Occupational therapy gets people with osteoarthritis moving

Sep 29, 2008

Physical activity is the cornerstone of any healthy lifestyle – and especially for people with osteoarthritis as exercise helps maintain good joint health, manage their symptoms, and prevent functional decline. Osteoarthritis, however, often makes physical activity, such as exercise, and even performing daily activities, a challenge.

But an occupational therapist-led approach – called activity strategy training – could provide patients with knee and hip osteoarthritis the opportunity to lead more active lives and even improve their overall health, according to a new study led by researchers at the University of Michigan Health System.

In the pilot study, the researchers found that patients who engaged in activity strategy training along with regular exercise increased their physical activity, more so than those patients who only took part in exercise and health education sessions. Study results are now online and are set to appear in the October issue of Arthritis & Rheumatism.

"Occupational therapy is really the missing link in promoting wellness of people with hip and knee osteoarthritis," says study lead author Susan L. Murphy, Sc.D., OTR, assistant professor in the Department of Physical Medicine and Rehabilitation at the U-M Medical School and Research Health Science Specialist at the VA Ann Arbor Healthcare System.

"Most people with osteoarthritis want to be active, but often find that there are personal or physical barriers in the way. For instance, people with osteoarthritis often deal with pain and fatigue, which makes engaging in regular physical activity more difficult. In addition, there are often barriers in people's homes and communities that make physical activity difficult," she continues.

For that reason, Murphy says the pilot study used activity strategy training in groups and in places – such as senior housing facilities – where barriers could be addressed and potential solutions discovered.

Taught by occupational therapists, this structured rehabilitation program is designed to educate patients about joint protection, proper body mechanics, activity pacing, and environmental barriers. For example, patients with joint pain caused by osteoarthritis learn techniques for walking around the house or outdoors, or even getting in and out of a car. For the pilot study, the activity strategy training included education, group discussion, a home visit, and demonstration and practice of techniques to facilitate activity.

Activity strategy training, however, is not commonly prescribed to patients with hip or knee osteoarthritis, a degenerative disease that causes the breakdown of the cartilage in joints. Most physical activity programs for these patients only offer structured exercise, which has been shown to have short-term positive effects on arthritis pain and physical disability. But these effects usually fade soon after participation in the program ends.

In this study, both groups participated in the same structured exercise program. However, only participants who received the activity strategy training were found to have increased the intensity of their physical activity at the end of the study compared to those who received health education.

While the results are promising, Murphy says more research needs to be conducted to replicate with larger groups and to examine long-term effects before this technique can be applied to patient care.

Regardless, Murphy encourages patients with hip or knee osteoarthritis to seek out opportunities now to enhance and expand their daily physical activity, and improve overall health behaviors.

"People with osteoarthritis tend to know more about surgical options, and less about how they can take an active role in promoting their own health and well-being," Murphy explains. "People with osteoarthritis need to be their own agents of change. They can do so much to manage symptoms and stave off functional decline caused by osteoarthritis just by being physically active. The bottom line is to find ways to help people create and maintain these healthy habits."

Source: University of Michigan

Explore further: WHO gets green light to deliver medicine to Aleppo, other areas

add to favorites email to friend print save as pdf

Related Stories

New tool to help diagnose canine arthritis

Jun 04, 2013

Veterinary scientists at the University of Liverpool have developed a new tool to support clinicians in treatment programmes for osteoarthritis in dogs.

Rehabilitation within a day of knee replacement pays off

Mar 07, 2011

Starting rehabilitation sooner following knee arthroplasty surgery could pay dividends - for both patients and hospitals. Commencing physical therapy within 24 hours of surgery can improve pain, range of joint motion and ...

Treating the aging knee as an organ

Feb 14, 2011

The human body is made up of several organs composed of tissues that enable them to perform a particular function. The heart circulates blood; the brain is the micro-neuro center of the body; the lungs bring in oxygen and ...

Recommended for you

Ebola death toll passes 7,500

5 hours ago

More than 7,500 people have now died from the Ebola virus, as the number of cases climbs towards 20,000, the World Health Organization said Monday.

Ebola-infected Italian doctor 'recovering'

5 hours ago

An Italian doctor who contracted Ebola in west Africa is recovering but is still in an isolation unit, the specialist clinic in Rome treating him said Monday.

Restrictions lifted at British bird flu farm

Dec 21, 2014

Britain on Sunday lifted all restrictions at a duck farm in northern England after last month's outbreak of H5N8 bird flu, the same strain seen in recent cases across Europe.

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.