A comparison of strength training, self-management, and the combination for early osteoarthritis of the knee.

Abstract:

OBJECTIVE:To assess the relative effectiveness of combining self-management and strength training for improving functional outcomes in patients with early knee osteoarthritis. METHODS:We conducted a randomized intervention trial lasting 24 months at an academic medical center. Community-dwelling middle-aged adults (n = 273) ages 35-64 years with knee osteoarthritis, pain, and self-reported physical disability completed a strength training program, a self-management program, or a combined program. Outcomes included 5 physical function tests (leg press, range of motion, work capacity, balance, and stair climbing) and 2 self-reported measures of pain and disability. RESULTS:A total of 201 participants (73.6%) completed the 2-year trial. Overall, compliance was modest for the strength training (55.8%), self-management (69.1%), and combined (59.6%) programs. The 3 groups showed a significant and large increase from pre- to posttreatment in all of the physical functioning measures, including leg press (d = 0.85), range of motion (d = 1.00), work capacity (d = 0.60), balance (d = 0.59), and stair climbing (d = 0.59). Additionally, all 3 groups showed decreased self-reported pain (d = -0.51) and disability (d = -0.55). There were no significant differences among the groups. CONCLUSION:Middle-aged, sedentary persons with mild early knee osteoarthritis benefited from strength training, self-management, and the combination program. These results suggest that both strength training and self-management are suitable treatments for the early onset of knee osteoarthritis in middle-aged adults. Self-management alone may offer the least burdensome treatment for early osteoarthritis.

authors

McKnight PE,Kasle S,Going S,Villanueva I,Cornett M,Farr J,Wright J,Streeter C,Zautra A

doi

10.1002/acr.20013

subject

Has Abstract

pub_date

2010-01-15 00:00:00

pages

45-53

issue

1

eissn

2151-464X

issn

2151-4658

journal_volume

62

pub_type

杂志文章,随机对照试验
  • Validation of the Social Appearance Anxiety Scale in Patients With Systemic Sclerosis: A Scleroderma Patient-Centered Intervention Network Cohort Study.

    abstract:OBJECTIVE:Systemic sclerosis (SSc) is an autoimmune disease that can cause disfiguring changes in appearance. This study examined the structural validity, internal consistency reliability, convergent validity, and measurement equivalence of the Social Appearance Anxiety Scale (SAAS) across SSc disease subtypes. METHOD...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.23514

    authors: Mills SD,Kwakkenbos L,Carrier ME,Gholizadeh S,Fox RS,Jewett LR,Gottesman K,Roesch SC,Thombs BD,Malcarne VL,Scleroderma Patient-centered Intervention Network Investigators.

    更新日期:2018-10-01 00:00:00

  • Kellgren & Lawrence grading in cohort studies: methodological update and implications illustrated using data from the CHECK cohort.

    abstract:OBJECTIVE:The Cohort Hip and Cohort Knee (CHECK) is a cohort of middle-aged individuals with hip or knee pain. Radiographs were assigned Kellgren & Lawrence (KL) scores under different conditions at each follow-up visit for 10 years. We aimed to describe and consolidate each scoring approach, then illustrate implicatio...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.24563

    authors: Macri EM,Runhaar J,Damen J,Oei EH,Bierma-Zeinstra SM

    更新日期:2021-01-15 00:00:00

  • Association of peptic ulcer disease and pulmonary disease with risk of periprosthetic fracture after primary total knee arthroplasty.

    abstract:OBJECTIVE:To assess the association of specific comorbidities with periprosthetic fractures after primary total knee replacement (TKR). METHODS:We used the prospectively collected data in the Mayo Clinic total joint registry from 1989-2008 on all patients who had undergone primary TKR. The outcome of interest was post...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.20548

    authors: Singh JA,Lewallen DG

    更新日期:2011-10-01 00:00:00

  • Long-Term Followup of a Multicenter Cohort of 101 Patients With Eosinophilic Granulomatosis With Polyangiitis (Churg-Strauss).

    abstract:OBJECTIVE:To assess the long-term outcome in eosinophilic granulomatosis with polyangiitis (Churg-Strauss) (EGPA). METHODS:A total of 101 patients fulfilling the American College of Rheumatology criteria for EGPA were included between 1990 and 2011. Clinical features, antineutrophil cytoplasm autoantibodies (ANCAs), a...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,多中心研究

    doi:10.1002/acr.22686

    authors: Durel CA,Berthiller J,Caboni S,Jayne D,Ninet J,Hot A

    更新日期:2016-03-01 00:00:00

  • Pain, anxiety, and negative outcome expectations for activity: do negative psychological profiles differ between the inactive and active?

