Physiotherapy Program through Home Visits for Community-Dwelling Elderly Japanese Women with Mild Knee Pain
| Autor: | Nao Seki, Taro Okamura, Kunihiko Shinoda, Isamu Konishi, Naohito Tanabe, Hiroshi Suzuki, Emiko Hoshino |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
WOMAC Knee Joint Osteoarthritis Sitting General Biochemistry Genetics and Molecular Biology law.invention Physical medicine and rehabilitation Asian People Randomized controlled trial Residence Characteristics law medicine Humans Pain Management Buttocks Physical Therapy Modalities Aged Aged 80 and over business.industry Kneeling General Medicine Middle Aged medicine.disease Home Care Services Regimen Treatment Outcome Knee pain medicine.anatomical_structure Case-Control Studies Physical therapy Female medicine.symptom business |
| Zdroj: | The Tohoku Journal of Experimental Medicine. 219:91-99 |
| ISSN: | 1349-3329 0040-8727 |
| DOI: | 10.1620/tjem.219.91 |
| Popis: | Knee pain is extremely common among the elderly, particularly women. Hence, there is an urgent need for applicable community-based intervention models for halting the progression of knee pain and related disabilities in elderly women. We aimed to assess the efficacy of home-visit physiotherapy as a new intervention model. This non-randomized 5-month-long controlled trial enrolled elderly community-dwelling women (aged 60-83 years) with mild knee pain. The intervention consisted of two home visits by a physiotherapist, with instructions on routinely performing muscle-strengthening exercises at home and implementing simple environmental modifications when necessary. Outcome measures were assessed at baseline and 5 months later. The primary outcomes were measured as the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and a newly devised seiza-style sitting score. People in Japan, especially elderly women, are accustomed to seiza-style sitting that involves kneeling on one's lower legs while resting the buttocks on the heels. The secondary outcomes included quadriceps isometric strength, knee alignment in the frontal and sagittal planes, and passive knee extension range. Forty-two subjects (20 in the intervention group and 22 in the control group) completed the study. At baseline, characteristics and the primary outcomes did not significantly differ between the 2 groups. At 5 months, the primary outcomes improved significantly in the intervention group. Estimated differences in the change from baseline for each outcome between the 2 groups were computed, adjusting for outcome variables imbalanced at baseline. Even after the adjustment, the home-visit physiotherapy regimen provides favorable improvement in the seiza-style sitting score. |
| Databáze: | OpenAIRE |
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