Authors (including presenting author) :
Yeung SS(1),Tsang CCR(1), Hu SF(1), Ng YL(2), Lee HS(3) Chan PK(4), Yan CH(4),Chiu KY(4)
Affiliation :
1)Physiotherapy Department, MacLehose Medical Rehabilitation Centre, (2)Occupational Department, MacLehose Medical Rehabilitation Centre,(3)Nursing Department, MacLehose Medical Rehabilitation Centre
(4)Department of Orthopaedics and Traumatology, Queen Mary Hospital
Introduction :
Since 2016, a Comprehensive Osteoarthritis ManagEment (COME) programme for patients with knee osteoarthritis (OA) was launched in the MacLehose Medical Rehabilitation Centre. The COME programme consists of 3-hour education, 12 physiotherapy exercise sessions and 6 occupational therapy sessions of coping skills.
Objectives :
To evaluate the effectiveness of the program
Methodology :
Patients with radiological stages of Kellegren-Lawrence Grade I to III were recruited and assessed at baseline, 6 weeks, 3 months and lastly one year with telephone follow-up. These outcomes were assessed: physical performance with one-minute chair-stand test and both quadriceps strength with dynamometer; pain on walking or stairs climbing; weekly time on physical activities and exercise training; functional status with Patient Specific Function Score (PSFS) and self-efficacy with Self-Exercise Efficacy Scale (SEE); health with Euro-QoL VAS scale (EQ-VAS).
Result & Outcome :
100 patients completed the programme with one-year follow-up. Significant outcome improvements were observed: One-minute chair-stand test increased by 13.2±11.7 repetitions, quadriceps strength increased by 6.4±8.7 and 6.9±8.2 kgf in right and left side respectively at 3 months (p< 0.001). Pain was reduced by 1.3±2.6 points, time spent on physical activities and training increased from 43.2±45.0 to 85.3±113.5 minutes , PSFS improved by 3.8±2.7 points, SEE improved the greatest by 13.5±19.0 points, EQ-VAS improved by 8.8±21.1 points at 1 year (p< 0.001). 80% of patient would continue exercise at fitness rooms of Leisure and Cultural Services Department. The COME is effective to improve patients’ physical performance, quality of life and self-efficacy to maintain exercise habit.
