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A simple home-based
exercise program involving exercise for up to 30 minutes a day
can significantly reduce knee pain associated with osteoarthritis,
according to British researchers.
A two-year
study of 786 men and women, all over age 45 with self-reported
knee pain, scored patients for knee pain after two years. Other
outcomes measured were knee function and stiffness, general physical
function, psychological outlook and isometric muscle strength.
The participants
were randomly placed into four groups to receive exercise therapy,
monthly telephone contact, exercise therapy plus telephone contact,
or no intervention. Patients in the no intervention and combined
exercise and telephone groups were randomly selected to receive
or not receive a placebo health food tablet.
At two years,
highly significant reductions in knee pain were found for the
exercise groups compared with the non-exercise groups. Similar
improvements were seen at six, 12 and 18 months. The reduction
in pain was greater the closer the patients adhered to the exercise
plan.
"A simple
home-based exercise program can significantly reduce knee pain,"
concluded the researchers. "The lack of improvement in patients
who received only telephone contact suggests that improvements
are not just due to psychosocial effects because of contact with
the therapist."
Other
sources: British Medical Journal
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