A randomised controlled trial of intensive physiotherapy vs a home-based exercise treatment programme in knee osteoarthritis - primary research

McCarthy CJ, Mills PM, Pullen R, Richardson R, Hawkins N, Roberts CR, Silman AJ, Oldham JA
Record ID 32001000707
Authors' objectives:

To establish the relative effectiveness and cost of providing a home-based exercise programme versus home-based exercise supplemented with an 8-week class-based exercise programme.

Authors' recommendations: The supplementation of a home-based exercise programme with a class-based exercise programme led to superior improvement in the supplemented group. These differential improvements were still evident at review 12 months after treatment had ceased. The additional cost of the supplemented group was offset by reductions in resource use elsewhere in the system. Compliance with the home exercise programme did not differ between the groups. Based on this evidence, the supplemetation of a home-based exercise programme canbe confidently expected to produce samll improvements in locomotor function and clinically important reducitons in pain. It is recommended that future research invesigates methods of increasing compliance with home exercise programmes and evaluated the impact of these interventions in the primary care setting, where most patients with knee osteoarthritis are managed.
Project Status: Completed
URL for project: http://www.hta.ac.uk/999
Year Published: 2004
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Exercise
  • Osteoarthritis, Knee
  • Physical Therapy Modalities
Organisation Name: NIHR Health Technology Assessment programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: 2009 Queen's Printer and Controller of HMSO
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.