The effectiveness of home-based exercise with and without tracking for people with knee osteoarthritis: a systematic review
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Abstract
Knee osteoarthritis (KOA) is the most common inflammatory arthritis, involving inflammation and significant structural changes in the knee joint and causing pain and disability at work. Exercise and education are often recommended for KOA patients. However, it is often not reasonable to adhere to home exercise programs in elderly. Using digital communication can be inexpensive and accessible to help promote adherence and the effects of exercise. This systematic review was to find the evidence of randomized controlled trials (RCTs) on the effectiveness of home-based exercise with tracking and home-based exercise alone for patients with KOA. We searched Cochrane, MEDLINE, PubMed, and PEDro. We selected randomized controlled trials published in the English language, which were undertaken to identify interventions that used home exercise with or without tracking for KOA. Two reviewers independently extracted data. The risk of bias in the included studies was evaluated using the Cochrane ‘Risk of Bias Tool 2.0’. As a result, a total of 1868 studies were found in the search. Of these, eight studies met the inclusion criteria and were further analyzed. All studies have a low risk of bias. In these studies, home exercise programs with tracking provide significant improvements in pain and function and more adherence and changes in behavior in elderly with KOA. In conclusion, home-based exercise with tracking in people with KOA is essential for increasing adherence and improving pain and physical function compared to the untracked group.
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References
Abramoff B, Caldera FE. Osteoarthritis: pathology, diagnosis, and treatment options. Med Clin North Am 2020; 104(2): 293-311.
Slemenda C, Brandt KD, Heilman DK, Mazzuca S, Braunstein EM, Katz BP, et al. Quadriceps weakness and osteoarthritis of the knee. Ann Intern Med 1997; 127(2): 97-104.
Alnahdi AH, Zeni JA, Snyder-Mackler L. Muscle impairments in patients with knee osteoarthritis. Sports Health 2012; 4(4): 284-92.
Bade MJ, Kohrt WM, Stevens-Lapsley JE. Outcomes before and after total knee arthroplasty compared to healthy adults. J Orthop Sports Phys Ther 2010; 40(9): 559-67.
Alkan BM, Fidan F, Tosun A, Ardıçoğlu ÖJMr. Quality of life and self-reported disability in patients with knee osteoarthritis. Mod Rheumatol 2014; 24(1): 166-71.
Cubukcu D, Sarsan A, Alkan H. Relationships between pain, function and radiographic findings in osteoarthritis of the knee: a cross-sectional study. Arthritis 2012; 2012: 1-5.
Salaffi F, Carotti M, Stancati A, Grassi W. Health-related quality of life in older adults with symptomatic hip and knee osteoarthritis: a comparison with matched healthy controls. Aging Clin Exp Res 2005; 17(4): 255-63.
Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis Rheumatol 2008; 58(1): 26-35.
Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis 2014; 73(7): 1323-30.
Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med 2010; 26(3): 355-69.
Bruce-Brand RA, Walls RJ, Ong JC, Emerson BS, O’Byrne JM, Moyna NM. Effects of home-based resistance training and neuromuscular electrical stimulation in knee osteoarthritis: a randomized controlled trial. BMC Musculoskelet Disord 2012; 13(1): 118.
McCarthy CJ, Mills PM, Pullen R, Roberts C, Silman A, Oldham JA. Supplementing a home exercise programme with a class-based exercise programme is more effective than home exercise alone in the treatment of knee osteoarthritis. Rheumatology (Oxford) 2004; 43(7): 880-6.
Rogers MW, Tamulevicius N, Semple SJ, Coetsee MF, Curry BF. Comparison of clinicbased versus home-based balance and agility training for the symptoms of knee osteoarthritis. S Afr J Sports Med 2011; 23(3): 80-3.
Petrella RJ, Bartha C. Home based exercise therapy for older patients with knee osteoarthritis: a randomized clinical trial. J Rheumatol 2000; 27(9): 2215-21.
Deyle GD, Allison SC, Matekel RL, Ryder MG, Stang JM, Gohdes DD, et al. Physical therapy treatment effectiveness for osteoarthritis of the knee: a randomized comparison of supervised clinical exercise and manual therapy procedures versus a home exercise program. Phys Ther 2005; 85(12): 1301-17.
Fitzgerald GK, Oatis C. Role of physical therapy in management of knee osteoarthritis. Current opinion in rheumatology. Curr Opin Rheumatol 2004; 16(2): 143-7.
Yilmaz M, Sahin M, Algun ZC. Comparison of effectiveness of the home exercise program and the home exercise program taught by physiotherapist in knee osteoarthritis. J Back Musculoskelet Rehabil 2019; 32(1): 161-9.
