The effects of an 8-week knitting program on osteoarthritis symptoms in elderly women: A pilot randomized controlled trial

随机对照试验 物理疗法 医学 干预(咨询) 生活质量(医疗保健) 骨关节炎 患者满意度 临床试验 握力 物理医学与康复 替代医学 外科 护理部 病理
作者
Guillaume Léonard,Nicole Paquet,Paulette Guitard,Karine Toupin‐April,Sabrina Cavallo,Gail Paterson,Sibel Zehra Aydın,Sibel Bakırcı,Alexia Coulombe-Lévêque,Lucie Brosseau
出处
期刊:Journal of Bodywork and Movement Therapies [Elsevier]
卷期号:27: 410-419 被引量:1
标识
DOI:10.1016/j.jbmt.2021.04.001
摘要

Background Exercise therapy is effective in reducing symptoms and disability associated with hand osteoarthritis (HOA) but often has low adherence. An intervention consisting in a meaningful occupation, such as knitting, may improve adherence to treatment. This pilot randomized controlled trial (RCT) studied the adherence and clinical effectiveness of a knitting program in older females suffering from HOA to evaluate the acceptability of this intervention and assess the feasibility of a larger-scale RCT. Methods Single-blind, two-arm pilot RCT with a parallel group design with 37 participants (18 control, 19 intervention). Control participants were given an educational pamphlet and assigned to a waiting list. The knitting program (8-week duration) had two components: bi-weekly 20-min group knitting sessions and daily 20-min home knitting session on the 5 remaining weekdays. Measures included knitting adherence (implementation outcomes) as well as stiffness, pain, functional status, hand physical activity level, patient's global impression of change, health-related quality of life, self-efficacy, and grip strength (clinical outcomes measured throughout the 8-week program and 4 weeks after the intervention). Results Our protocol is feasible and the intervention was acceptable and enjoyable for participants, who showed high adherence. No difference was observed between the two groups for any of the clinical outcome measures (all p > .05). Conclusion Knitting is a safe and accessible activity for older women with HOA. However, our 8-week knitting program did not result in improvements in any of our outcome measures. Knitting for a longer period and/or with higher frequency may yield better outcomes.
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