Comparing Exercise Prescription Methods in Knee Osteoarthritis Patients in Malaysia

Open access

Abstract

Aim: This study was a qualitative study that investigated the exercise prescription method in knee osteoarthritis patients in Malaysia. It purposed to find out the most common and effective method used by physiotherapist in prescribing exercises for knee osteoarthritis patients in Malaysia. Method: This study used a self-administered survey questionnaire. The subjects recruited for this study were diagnosed with knee osteoarthritis, age range of between 50 to 80 years old.The methods of delivery were divided into three categories, which include only verbal instructions, verbal instruction together with demonstration and lastly a combination of all three methods including verbal instruction, demonstration and handouts with diagrams. Results: The results showed that 52% received their exercise prescription with verbal instruction and together with demonstration, about 43% of them received all three types of methods which included the verbal instruction, demonstration and take home handouts and 5% of them only received verbal instruction. Out of 5% who received verbal instruction alone, only 1% understood the exercises and the remaining 4% did not and 45% out of 52% who received verbal and demonstration method understood the exercises and the remaining 7% did not. 5% who received only verbal instruction did not seem to continue the exercises at home. 52% received verbal instruction together with demonstration, with about 44% of them having continued their exercises but the remaining 8% did not. 43% who received all three methods reported to continue. Conclusion: The best method of delivering exercises to knee osteoarthritis patients was proven to be the method with a combination of verbal instruction, demonstration together with a take home handout. This method showed very positive outcome and should be implemented and emphasized more in both the government and private sectors of physiotherapy departments.

1. Berenbaum F. Osteoarthritis as an inflammatory disease (osteoarthritis is not osteoarthrosis!). Osteoarthritis and Cartilage, 21, 2013,1, 16-21.

2. Fransen M, Bridgett L, March L, et al. The epidemiology of osteoarthritis in Asia. International journal of rheumatic diseases 14, 2011,2, 113-121.

3. Bayramoglu M, Toprak R, Sozay S. Effects of osteoarthritis and fatigue on proprioception of the knee joint. Archives of physical medicine and rehabilitation 88, 2007,3, 346-350.

4. Mosavat M, Mirsanjari M, Omar SZ, et al. Bone Health, Exercise and Nutrition. Journal of Advanced & Applied Sciences 2, 2014, 4, 143-156.

5. Shariat A, Bahri Mohd Tamrin S, Daneshjoo A, et al. The Adverse Health Effects of Shift Work in Relation to Risk of Illness/ Disease: A Review. Acta Medica Bulgarica 42, 2015,1, 63-72.

6. Sadeghi H, Hakim MN, Hamid TA, et al. The effect of exergaming on knee proprioception in older men: A randomized controlled trial. Archives of Gerontology and Geriatrics 69, 2017, 144-150.

7. National Institutes of H. National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), Vanderbilt University, United States. Prognosis and Predictors of ACL Reconstruction - A Multicenter Cohort Study. clinicaltrials gov/ct2/ show/NCT00463099 Accessed March 1, 2011.

8. Friedman AJ, Cosby R, Boyko S, et al. Effective Teaching Strategies and Methods of Delivery for Patient Education. Program in Evidence-Based Care 2009, 20-22.

9. Foley L, Maddison R, Jones Z, et al. Comparison of two modes of delivery of an exercise prescription scheme. The New Zealand Medical Journal (Online) 124, 2011,1338.

10. Bennell K, Hinman R. Exercise as a treatment for osteoarthritis. Current opinion in rheumatology 17, 2005, 5, 634-640.

11. Jordan JL, Holden MA, Mason EEJ, et al. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. The Cochrane Library 2010.

12. Button K, Roos PE, Spasić I, et al. The clinical effectiveness of self-care interventions with an exercise component to manage knee conditions: A systematic review. The Knee 22, 2015, 5, 360-371.

13. Swinburn BA, Walter LG, Arroll B, et al. The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners. American journal of public health 88, 1998,2, 288-291.

14. Kroon FPB, van der Burg LRA, Buchbinder R, et al. Selfmanagement education programmes for osteoarthritis. The Cochrane Library 2014.

15. Ginis KAM, Nigg CR, Smith AL. Peer-delivered physical activity interventions: an overlooked opportunity for physical activity promotion. Translational behavioral medicine 3, 2013, 4, 434-443.

16. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bulletin of the World Health Organization 81, 2003, 9, 646-656.

17. Marcus C. Strategies for improving the quality of verbal patient and family education: a review of the literature and creation of the EDUCATE model. Health Psychology and Behavioral Medicine: An Open Access Journal 2, 2014,1, 482-495.

18. Edwards WH. Motor learning and control: from theory to practice. Cengage Learning, 2010.

19. Balota DA, Dolan PO, Duchek JM. Memory changes in healthy older adults. The Oxford handbook of memory 2000, 395-409.

20. Shariat A, Cleland JA, Danaee M, et al. Effects of stretching exercise training and ergonomic modifications on musculoskeletal discomforts of office workers: a randomized controlled trial. Brazilian Journal of Physical Therapy 2017.

Journal Information

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 406 279 8
PDF Downloads 255 200 8