-efficacy scale | Measure the patients self-efficacy | after 4 month | 
| One leg rising from sitting to standing | measure the strength | after 4 month | 
| Grip Ability Test | Measure function of the hand | after 4 month | 
| QuickDash | Measure self-percieved function of the arm/hand | after 4 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bipedal rising from sitting to standing | Measure the strength | at baseline | 
| One-legged jump | measure strength and balance | at baseline | 
| Standing on one leg with eyes open and standing on one leg with eyes closed | Measure the balance | at baseline | 
| Jamar | Measure the handstrength | at baseline | 
| PinchGauge | Measure the fingers strength | at baseline | 
| EQ5D | Measure self-percieved health | at baseline | 
| Bipedal rising from sitting to standing | measure the strength | after 4 month | 
| One-legged jump | measure strength and balance | after 4 month | 
| Standing on one leg with eyes open and standing on one leg with eyes closed | measure the balance | after 4 month | 
| Jamar | Measure the handstrength | after 4 month | 
| PinchGauge | Measure the fingers strength | after 4 month | 
| EQ5D | Measure self-percieved health | after 4 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Musculoskeletal Diseases, Osteoarthritis, Joint Diseases, Arthritis, Rheumatic Diseases