Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Make your likes visible on Facebook?

Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.

No, thanks

Home Exercise Program for OA

No description
by

Megan Yeoman

on 24 October 2016

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Home Exercise Program for OA

Home Exercise Program for older adults with early stage knee osteoarthritis
Participants
Implementation through local GP referrals

Set of flexible pre-determined criteria
A recent diagnosis of early knee OA
Aged between 45-65
Able to independently participate in a dynamic 45 minute exercise class

The PAR-Q+ survey assisted with suitability for exercise



Recommendations for Future Implementation
Clear, concise instructions and education on the exercises
Use of outcome measures
FITT-VP principles
Safety instructions – pacing and intensity advice.
Progressions and regressions for all exercises
Address barriers and facilitators to assist with continuation of program

References:
What is Osteoarthritis (OA)?
Gradual articular cartilage degeneration of joints
No single cause
Common presentation of pain, crepitus, inflammation and stiffness
Increasing in prevalence due to the ageing population

FITT-VP Principles
Aerobic Component
Exercise Benefits for
Knee OA
Improve lower limb strength
Reduce joint loading
Normalisation of joint mobility
Delay disease progression
Reduce pain and improve physical function
Promote physical and psychosocial well-being

Class Aims
Improving joint mobility and muscle strength surrounding the knee
Exercises are safe and easy to complete at home
Incorporated into daily living
No equipment required
Exercises demonstrated by qualified physiotherapists
Progressions and regressions provided for all exercises
45 minute duration
Key Components
Outcome Measures
Borg Rate of Perceived Exertion (RPE) Scale
Visual Analogue Scale
Class Evaluation
Reflection and Appraisal
Limitations
Not individualized
Participants must be independently mobile, working and currently active.
Independent HEP
Outcome measures only assessed after 4 weeks
A. De Silva, T. Hall, L. Pearson, S. Starkey, T. Theoharidis & M. Yeoman


1
2
1
3
4
4
4
2
2
5
6
8
7
9
Warm Up Component
Cool Down/Flexibility Component
Strengthening Component
Knee Injury & OA Outcome Score (KOOS)
Arthritis Self-Efficacy Scale – 8 item (ASES-8)
Physiotherapy Outpatient Survey (POPS)
14
10
12, 13
11
9
Warm up (5 minutes)
Aerobic (20 minutes)
Lower limb strengthening (15 minutes)
Cool down/flexibility (5 minutes)
Delay progression of OA
Prevent the need for surgical intervention
Optimize self-management of OA
Educational resources and pain management
Reduce health care costs & hospital presentations
Enhance psychosocial well-being
Improve quality of life and community access
Use of validated, reliable outcome measures

HEP can be completed independently with no additional equipment required

Promotes long-term self-management

Designed from evidence-based practice


Strengths
Target independence and mobility levels
Improves physical and psychosocial well-being
HEP promotes long-term adherence

[1] Sanchez-Adams, J., Leddy, H.A., McNulty, A.L., O'Connor, C.., & Guilak, F. (2014). The mechanobiology of articular cartilage: Bearing the burden of osteoarthritis.
Current Rheumatology Reports, 16
(10), 451
[2] Fransen, M., McConnell, S., Harmer, A.R., Van Der Esch, M., Simic, M., & Bennell, K.L. (2015). Exercise for osteoarthritis of the knee: A Cochrane systematic review.
British Journal of Sports Medicine, 49
(24), 1554-1557
[3] Heidari, B. (2011). Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part 1. Caspian Journal of Internal Medicine, 2(2), 205
[4] Semanik, P., Chang, R.W., & Dunlop, D.D. (2012). Aerobic activity in prevention & symptom control of osteoarthritis. Physical Medicine & Rehabilitation, 4(50), 537-544
[5] Wise, B.,Niu, J., Zhang, Y., Wng, N., Jordan, J., Choy, E., & Hunter, D.J. (2010). Psychological factors and their relation to osteoarthritis pain. Osteoarthritis and Cartilage/ Osteoarthritis Research Society, 18(7), 883-887
[6] Valferrabano, V., & Steiger, C. (2011). Treatment and prevention of osteoarthritis through exercise and sports. Journal of Aging Research, 1-6
[7] Lorig, K.R., & Holman, H.R. (2003). Self-management education: history, definition, outcomes and mechanisms. Annals of Behavioural Medicine, 26(1), 1-7
[8] Hunt, M.A., Birmingham, T.B., Skarakis-Doyle, E., & Vandervoort, A.A. (2008). Towards a biopsychosocial framework of osteoarthritis of the knee. Disability & Rehabilitation, 30(1), 54-61
[9] American College of Sports Medicine. (2013). ACSM's guidelines for exercise testing and prescription. Lippincott Williams & Wilkins, Philadelphia
[10] Hawker, G.A., Mian, S., Kendzerska, T., & French, M. (2011). Measures of adult pain: Visual analogue scale for pain, Numeric rating scale for pain, Mcgill pain questionnaire, Short-form Mcgill pain questionnaire, chronic pain grade scale, short-form-36 bodily pain scale, and measure of intermittent and constant osteoarthritis pain. Arthritis Care & Research, 63(11), 240-252
11. Collnis, N.J., Misra, D., Felson, D.T., Crossley, K.M., & Ros, E.M. (2011). Measures of knee function: International knee documentation committee, subjective knee evaluation form, knee injury and osteoarthritis outcome score, knee injury and osteoarthritis outcome score physical function short-form, knee outcome survey activities of daily living scale, Lysholm knee scoring scale, oxford knee score, western ontario and mcmaster universities osteoarthritis index, activity rating scale, and tegner activity score. Arthritis Care & Research, 63(11), 208-228
12. Wilcox, S., Schoffman, D.E., Dowda, M., & Sharpe, P.A. (2014). Psychometric properties of the 8-item english arthritis self-efficacy scale in a diverse sample. Arthritis
13. Brady, T.J. (2011). Measures of self-efficacy: Arthritis self-efficacy scale, arthritis self-efficacy scale 8-item, children's arthritis self-efficacy scale, chronic disease self-efficacy scale, parents arthrtis self-efficacy scale and rheumatiod arthritis self-efficacy scale. Arthritis Care & Research, 63(11), 473-485
14. Roush, S.E., Scott, C., & Drake, M. (2007). The reliability and validity of the physical therapy outpatient satisfaction survey: A replication study. Human Performance Association Journal, 7(2), 1-10
Full transcript