%0 Journal Article
%T A randomized controlled trial of a combined self
%A Fl¨¢via Y¨¢zigi
%A J¨²lia Teles
%A Margarida Espanha
%A Paulo Bento
%A Pedro Campos
%A Priscila Marconcin
%A Rui Andr¨¦
%J Clinical Rehabilitation
%@ 1477-0873
%D 2018
%R 10.1177/0269215517718892
%X To assess the effectiveness of a 12-week self-management and exercise intervention (the PLE2NO program) in elderly individuals with knee osteoarthritis. Randomized controlled trial. Four different community settings. Eighty individuals aged 60£¿years or older with clinical and radiographic knee osteoarthritis enrolled in the study. A combined self-management and exercise intervention (treatment group) and an educational intervention (control group). The primary outcomes were pain and other knee osteoarthritis symptoms (swelling, crackling, limitation on movement, and stiffness), self-management behaviors (communication with physician and cognitive symptom management), and functional lower limb strength. Secondary outcomes were knee osteoarthritis¨Cspecific health-related quality of life, self-perceived health, aerobic capacity, lower and upper limb flexibility, and handgrip strength. In all, 67 participants, mean age 69.1£¿¡À£¿5.8£¿years, completed the study: 32 in the Educational Group and 35 in the Self-Management and Exercise Group. A significant group effect favorable to the Self-Management and Exercise Group was observed in the following variables: communication with the physicians (P£¿=£¿.048), aerobic capacity (P£¿=£¿.035), and functional lower limb strength (P£¿=£¿.015). Although no significant group effect was detected, clinical improvements in pain (31%) and knee osteoarthritis symptoms (29%) were observed in the experimental group. No improvements regarding cognitive symptom management, self-perceived health, lower limb flexibility, and handgrip strength were found. This study supports the importance of a combined self-management and exercise intervention to improve functional lower limb strength and aerobic capacity in a Portuguese sample. Additionally, pain and other symptoms have improved clinically
%K Self-management
%K exercise
%K knee osteoarthritis
%K elderly
%U https://journals.sagepub.com/doi/full/10.1177/0269215517718892