Work

Effect of Tailored Activity Pacing on Self-Perceived Joint Stiffness in Adults With Knee or Hip Osteoarthritis

Year: 2012

Type: article

Study designs: Randomized Controlled Trial, Clinical Trial

Abstract: OBJECTIVE: We examined the effects of a tailored activity-pacing intervention on self-perceived joint stiffness in adults with osteoarthritis (OA). METHOD: Thirty-two adults with hip or knee OA were randomized to a tailored or general activity-pacing intervention. Participants' symptoms and physical activity over 5 days were used to tailor activity pacing. The outcome was self-perceived joint stiffness measured at baseline, 4 wk, and 10 wk. A linear mixed regression model was used. RESULTS: The tailored group significantly improved in stiffness compared with the general group over time. We found a significantly different linear trend between groups (Time × Group, p = .046) in which the tailored group had decreasing stiffness over the three time points, denoting continued improvement. The general group's stiffness improved from baseline to 4 wk but returned to baseline levels at 10 wk. CONCLUSION: Tailoring activity pacing may be effective in sustaining improvements in self-perceived joint stiffness in adults with OA.

Source: American Journal of Occupational Therapy

DOI: 10.5014/ajot.2010.004036

Authors: Stacey L. Schepens, Marcia E. Braun, Susan L. Murphy

Institutions: University of Michigan, University of Pennsylvania, VA Ann Arbor Healthcare System

Language: English

Topic: Musculoskeletal pain and rehabilitation

Subfield: Pharmacology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funders: National Institutes of Health, National Center for Research Resources, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Center for Medical Rehabilitation Research