We explored the feasibility and efficacy of an exercise programme for elderly people with knee pain conducted via videoconferencing. Twenty-two community-dwelling subjects aged 60 years or above with knee pain were recruited from two community centres in Hong Kong. A 12-week exercise programme, including strengthening and balance training, was given via videoconferencing to subjects at both centres, in conjunction with a home-based exercise programme. The outcome measures included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), quadriceps muscle strength, Berg's Balance Scale (BBS) and subjects’ degree of acceptance of videoconferencing. Twenty subjects completed the 12-week programme and significant improvements occurred in all domains of the WOMAC score (P< 0.003). There was a 44% and a 13% increase in quadriceps muscle strength (P< 0.001) and BBS (P< 0.001), respectively. Over 80% of the elderly subjects who joined the programme agreed or strongly agreed about all aspects of using videoconferencing. Most of them felt that the system was user-friendly and convenient. Videoconferencing appears to be a useful method of delivering a resistance-training programme for community-dwelling elderly persons with knee pain.
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References
1.
FelsonDT, NaimarkA, AndersonJ, KazisL, CastelliW, MeenanRF.The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study.Arthrit Rheum1987;30:914–18
2.
O'ReillySC, JonesA, MuirKR, DohertyM.Quadriceps weakness in knee osteoarthritis: the effect on pain and disability. Ann Rheum Dis1998;57:588–94
3.
SlemendaC, BrandtKD, HeilmanDK. Quadriceps weakness and osteoarthritis of the knee. Ann Intern Med1997; 127:97–104
4.
BakerKR, NelsonME, FelsonDT, LayneJE, SarnoR, RoubenoffR.The efficacy of home based progressive strength training in older adults with knee osteoarthritis: a randomized controlled trial. J Rheumatol2001;28:1655–65
5.
DeyleGD, HendersonNE, MatekelRL, RyderMG, GarberMB, AllisonSC.Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee: a randomized controlled trial. Ann Mem Med2000;132:173–81
6.
RogindH, Bibow-NeilsenB, JensenB, MollerHC, Frimodt-MollerH, BliddalH.The effects of a physical training program on patients with osteoarthritis of the knee. Arch Phys Med Rehabil1998; 79: 1421–7
7.
O'ReillySC, MuirKR, DohertyM.Effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomized controlled trial. Ann Rheum Dis1999;58:15–19
8.
BakerK, McAlindonT.Exercise for knee osteoarthritis. Curr Opin Rheumatol2000;12:456–63
9.
EvcikD, SonelB.Effectiveness of a home-based exercise therapy and walking program on osteoarthritis of the knee. Rheumatol Int2002;22:103–6
10.
HaukipuroK, OhinmaaA, WinbladI, LindenT, VuolioS.The feasibility of telemedicine for orthopaedic outpatient clinics - a randomized controlled trial. J Telemed Telecare2000;6:193–8
11.
BrattonRL, CodyC.Telemedicine applications in primary care: a geriatric patient pilot project. Mayo Clin Proc2000;75:365–8
12.
ArtinianNT, WashingtonOGM, TemplinTN.Effects of home telemonitoring and community-based monitoring on blood pressure control in urban African Americans: a pilot study. Heart Lung2001;30:191–9
13.
O'ReillySC, MuirKR, DohertyM.Screening for pain in knee osteoarthritis: which question?Ann Rheum Dis1996;55:931–3
14.
HodkinsonHM.Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing1972, 1:233–8
15.
American College of Rheumatology Subcommittee on Osteoarthritis guidelines.Recommendations for the medical management of osteoarthritis of the hip and knee.Arthrit Rheum2000;43:1905–15
16.
ThumbooJ, ChewLH, SohCH.Validation of the Western Ontario and McMaster University Osteoarthritis index in Asians with osteoarthritis in Singapore. Osteoarthrit Cartilage2001;9:440–6
17.
BellamyN.WOMAC Osteoarthritis Index: A User's Guide. London, Ontario: Health Services Centre, McMaster University, 1996
18.
BellamyN, BuchananWW, GoldsmithCH, CampbellJ, StittLWValidation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol1988;15:1833–40
19.
PodsiadloD, RichardsonS.The timed up and go: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc1991;39:142–8
20.
BergKO, Wood-DauphineeSL, WilliamsJI, MakiBE.Measuring balance in the elderly: validation of an instrument. Can J Public Health1992;83 (Suppl 2):7–11
21.
BergKO, MakiBE, WilliamsJI, HollidayPJ, Wood-DauphineSL.Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil1992;73:1073–80
22.
LamCL, GandekB, RenXS, ChanMS.Tests of scaling assumptions and construct validity of the Chinese (HK) version of the SF-36 Health Survey. J Clin Epidemiol1998;51:1139–47
23.
StewartAL, HaysRD, WareJE.JrThe MOS short-form general health survey: reliability and validity in a patient population. Med Care1988;26:724–35
24.
ThomasKS, MuirKR, DohertyM, JonesAC, O'ReillySC, BasseyEJ.Home based exercise programme for knee pain and knee osteoarthritis: randomised controlled trial. Br Med J2002;325:752
25.
VanBarr ME, DekkerJ, OostendorpRAB. The effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a randomized clinical trial. J Rheumatol1998;25:2432–9
26.
EttingerWHJr, BurnsR, MessierSP. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis: the Fitness Arthritis and Seniors Trial (FAST). JAMA1997;277: 25–31
27.
AlexanderNB.Postural control in older adults. J Am Geriatr Soc1994;42:93–108
28.
RobbinsAS, RubensteinLZ, JosephsonKR, SchulmanBL, OsterweilD, FineG.Predictors of falls among elderly people. Results of two population-based studies. Arch Intern Med1989, 149:1628–33
29.
WhippleRH, WolfsonLI, AmermanPM.The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. J Am Geriatr Soc1987;35:13–20
30.
MessierSP, RoyerTD, CravenTE, O'TooleML, BurnsR, EttingerWH.Long-term exercise and its effect on balance in older, osteoarthritic adults: results from the Fitness, Arthritis, and Seniors Trial (FAST). J Am Geriatr Soc2000;48:131–8
31.
VanBaar ME, DekkerJ, LemmensAM, OostendorpRA, BijlsmaJW.Pain and disability in patients with osteoarthritis of hip or knee: the relationship with articular, kinesiological, and psychological characteristics. J Rheumatol1998;25:125–33
32.
SummersMN, HaleyWE, ReveilleJD, AlarconGS.Radiographic assessment and psychologic variables as predictors of pain and functional impairment in osteoarthritis of the knee or hip. Arthrit Rheum1988;31:204–9
33.
RejeskiWJ, CravenT, EttingerWHJr, McFarlaneM, ShumakerS.Self-efficacy and pain in disability with osteoarthritis of the knee. J Gerontol B Psychol Sci Soc Sci1996;51:24–9
34.
WeinbergerM, TierneyWN, BooherP, KatzBP.The impact of increased contact of psychosocial outcomes in patients with osteoarthritis: a randomized controlled trial. J Rheumatol1991;18:849–54
35.
LorigKR, MazonsonPD, HolmanHR.Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care cost. Arthrit Rheum1993;36:439–46
36.
American College of Rheumatology Subcommittee. Managing osteoarthiritis: new ACR guidelines.Women's Health Primary Care2001;4:97–9
37.
VanBaar ME, DekkerJ, OostendorpRA, BijlD, VoornTB, BijlsmaJW.Effectiveness of exercise in patients with osteoarthritis of hip or knee: nine months’ follow up. Ann Rheum Dis2001;60:1123–30