    abstract:OBJECTIVE:Adherence to physical activity at ≥150 minutes/week has proven to offer disease management and health-promoting benefits among adults with arthritis. While highly active people seem undaunted by arthritis pain and are differentiated from the moderately active by adherence-related psychological factors, knowle...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.22421

    authors: Gyurcsik NC,Cary MA,Sessford JD,Flora PK,Brawley LR

    更新日期:2015-01-01 00:00:00

  • Validity and Responsiveness of a 10-Item Patient-Reported Measure of Physical Function in a Rheumatoid Arthritis Clinic Population.

    abstract:OBJECTIVE:We assessed implementation of the 10-item Patient-Reported Outcomes Measurement Information System (PROMIS) physical function form (PF-10a) in routine practice in a racially and ethnically diverse population with rheumatoid arthritis (RA). Objectives were to determine feasibility of implementing PF-10a in the...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.22956

    authors: Wahl E,Gross A,Chernitskiy V,Trupin L,Gensler L,Chaganti K,Michaud K,Katz P,Yazdany J

    更新日期:2017-03-01 00:00:00

  • Prevalence and incidence in patients with autoimmune rheumatic diseases: a nationwide population-based study in Taiwan.

    abstract:OBJECTIVE:The purpose of this study was to determine the prevalence, incidence, and mortality rates of autoimmune rheumatic diseases (ARDs) by using a population-based database. METHODS:We used the longitudinal health insurance database (comprising 1,000,000 beneficiaries) of the Taiwan National Health Insurance from ...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.21820

    authors: Yu KH,See LC,Kuo CF,Chou IJ,Chou MJ

    更新日期:2013-02-01 00:00:00

  • Development and validation of a magnetic resonance imaging reference criterion for defining a positive sacroiliac joint magnetic resonance imaging finding in spondyloarthritis.

    abstract:OBJECTIVE:To validate a magnetic resonance imaging (MRI) reference criterion for a positive sacroiliac (SI) joint MRI finding based on the level of confidence in the classification of spondyloarthritis (SpA) by expert MRI readers. METHODS:Four readers assessed SI joint MRIs in 2 inception cohorts (cohorts A and B) of ...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.21893

    authors: Weber U,Zubler V,Pedersen SJ,Rufibach K,Lambert RG,Chan SM,Østergaard M,Maksymowych WP

    更新日期:2013-06-01 00:00:00

  • Mediating Effect of Changes in Hand Impairments on Hand Function in Patients With Rheumatoid Arthritis: Exploring the Mechanisms of an Effective Exercise Program.

    abstract:OBJECTIVE:To determine whether the effect of the Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) exercise program on hand function was mediated by changes in the proposed active ingredients: strength, dexterity, and/or range of motion. METHODS:The SARAH intervention included exercises hypothe...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/acr.23093

    authors: Hall AM,Copsey B,Williams M,Srikesavan C,Lamb SE,Sarah Trial Team.

    更新日期:2017-07-01 00:00:00

  • Cumulative Disadvantage and Disparities in Depression and Pain Among Veterans With Osteoarthritis: The Role of Perceived Discrimination.

    abstract:OBJECTIVE:Perceived discrimination is associated with chronic pain and depression and contributes to racial health disparities. In a cohort of older adult veterans with osteoarthritis (OA), our objective was to examine how membership in multiple socially disadvantaged groups (cumulative disadvantage) was associated wit...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,多中心研究

    doi:10.1002/acr.24481

    authors: McClendon J,Essien UR,Youk A,Ibrahim SA,Vina E,Kwoh CK,Hausmann LRM

    更新日期:2021-01-01 00:00:00

  • Access and cost-related non-adherence to prescription medications among lupus cases and controls: the Michigan Lupus Epidemiology & Surveillance (MILES) Program.

    abstract:BACKGROUND:Medication access and adherence are important determinants of health outcomes. We investigated factors associated with access and cost-related non-adherence to prescriptions in a population-based cohort of systemic lupus erythematosus (SLE) patients and controls. METHODS:Detailed sociodemographic and prescr...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.24397

    authors: Minhas D,Marder W,Harlow S,Hassett AL,Zick SM,Gordon C,Barbour KE,Helmick CG,Wang L,Lee J,Padda A,McCune WJ,Somers EC