Pisters MF, Veenhof C, Schellevis FG, Twisk JWR, Dekker J, De Bakker DH. Exercise adherence improving long-term patient outcome in patients with osteoarthritis of the hip and/or knee. Arthritis Care Res (Hoboken) 2010; 62(8): 1087-94.
Anwer S, Alghadir A, Brismée J-M. Effect of home exercise program in patients with knee osteoarthritis: a systematic review and meta-analysis. J Geriatr Phys Ther 2016; 39(1): 38-48.
O’Reilly SC, Muir KR, Doherty M. Effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomised controlled trial. Ann Rheum Dis 1999; 58(1): 15-9.
Thomas KS, Muir KR, Doherty M, Jones AC, O’Reilly SC, Bassey EJ. Home based exercise programme for knee pain and knee osteoarthritis: randomised controlled trial. Brit Med J 2002; 325(7367): 752.
Nicolson PJA, Hinman RS, Kasza J, Bennell KL. Trajectories of adherence to home-based exercise programs among people with knee osteoarthritis. Osteoarthr Cartil 2018; 26(4): 513-21.
Campbell R, Evans M, Tucker M, Quilty B, Dieppe P, Donovan JL. Why don’t patients do their exercises? Understanding noncompliance with physiotherapy in patients with osteoarthritis of the knee. J Epidemiol Community Health 2001; 55(2): 132-8.
Çolak TK, Kavlak B, Aydoğdu O, Şahin E, Acar G, Demirbüken İ, et al. The effects of therapeutic exercises on pain, muscle strength, functional capacity, balance and hemodynamic parameters in knee osteoarthritis patients: a randomized controlled study of supervised versus home exercises. Rheumatol Int 2017; 37(3): 399-407.
Carrillo JE, Carrillo VA, Perez HR, Salas-Lopez D, Natale-Pereira A, Byron AT. Defining and targeting health care access barriers. J Health Care Poor Underserved. 2011; 22(2): 562-75.
Nicolson PJA, Bennell KL, Dobson FL, Van Ginckel A, Holden MA, Hinman RS. Interventions to increase adherence to therapeutic exercise in older adults with low back pain and/or hip/knee osteoarthritis: a systematic review and meta-analysis. Br J Sports Med 2017; 51(10): 791-9.
Bennell K, Nelligan RK, Schwartz S, Kasza J, Kimp A, Crofts SJ, et al. Behavior change text messages for home exercise adherence in knee osteoarthritis: randomized trial. J Med Internet Res 2020; 22(9): e21749.
Higgins JPTTJ, Chandler J, Cumpston M, Li T, Page MJ, Welch VA. Cochrane Handbook for Systematic Reviews of Interventions version 6.0. Cochrane 2019. Available from: Available from www.training.cochrane.org/handbook.
Alasfour M, Almarwani M. The effect of innovative smartphone application on adherence to a home-based exercise programs for female older adults with knee osteoarthritis in Saudi Arabia: a randomized controlled trial. Disabil Rehabil 2020; 44(11): 2420-7.
Bennell KL, Nelligan R, Dobson F, Rini C, Keefe F, Kasza J, et al. Effectiveness of an internetdelivered exercise and pain-coping skills training intervention for persons with chronic knee pain: a randomized trial. Ann Intern Med 2017; 166(7): 453-62.
Fitzgerald GK, Fritz JM, Childs JD, Brennan GP, Talisa V, Gil A, et al. Exercise, manual therapy, and use of booster sessions in physical therapy for knee osteoarthritis: a multi-center, factorial randomized clinical trial. Osteoarthr Cartil 2016; 24(8): 1340-9.
Gohir SA, Eek F, Kelly A, Abhishek A, Valdes AM. Effectiveness of internet-based exercises aimed at treating knee osteoarthritis: the iBEAT-OA randomized clinical trial. JAMA Netw Open 2021; 4(2): e210012.
Hinman RS, Campbell PK, Lawford BJ, Briggs AM, Gale J, Bills C, et al. Does telephone-delivered exercise advice and support by physiotherapists improve pain and/or function in people with knee osteoarthritis? Telecare randomised controlled trial. Br J Sports Med 2020; 54(13): 790-7.
Nelligan RK, Hinman RS, Kasza J, Crofts SJC, Bennell KL. Effects of a self-directed web-based strengthening exercise and physical activity program supported by automated text messages for people with knee osteoarthritis: a randomized clinical trial [with consumer summary]. JAMA Internal Medicine 2021; 181(6): 776-85.
Naeemabadi M, Fazlali H, Najafi S, Dinesen B, Hansen JJJBE. Telerehabilitation for patients with knee osteoarthritis: a focused review of technologies and teleservices. JMIR Biomed Eng 2020; 5(1): e16991.
Teeter BS, Kavookjian J. Telephone-based motivational interviewing for medication adherence: a systematic review. Transl Behav Med 2014; 4(4): 372-81.