Effects of Patient Education on Pain and Function and Its Impact on Conservative Treatment in Elderly Patients with Pain Related to Hip and Knee Osteoarthritis: A Systematic Review

被引:67
作者
Sinatti, Pierluigi [1 ]
Sanchez Romero, Eleuterio A. [1 ,2 ,3 ,4 ]
Martinez-Pozas, Oliver [2 ,4 ,5 ]
Villafane, Jorge H. [6 ]
机构
[1] Univ Europea Madrid, Fac Sport Sci, Dept Physiotherapy, Villaviciosa De Odon 28670, Spain
[2] Univ Europea Madrid, Fac Sport Sci, Musculoskeletal Pain & Motor Control Res Grp, Villaviciosa De Odon 28670, Spain
[3] Univ Europea Canarias, Fac Hlth Sci, Dept Physiotherapy, La Orotava 38300, Spain
[4] Univ Europea Canarias, Fac Hlth Sci, Musculoskeletal Pain & Motor Control Res Grp, Tenerife 38300, Spain
[5] Univ Rey Juan Carlos, Escuela Internac Doctorado, Dept Phys Therapy Occupat Therapy Rehabil & Phys, Alcorcon 28933, Spain
[6] IRCCS Fdn Don Carlo Gnocchi, Piazzale Morandi 6, I-20148 Milan, Italy
关键词
education; conservative treatment; pain; function; osteoarthritis; elderly; OLDER-ADULTS; SELF-MANAGEMENT; FALL RISK; EXERCISE; INTERVENTION; THERAPY;
D O I
10.3390/ijerph19106194
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
(1) Background: Patient education (PE), exercise therapy, and weight management are recommended as first-line interventions for hip and knee osteoarthritis (OA). Evidence supporting the effectiveness of exercise therapy and weight management in people with lower-limb OA has been synthesized in recent studies. However, according to the Osteoarthritis Research Society International, PE is often considered a standard of care and the inclusion of this as a first-line intervention for people with knee OA in clinical practice guidelines is often supported by limited evidence. The aim of this review is to evaluate the effects of PE on pain and function and how it impacts on conservative treatment. (2) Methods: This is a literature review of studies investigating the effect of patient education on pain and function and its impact on conservative treatment in elderly patients with pain related to hip and knee OA. PRISMA guidelines were followed during the design, search, and reporting stages of this review. The search was carried out in the PubMed database. (3) Results: A total of 1732 studies were detected and analyzed by performing the proposed searches in the detailed database. After removing duplicates and analyzing the titles and abstracts of the remaining articles, 20 studies were ultimately selected for this review. Nineteen of these twenty articles showed positive results in pain or function in patients with pain related to hip and knee OA. (4) Conclusions: PE seems to be effective in reducing pain and improving function in patients with pain related to hip and knee OA. Furthermore patient education seems to positively impact the conservative treatment with which it can be associated.
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页数:17
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