Videotape Instruction Vs Brochure On The Effectiveness Of Unsupervised Home Exercise Program In Patients With Knee Osteoarthritis

Jocel M. Regino, Vivienne Francesca Mercado, Consuelo B. Gonzalez-Suarez, Jhoanalyn B. Aguinaldo, Mary Jane Yu, Maria Teresa I. Oquiňena, Francisco delos Reyes

Sep 2017 DOI 10.35460/2546-1621.2017-0053     Access   

Abstract

Optimum treatment for osteoarthritis is a combination of education, medication, weight reduction and exercise. However adherence to exercise decreases with treatment duration. This study aims to determine the effectiveness of a home exercise program in patients with knee osteoarthritis delivered through brochure or videotape in improving compliance, pain and function; and in the reduction of intake of paracetamol. Type of study: This is a single blind, randomized controlled study in a home setting. Participants: 102 participants with knee osteoarthritis were included in the study. Intervention: The participants were randomly assigned into video and brochure groups and were instructed to perform the exercises for six months. They were evaluated one month during the program and immediately after the end of the intervention. Outcome measures were pain using the Visual Analog Scale, modified Knee Outcome Survey-Activities of Daily Living Scale, 6 minute walk test, compliance and intake of paracetamol. Results: There were significant improvements in all outcome measures from baseline to one and six months in both groups. However, there was no significant difference between the mean change of all the outcome measures except for the mean change in the distance walked in the 6MWT one and six months which was significantly higher in the brochure group. Compliance to exercise and intake of paracetamol decreased from one to six months in both treatment arms but was not statistically different for both groups. Conclusion: Providing home exercise program using either video or brochure could be effective in the management of osteoarthritis.

 

Keywords: osteoarthritis, video exercise, brochure exercise, home exercise program

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