Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effect of a Telerehabilitation Exercise Program on the Gait, Knee function and Quality of life In Patients with Knee Osteoarthritis

원격재활 운동프로그램이 무릎골관절염 환자의 근 기능과 삶의 질에 미치는 영향

  • Kim, Jae-Yun (Department of Occupational and Environmental Medicine, School of Medicine, Chosun University) ;
  • Lee, Dong-Woo (Department of Physical Therapy, Honam University) ;
  • Jeong, Mo-Beom (Department of Occupational and Environmental Medicine, School of Medicine, Chosun University)
  • 김재윤 (조선대학교 의과대학 직업환경의학과) ;
  • 이동우 (호남대학교 물리치료학과) ;
  • 정모범 (조선대학교 의과대학 직업환경의학과)
  • Received : 2019.11.12
  • Accepted : 2019.12.17
  • Published : 2020.02.29
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Abstract

PURPOSE: This study examined the effects of videoconferencing-based telerehabilitation exercise program on the gait, knee function, and quality of life of patients with knee osteoarthritis. METHODS: Forty-eight subjects, who were diagnosed with osteoarthritis of the knee by the radiologic findings, history, and a physical examination, were assigned randomly to a Control group, Experiment group I, and Experiment group II. The control group did not perform any exercise program and were educated in understanding and managing the disease of knee osteoarthritis for only one hour. Experimental groups I and II were provided with an exercise guidelines book for knee osteoarthritis, and the same exercise programs were conducted by face-to-face visits and non-face-to-face using telerehabilitation for eight weeks, respectively. To verify the effectiveness of each exercise program, the gait speed, knee disability index, and health related quality of life were measured. All assessments were conducted twice before and after the intervention. RESULTS: The participants who underwent both face-to-face and telerehabilitation exercise programs showed an improved gait speed, knee function, and health-related quality of life. In particular, there was no significant difference between the telerehabilitation exercise group and the direct face-to-face exercise group in improving the knee joint function and health related quality of life. CONCLUSION: A these findings the telerehabilitation exercise program for patients with knee osteoarthritis can alternate or supplement the face-to-face exercise program. Therefore, the telerehabilitation exercise program should be used not only as a substitute supplement program but also as an intervention for various diseases.