    更新日期:2020-08-02 00:00:00

  • Association of higher methotrexate dose with lymphoproliferative disease onset in rheumatoid arthritis patients.

    abstract:OBJECTIVE:Methotrexate (MTX) is used as an anchor drug for rheumatoid arthritis (RA). Lymphoproliferative disease (LPD) occasionally develops in patients treated with MTX, and is known as MTX-associated LPD (MTX-LPD). Although MTX-LPD occurs mainly in RA patients, it has not been established if MTX administration is an...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.22306

    authors: Kameda T,Dobashi H,Miyatake N,Inoo M,Onishi I,Kurata N,Mitsunaka H,Kawakami K,Fukumoto T,Susaki K,Izumikawa M,Nakashima S,Shimada H,Takeuchi Y,Haba R,Mano S,Onishi H,Imataki O,Matsunaga T

    更新日期:2014-09-01 00:00:00

  • Effects of repetitive transcranial magnetic stimulation and multicomponent therapy in patients with fibromyalgia: a randomized controlled trial.

    abstract:OBJECTIVES:Fibromyalgia (FM) is a chronic painful condition partly due to alterations in pain modulation by the central nervous system. Multicomponent therapy (MT) and repetitive transcranial magnetic stimulation (rTMS) had both been reported as pain modulators in FM patients. The aim of this study was to compare the e...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.24118

    authors: Guinot M,Maindet C,Hodaj H,Hodaj E,Bachasson D,Baillieul S,Cracowski JL,Launois S

    更新日期:2019-11-30 00:00:00

  • Efficacy of Rho kinase inhibitor fasudil in secondary Raynaud's phenomenon.

    abstract:OBJECTIVE:The RhoA/Rho kinase pathway plays a pivotal role in cold-induced vasoconstriction, vascular smooth muscle cells function, and vascular homeostasis. This study evaluates the efficacy of fasudil, a RhoA/Rho kinase inhibitor, to reverse cold-induced vasospasm in patients with Raynaud's phenomenon (RP) secondary ...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/acr.21622

    authors: Fava A,Wung PK,Wigley FM,Hummers LK,Daya NR,Ghazarian SR,Boin F

    更新日期:2012-06-01 00:00:00

  • Rheumatologists on the road: a subspecialist's role in caring for the homebound.

    abstract:OBJECTIVE:By 2030, the number of permanently homebound individuals in the US will increase by 50% to reach 2 million. However, no medicine subspecialty consult services exist for this rising subset of the population. This pilot program establishes a rheumatology consult service for the Mount Sinai Visiting Doctors, the...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.20539

    authors: Jain R,Dasari S,Soriano T,Decherrie L,Kerr LD

    更新日期:2011-10-01 00:00:00

  • Low Hemoglobin and Radiographic Damage Progression in Early Rheumatoid Arthritis: Secondary Analysis From a Phase III Trial.

    abstract:OBJECTIVE:To study low blood hemoglobin concentrations as a predictor of radiographic damage progression in patients with rheumatoid arthritis (RA). METHODS:Post hoc analyses were performed in patients from the PREMIER trial with early RA undergoing 2 years of adalimumab (ADA), methotrexate (MTX), or ADA + MTX combina...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/acr.23427

    authors: Möller B,Everts-Graber J,Florentinus S,Li Y,Kupper H,Finckh A

    更新日期:2018-06-01 00:00:00

  • Joint-pain comorbidity, health status, and medication use in hip and knee osteoarthritis: a cross-sectional study.

    abstract:OBJECTIVE:To determine the prevalence of joint-pain comorbidities in individuals with hip or knee osteoarthritis (OA) and to assess the differences in the characteristics of people with and without joint-pain comorbidities. METHODS:In this cross-sectional study, individuals referred to secondary care for treatment of ...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.20647

    authors: Hoogeboom TJ,den Broeder AA,Swierstra BA,de Bie RA,van den Ende CH

    更新日期:2012-01-01 00:00:00

  • Performance of the assessment of quality of life measure in people with hip and knee joint disease and implications for research and clinical use.

    abstract:OBJECTIVE:To comprehensively evaluate the performance of the Assessment of Quality of Life (AQoL) instrument for measuring health-related quality of life (HRQOL) in people with hip and knee joint disease (arthritis or osteoarthritis). METHODS:Data from 237 individuals were available for analysis from a national cross-...

