Effects of digital-based physical activity intervention on pain, function and adherence in individuals with knee osteoarthritis: a pilot randomized-controlled trial

Benefits of physical activity (PA) for symptoms and physical functions of people with knee osteoarthritis (KOA) have been previously reported (1). However, very few people with KOA meet with recommended PA levels possibly due to low adherence and continuity to PA and exercise interventions (1). Curr...

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Bibliographic Details
Published in:Gait & posture 2023-09, Vol.106, p.S281-S282
Main Authors: Akgül, Hakan, Birtane, Murat, Tonga, Eda
Format: Article
Language:English
Online Access:Get full text
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Summary:Benefits of physical activity (PA) for symptoms and physical functions of people with knee osteoarthritis (KOA) have been previously reported (1). However, very few people with KOA meet with recommended PA levels possibly due to low adherence and continuity to PA and exercise interventions (1). Current literature focuses on the potential benefits of delivering PA interventions digitally based on theories of behavior change but there are no studies in Turkey (2). Do individuals with KOA benefit from a digital-based PA intervention in terms of pain, functionality, exercise adherence, and step counts? This study is an ongoing randomized clinical trial including 20 participants assigned to experimental (n=12) or control group (n=8). Both groups received similar education and exercise programs, and a walking program including education on the use of a wearable pedometer, and the experimental group received an additional 8-week digital-based PA intervention including a digital-based behavioral walking program. The digital behavioral program comprises goal planning, motivational messages and video calls, social support, and routine follow-up of weekly goals. The pain was measured by visual analog scale (VAS), physical function by Western Ontario and McMaster Universities Arthritis Index (WOMAC), exercise adherence by self-report exercise logs, and step counts by wearable smartwatch pedometer. Assessments were performed at baseline, and at the end of treatment (8th week). There were significant main effects of time on pain, WOMAC total and pain, stiffness, and function subscale scores, step count, and exercise adherence (p
ISSN:0966-6362
1879-2219
DOI:10.1016/j.gaitpost.2023.07.011