Keywords

References

  1. Statics Korea. Statistics of the Aged. Seoul: Statistics Korea 2016.
  2. HIRA. Ministry of Health and Welfare. Health Insurance Statistics for 2016.
  3. Heidari B. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I. Caspian J Intern Med. 2011;2(2):205-12.
  4. Taruc-Uy RL, Lynch SA. Diagnosis and Treatment of Osteoarthritis. Primary Care: Clinics in Office Practice. 2013;40(4):821-36. https://doi.org/10.1016/j.pop.2013.08.003
  5. Holla JFM, Steultjens MPM, van der Leeden M, et al. Determinants of range of joint motion in patients with early symptomatic osteoarthritis of the hip and/or knee: an exploratory study in the CHECK cohort. Osteoarthritis and Cartilage. 2011;19(4):411-9. https://doi.org/10.1016/j.joca.2011.01.013
  6. Marks R. Muscle and Osteoarthritis Joint Status: Current Research Highlights and Their Implications. SM J Orthop. 2017;3(1):1050. https://doi.org/10.36876/smjo.1050
  7. Alkan BM, Fidan F, Tosun A, et al. Quality of life and self-reported disability in patients with knee osteoarthritis. Modern rheumatology. 2014;24(1):166-71. https://doi.org/10.3109/14397595.2013.854046
  8. Ozcetin A, Ataoglu S, Kocer E, et al. Effects of depression and anxiety on quality of life of patients with rheumatoid arthritis, knee osteoarthritis and fibromyalgia syndrome. West Indian Medical Journal. 2007;56(2):122-9.
  9. Zhang W, Nuki G, Moskowitz R, et al. OARSI recommendations for the management of hip and knee osteoarthritis: part III: Changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthritis and Cartilage. 2010;18(4):476-99. https://doi.org/10.1016/j.joca.2010.01.013
  10. Lee GE, Huh SW, Lee HH, et al. The Study on Correlation between the KL-Grade and Improvement of Knee Pain Treated by Korean Medicine Therapy. Journal of oriental rehabilitation medicine. 2017;27(3):137-46.
  11. Juni P, Reichenbach S, Egger M. COX 2 inhibitors, traditional NSAIDs, and the heart: adverse event data from clinical trials must inform decision making. BMJ. 2005;330(7504):1342. https://doi.org/10.1136/bmj.330.7504.1342
  12. Avouac J, Gossec L, Dougados M. Efficacy and safety of opioids for osteoarthritis: a meta-analysis of randomized controlled trials. Osteoarthritis and Cartilage. 2007;15(8):957-65. https://doi.org/10.1016/j.joca.2007.02.006
  13. McAlindon TE, Bannuru RR, Sullivan MC, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis and Cartilage. 2014;22(3):363-88. https://doi.org/10.1016/j.joca.2014.01.003
  14. Jamtvedt G, Dahm KT, Christie A, et al. Physical therapy interventions for patients with osteoarthritis of the knee: an overview of systematic reviews. Physical Therapy. 2008;88(1):123-36. https://doi.org/10.2522/ptj.20070043
  15. Baker K, McAlindon T. Exercise for knee osteoarthritis. Current Opinion in Rheumatology. 2000;12(5):456-63. https://doi.org/10.1097/00002281-200009000-00020
  16. Wong YK, Hui E, Woo J. A community-based exercise programme for older persons with knee pain using telemedicine. Journal of Telemedicine and Telecare. 2005;11(6):310-5. https://doi.org/10.1258/1357633054893346
  17. McCue MJ, Thompson JM. HealthSouth's inpatient rehabilitation facilities: how does their performance compare with other for-profit and nonprofit inpatient rehabilitation facilities? Archives of Physical Medicine and Rehabilitation. 2010;91(5):708-13. https://doi.org/10.1016/j.apmr.2010.02.001
  18. Eriksson L, Lindstrom B, Gard G, et al. Physiotherapy at a distance: a controlled study of rehabilitation at home after a shoulder joint operation. Journal of Telemedicine and Telecare. 2009;15(5):215-20. https://doi.org/10.1258/jtt.2009.081003
  19. Sul MS, Jung YR. Aging society against U-health Care Service Industry Promotion Plan. J Sci Med Sport. 2016;25(3):337-47.
  20. Cho YH. A Difference on Characteristics and the Activity of Primary Health Care Post(PHCP) among Islands and other Areas - Jeollanam Province. Journal of Korean island. 2016;28(3):97-110.
  21. Krauss I, Mueller G, Haupt G, et al. Effectiveness and efficiency of an 11-week exercise intervention for patients with hip or knee osteoarthritis: a protocol for a controlled study in the context of health services research. BMC Public Health. 2016;16(1):367. https://doi.org/10.1186/s12889-016-3030-0
  22. Juhl C, Christensen R, Roos EM, et al. Impact of Exercise Type and Dose on Pain and Disability in Knee Osteoarthritis: A Systematic Review and Meta-Regression Analysis of Randomized Controlled Trials. Arthritis & Rheumatology. 2014;66(3):622-36. https://doi.org/10.1002/art.38290
  23. Bellamy N. Pain assessment in osteoarthritis: experience with the WOMAC osteoarthritis index. In: Seminars in arthritis and rheumatism. WB Saunders. 1989:14-7.
  24. Brazier J, Harper R, Munro J, et al. Generic and condition-specific outcome measures for people with osteoarthritis of the knee. Rheumatology. 1999;38(9):870-7. https://doi.org/10.1093/rheumatology/38.9.870
  25. Group E. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990;16(3):199-208. https://doi.org/10.1016/0168-8510(90)90421-9
  26. Galdino G, Romero T, da Silva JFP, et al. Acute resistance exercise induces antinociception by activation of the endocannabinoid system in rats. Anesthesia and analgesia. 2014;119(3):702. https://doi.org/10.1213/ANE.0000000000000340
  27. Thomas K, Muir K, Doherty M, et al. Home based exercise programme for knee pain and knee osteoarthritis: randomised controlled trial. Bmj. 2002;325(7367):752. https://doi.org/10.1136/bmj.325.7367.752
  28. Marks R. Muscle and Muscle Mechanisms as Possible Factors Leading to Osteoarthritis. SM J Orthop. 2015;1(2):1008. https://doi.org/10.36876/smjo.1008
  29. Simkin PA, Huang A, Benedict RS. Effects of exercise on blood flow to canine articular tissues. Journal of Orthopaedic Research. 1990;8(2):297-303. https://doi.org/10.1002/jor.1100080220
  30. Gerber L. Exercise and arthritis. Bull Rheum Dis. 1990;39:1-9.
  31. James MJ, Cleland LG, Gaffney RD, et al. Effect of exercise on 99mTc-DTPA clearance from knees with effusions. J Rheumatol. 1994;21(3):501-4.
  32. Nejati P, Farzinmehr A, Moradi-Lakeh M. The effect of exercise therapy on knee osteoarthritis: a randomized clinical trial. Medical journal of the Islamic Republic of Iran. 2015;29:186.
  33. Bergquist TF, Yutsis M, Sullan MJ. Satisfaction with Cognitive Rehabilitation Delivered via the Internet in Persons with Acquired Brain Injury. International journal of telerehabilitation. 2014;6(2):39. https://doi.org/10.5195/ijt.2014.6142
  34. Azma T, Ogawa S, Nishioka A, et al. Involvement of superoxide generated by NADPH oxidase in the shedding of procoagulant vesicles from human monocytic cells exposed to bupivacaine. Journal of thrombosis and thrombolysis. 2017;44(3):341-54. https://doi.org/10.1007/s11239-017-1531-z
  35. Russell TG, Buttrum P, Wootton R, et al. Internet-based outpatient telerehabilitation for patients following total knee arthroplasty: a randomized controlled trial. JBJS. 2011;93(2):113-20. https://doi.org/10.2106/JBJS.I.01375
  36. Moffet H, Tousignant M, Nadeau S, et al. In-home telerehabilitation compared with face-to-face rehabilitation after total knee arthroplasty: a noninferiority randomized controlled trial. JBJS. 2015;97(14):1129-41. https://doi.org/10.2106/JBJS.N.01066

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