    journal_title:Arthritis care & research

    pub_type: 临床试验,杂志文章

    doi:10.1002/acr.22129

    authors: Ackerman IN,Busija L,Tacey MA,Bohensky MA,Ademi Z,Brand CA,Liew D

    更新日期:2014-03-01 00:00:00

  • Subjective and Objective Measures of Dryness Symptoms in Primary Sjögren's Syndrome: Capturing the Discrepancy.

    abstract:OBJECTIVE:To develop a novel method for capturing the discrepancy between objective tests and subjective dryness symptoms (a sensitivity scale) and to explore predictors of dryness sensitivity. METHODS:Archive data from the UK Primary Sjögren's Syndrome Registry (n = 688) were used. Patients were classified on a scale...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.23165

    authors: Bezzina OM,Gallagher P,Mitchell S,Bowman SJ,Griffiths B,Hindmarsh V,Hargreaves B,Price EJ,Pease CT,Emery P,Lanyon P,Bombardieri M,Sutcliffe N,Pitzalis C,Hunter J,Gupta M,McLaren J,Cooper AM,Regan M,Giles IP,Isenbe

    更新日期:2017-11-01 00:00:00

  • Cutaneous ulceration in dermatomyositis: association with anti-melanoma differentiation-associated gene 5 antibodies and interstitial lung disease.

    abstract:OBJECTIVE:To identify clinical and serologic correlates of cutaneous ulcers in dermatomyositis (DM). METHODS:We retrospectively examined a cohort of 152 DM patients. We compared the features of patients with ulcers to those without ulcers using chi-square or Fisher's exact tests and used univariate and multivariate lo...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.22498

    authors: Narang NS,Casciola-Rosen L,Li S,Chung L,Fiorentino DF

    更新日期:2015-05-01 00:00:00

  • Patterns of Biologics Utilization and Discontinuation Before and During Pregnancy in Women With Autoimmune Diseases: A Population-Based Cohort Study.

    abstract:OBJECTIVE:To characterize patterns of biologics use and discontinuation before and during pregnancy in women with autoimmune diseases in British Columbia, Canada. METHODS:Women with ≥1 autoimmune diseases, as identified by International Classification of Diseases Ninth/Tenth Revision codes, who had pregnancies ending ...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.23434

    authors: Tsao NW,Lynd LD,Sadatsafavi M,Hanley G,De Vera MA

    更新日期:2018-07-01 00:00:00

  • Maternal hypertensive disorders in SLE pregnancy and future cardiovascular outcomes.

    abstract:BACKGROUND:Hypertensive disorders of pregnancy (HDP) increase cardiovascular disease (CVD) risk. Pregnancy morbidities, including preeclampsia, and CVD are common in systemic lupus erythematosus (SLE). Possible connections are important to explore. In a population-based cohort, we investigated whether HDP is associated...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.24160

    authors: Simard JF,Rossides M,Arkema EV,Svenungsson E,Wikström AK,Mittleman MA,Salmon JE

    更新日期:2020-01-31 00:00:00

  • Cross-Sectional and Longitudinal Associations of Diffuse Idiopathic Skeletal Hyperostosis and Thoracic Kyphosis in Older Men and Women.

    abstract:OBJECTIVE:To investigate cross-sectional and longitudinal associations of diffuse idiopathic skeletal hyperostosis (DISH) and thoracic kyphosis in older persons. METHODS:DISH and kyphosis were assessed in 1,500 men from the Osteoporotic Fractures in Men (MrOS) study and in 1,267 women from the Study of Osteoporotic Fr...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.23115

    authors: Katzman WB,Parimi N,Mansoori Z,Nardo L,Kado DM,Cawthon PM,Marshall LM,Schousboe JT,Lane NE,Osteoporotic Fractures in Men Study Research Group and the Study of Osteoporotic Fractures.

