Fysioterapeuten (Dec 2019)
Active with osteoArthritis (AktivA) – treatment of mild to moderate osteoarthritis in clinical physiotherapy practice
Abstract
Purpose: To evaluate the impact of AktivA on pain and physical function in patients with mild and moderate hip or knee osteoarthritis. Design: Cohort study. Material: 5230 patients with mild and moderate hip- or knee osteoarthritis, mean age 63,4 (±10) years, 75,7% women. Method: An electronic quality register, primarily based on patient reported questionnaires filled in at baseline and after 3 and 12 months, (+ physical performance tests at baseline and 3 months). Results: The response rate was 98.9 and 83.8% at 3 and 12 months, respectively. After 3 months 94% of the patients had participated in the osteoarthritis school and 77% had fulfilled more than 10 supervised exercise sessions. After 12 months, pain was reduced by 17%, while two self-selected functional activities were improved by 36% and 23%, respectively. The sit to stand test and the 6 minute walk test increased 20% and 8%, respectively. A significant increase in the intensity of physical activity was registered, the percent of patients performing at a moderate intensity (breathless and sweat), increased from 55% to 68%. Conclusion: 12 months after participation in the AktivA management program, the patients showed reduced pain, increased physical function and physical activity level.
