Long-term outcome in patients with osteoarthritis of the hip or knee after comprehensive rehabilitation: A prospective 2 year follow-up study

Long-term outcome in patients with osteoarthritis of the hip or knee after comprehensive rehabilitation: A prospective 2 year follow-up study Objective: To examine the course of pain and physical function after a comprehensive inpatient rehabilitation intervention in patients with osteoarthritis (OA) of the hip or knee. Design: Prospective 24-months cohort study with assessments at baseline (entry into clinic), 1 (discharge), 3, 6, 9, 12 and 24 months after baseline. Setting: Inpatient rehabilitation clinic. Patients: Consecutively referred patients to inpatient rehabilitation fulfilling the inclusion criteria. Intervention: Three to four week comprehensive rehabilitation intervention including strengthening exercise, flexibility training, endurance training, relaxationstrategies and consultations for preventive measures. Individual home rehabilitation programs were instructed. Main Outcome Measures and Analysis: Generic health status was followed using the SF-36, condition specific health was followed with the WOMAC questionnaire. Effects were analyzed with sensitivity statistics (effect size, ES) and nonparametric tests. Results: The data of 128 patients with complete follow-up data could be analyzed. Both pain and physical function improved moderately (WOMAC pain: ES = 0.56, WOMAC function ES = 0.44) until discharge of the clinic. While the effect in pain reduction remained significant until month 24 (WOMAC: ES = 0.26), physical function deteriorated close to baseline values after 12 months. Conclusions: Comprehensive in-patient rehabilitation of patients with OA of the hip or knee may improve pain and physical function for 6 months and pain in the long-ter

Level thesis:degree_level

thesis.doctoral

Grantor dc:publisher

Ludwig-Maximilians-Universität

Year

2002

Author dc:creator

• Weigl, Martin

Repository record source_url

https://edoc.ub.uni-muenchen.de/140/

OAI identifier oai:identifier

oai:edoc.ub.uni-muenchen.de:140