RinaldiPT - Exercise and Arthritis

Patients with knee or hip osteoarthritis fare better if they continue to do their physical therapy exercises after completing supervised therapy in a formal program, according to new research in the Journal Arthritis Care and Research.

The study also found that arthritis patients reported less pain, improved muscle strength and a better range of motion when they followed their provider's recommendations for overall exercise (such as walking) and a physically active lifestyle -- a choice that improved the long-range effectiveness of supervised therapy.

The World Health Organization deems osteoarthritis (OA) to be one of the 10 most disabling conditions in the developed world. Four in five OA patients have movement limitations, the WHO estimates, while one-quarter cannot engage in the normal routines of daily living -- an ordeal for which physical therapy is often the prescribed short-term remedy.

To assess how well patients do after supervised therapy, researchers tracked 150 hip and/or knee OA patients for five years.

The team found that three months after supervised therapy, nearly 58 percent of the patients continued to follow their prescribed strength-building exercise routines, while about 54 percent stuck to recommended activity patterns.

The more moderate or intense physical activity the patient did, the more his or her pain decreased. In addition, the more physical activity, the more physical function and performance improved according to the study authors.

Additionally, the more the OA patients adhered to their self-directed therapy, the more positive they themselves felt about their condition and its prognosis.

In a nutshell, continuing to do one’s exercises after concluding therapy improves the overall effectiveness if the physical therapy as well as the long term outlook for the patient.

The problem, the researchers found is that adherence to home exercise routines tended to diminish with time, with just over 44 percent of patients doing the strength-building exercises 15 months out, and only 30 percent doing so 60 months out.

I could’ve saved them the time spent on the study and told them that!

Folks: please exercise.

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Doing Prescribed Exercises May Help Relieve Arthritis Pain

Patients with knee or hip osteoarthritis fare better if they continue to do their physical therapy exercises after completing supervised therapy in a formal program, according to new research in the Journal Arthritis Care and Research.