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- Title
The PLE(2)NO self-management and exercise program for knee osteoarthritis: Study Protocol for a Randomized Controlled Trial.
- Authors
Marconcin, Priscila; Espanha, Margarida; Yázigi, Flávia; Campos, Pedro
- Abstract
<bold>Background: </bold>International recommendations suggest exercise and self-management programs, including non-pharmacological treatments, for knee osteoarthritis (KOA) because they can benefit pain relief and improve function and exercise adherence. The implementation of a combined self-management and exercise program termed PLE(2)NO may be a good method for controlling KOA symptoms because it encourages the development of self-efficacy to manage the pathology. This study will assess the effects of a self-management and exercise program in comparison to an educational intervention (control program) on symptoms, physical fitness, health-related quality of life, self-management behaviors, self-efficacy, physical activity level and coping strategies.<bold>Methods/design: </bold>This PLE(2)NO study is a single-blinded, randomized controlled trial of elderly (aged above 60 yrs old) patients with clinical and radiographic KOA. The patients will be allocated into either an educational group (control) or a self-management and exercise group (experimental). All participants will receive a supplement of chondroitin and glucosamine sulfates. This paper describes the protocol that will be used in the PLE(2)NO program.<bold>Discussion: </bold>This program has several strengths. First, it involves a combination of self-management and exercise approaches, is available in close proximity to the patients and occurs over a short period of time. The latter two characteristics are crucial for maintaining participant adherence. Exercise components will be implemented using low-cost resources that permit their widespread application. Moreover, the program will provide guidance regarding the effectiveness of using a self-management and exercise program to control KOA symptoms and improve self-efficacy and health-related quality of life.<bold>Trial Registration: </bold>NCT02562833 (09/23/2015).
- Subjects
KNEE disease treatment; OSTEOARTHRITIS treatment; EXERCISE therapy; SELF-management (Psychology); HEALTH education research; SYMPTOMS; PHYSICAL fitness research; QUALITY of life; KNEE diseases; OSTEOARTHRITIS diagnosis; PAIN management; OSTEOARTHRITIS; ADAPTABILITY (Personality); COMPARATIVE studies; EXERCISE tests; RESEARCH methodology; MEDICAL cooperation; PATIENT education; RESEARCH; HEALTH self-care; SELF-efficacy; SELF-evaluation; EVALUATION research; PAIN measurement; RANDOMIZED controlled trials; TREATMENT effectiveness; BLIND experiment; DIAGNOSIS; PSYCHOLOGY; THERAPEUTICS
- Publication
BMC Musculoskeletal Disorders, 2016, Vol 17, p1
- ISSN
1471-2474
- Publication type
journal article
- DOI
10.1186/s12891-016-1115-7