    更新日期:2017-08-01 00:00:00

  • Racial and Ethnic Differences in the Prevalence and Time to Onset of Manifestations of Systemic Lupus Erythematosus: The California Lupus Surveillance Project.

    abstract:OBJECTIVE:The California Lupus Surveillance Project (CLSP) is a population-based registry of individuals with systemic lupus erythematosus (SLE) residing in San Francisco County, California from 2007 to 2009, with a special focus on Asian/Pacific Islander and Hispanic patients. We used retrospective CLSP data to analyz...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.23887

    authors: Maningding E,Dall'Era M,Trupin L,Murphy LB,Yazdany J

    更新日期:2020-05-01 00:00:00

  • 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Screening, Monitoring, and Treatment of Juvenile Idiopathic Arthritis-Associated Uveitis.

    abstract:OBJECTIVE:To develop recommendations for the screening, monitoring, and treatment of uveitis in children with juvenile idiopathic arthritis (JIA). METHODS:Pediatric rheumatologists, ophthalmologists with expertise in uveitis, patient representatives, and methodologists generated key clinical questions to be addressed ...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,实务指引

    doi:10.1002/acr.23871

    authors: Angeles-Han ST,Ringold S,Beukelman T,Lovell D,Cuello CA,Becker ML,Colbert RA,Feldman BM,Holland GN,Ferguson PJ,Gewanter H,Guzman J,Horonjeff J,Nigrovic PA,Ombrello MJ,Passo MH,Stoll ML,Rabinovich CE,Sen HN,Schneider

    更新日期:2019-06-01 00:00:00

  • Association of Visceral Fat and Liver Fat With Hyperuricemia.

    abstract:OBJECTIVE:To examine cross-sectionally whether intraabdominal fat area (IAFA), i.e., visceral fat, and liver fat assessed by computed tomography (CT) are independently associated with hyperuricemia. METHODS:Subjects were 801 Japanese men not taking antidiabetic, antihypertensive, or urate-lowering medications, without...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.22729

    authors: Yamada A,Sato KK,Kinuhata S,Uehara S,Endo G,Hikita Y,Fujimoto WY,Boyko EJ,Hayashi T

    更新日期:2016-04-01 00:00:00

  • Comparable Rates of Glucocorticoid-Associated Adverse Events in Patients With Polymyalgia Rheumatica and Comorbidities in the General Population.

    abstract:OBJECTIVE:To investigate the use of glucocorticoids (GCs) and related adverse events (AEs) in a long-term, geographically defined cohort of patients with polymyalgia rheumatica (PMR). METHODS:Using a population-based inception cohort, details of GC therapy were abstracted from medical records of all patients diagnosed...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.23320

    authors: Shbeeb I,Challah D,Raheel S,Crowson CS,Matteson EL

    更新日期:2018-04-01 00:00:00

  • Associations of foot posture and function to lower extremity pain: results from a population-based foot study.

    abstract:OBJECTIVE:Studies have implicated foot posture and foot function as risk factors for lower extremity pain. Empirical population-based evidence for this assertion is lacking; therefore, the purpose of this study was to evaluate cross-sectional associations of foot posture and foot function to lower extremity joint pain ...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.22049

    authors: Riskowski JL,Dufour AB,Hagedorn TJ,Hillstrom HJ,Casey VA,Hannan MT

    更新日期:2013-11-01 00:00:00

  • Early rheumatoid arthritis in Latin America: low socioeconomic status related to high disease activity at baseline.

    abstract:OBJECTIVE:To determine the influence of socioeconomic factors on disease activity in a Latin American (LA) early rheumatoid arthritis (RA) multinational inception cohort at baseline. METHODS:Clinical evaluation, ethnicity, socioeconomic status (SES), 4-variable Disease Activity Score in 28 joints using the erythrocyte...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,多中心研究

    doi:10.1002/acr.21680

    authors: Massardo L,Pons-Estel BA,Wojdyla D,Cardiel MH,Galarza-Maldonado CM,Sacnun MP,Soriano ER,Laurindo IM,Acevedo-Vásquez EM,Caballero-Uribe CV,Padilla O,Guibert-Toledano ZM,da Mota LM,Montufar RA,Lino-Pérez L,Díaz-Coto JF,Achu

    更新日期:2012-08-01 00:00:00

  • Do spouses know how much fatigue, pain, and physical limitation their partners with rheumatoid arthritis experience? Implications for social support.

    abstract:OBJECTIVE:To determine whether perceptions of clinical manifestations (fatigue, pain, and physical limitation) of rheumatoid arthritis (RA) differ between spouses and their partners with RA, and to determine whether the differences are associated with the perception of beneficial and problematic spousal social support....

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.20330

    authors: Lehman AJ,Pratt DD,DeLongis A,Collins JB,Shojania K,Koehler B,Offer R,Esdaile JM

    更新日期:2011-01-01 00:00:00