Authors (including presenting author) :
Yeung SS (1), Chan SW(1), Lam LY (1), Fong Y (1), Wong CKC(1), Mak WL(2), Ng YL (3), Chan PK (4), Chan WKV (4), Chiu KY(4)
Affiliation :
(1)Physiotherapy Department, Maclehose Medical Rehabilitation Centre.
(2)Nursing Department, Maclehose Medical Rehabilitation Centre.
(3)Occupational Therapy Department, Maclehose Medical Rehabilitation Centre.
(4)Department of Orthopaedics and Traumatology, Queen Mary Hospital
Introduction :
Osteoarthritis (OA) of knee are quite common in Hong Kong elderly, the disability it brings would cause a huge burden on the patient as well as the medical system. Since 2016, Comprehensive Osteoarthritis ManagEment (COME) programme for patients with OA began in the MacLehose Medical Rehabilitation Centre. It consists of multidisciplinary education, 10 physiotherapy exercise sessions and 10 occupational therapy sessions of coping skills.
Objectives :
To present the results of the service of COME programme
Methodology :
Patients with Kellegren-Lawrence Grade I to III were recruited and assessed at baseline, 6 weeks, 3 months and one year with telephone follow-up. Outcomes assessed: physical performance with one-minute chair-stand test and quadriceps strength with dynamometer; pain on walking or stairs climbing; weekly time on physical activities and exercise training; functional status with Patient Specific Function Score (PSFS) and self-efficacy with Self-Exercise Efficacy Scale (SEE); Quality of life (QOL) with Euro-QoL five dimensions in three levels (EQ5D3L) and health with EQ5D3L VAS scale (EQ-VAS), Knee injury and osteoarthritis outcome score (KOOS)
Result & Outcome :
241 patients completed programme with one-year follow-up. Significant improvements observed: One-minute chair-stand test increased by 13.1±9.9 repetitions, quadriceps strength increased by 4.5±6.9 and 4.7±6.6 kgf in left and right side respectively at 3 months (p< 0.001). Pain reduced by 1.1±2.7 points, time spent on training and physical activities increased by 40.3.0±46.4 and 79.6±120 minutes , PSFS improved by 3.7±2.7 points, SEE improved by 14.9±19.2 points, EQ5D3L increased by 0.1±0.2 points, EQ-VAS improved by 7.5±18.7 points, KOOS improved by 9.9±9.9 points at 1 year (p< 0.001). 80% of patient would continue exercise and some have training at fitness rooms of Leisure and Cultural Services Department.
Conclusion:
The COME programme is effective to improve patients’ physical performance, quality of life and self-efficacy to maintain exercise habit.
