Physiotherapy Intervention Improves Clinical Outcomes and Quality of Life in Elderly Patients with Osteoarthritis: A Prospective Cohort Study.

3区 综合性期刊
Jeel Moya-Salazar, Jordy R Olortegui-Panaifo, Hans Contreras-Pulache, Eliane A Goicochea-Palomino, Marx E Morales-Martinez
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Abstract

Osteoarthritis is the most common disease among the elderly population and is expected to be one of the leading causes of physical disability worldwide. Our objective was to compare the effects of physiotherapeutic interventions versus pharmacological treatment on outcomes and quality of life in elderly patients with osteoarthritis. This cohort study was conducted on 119 elderly individuals aged 60 to 95 years (58.8% women) from the YUYAQ nursing home. Two groups were divided: the intervention group (58 individuals-48.7%) received a two-month physiotherapy program, and the control group (61-51.5%) received exclusive use of anti-inflammatories. Between the intervention and control groups, we observed significant improvements (all p < 0.001) regarding pain (93.1% vs. 60.75%), stiffness (94.8% vs. 62.3%), and functional capacity (96.6% vs. 68.9%). Additionally, the intervention group showed better quality of life than the control group (13.81 vs. 41.38, p < 0.001). Quality of life improvement and clinical outcomes in the treatment group significantly improved in all areas of osteoarthritis, primarily in hip, spine, and knee osteoarthritis (p < 0.001). In conclusion, the physiotherapy intervention improved pain, stiffness, functional capacity, and quality of life in elderly patients with osteoarthritis after two months of treatment. Transitioning from pharmacological treatment to physiotherapeutic treatment in patients with osteoarthritis may substantially improve quality of life and disease symptomatology, but long-term studies are needed.

物理治疗干预改善老年骨关节炎患者的临床结果和生活质量:一项前瞻性队列研究。
骨关节炎是老年人中最常见的疾病,预计将成为世界范围内身体残疾的主要原因之一。我们的目的是比较物理治疗干预与药物治疗对老年骨关节炎患者预后和生活质量的影响。本队列研究对来自YUYAQ养老院的119名60 ~ 95岁的老年人(58.8%为女性)进行了研究。分为两组:干预组(58人,占48.7%)接受为期两个月的物理治疗方案,对照组(61人,占51.5%)接受独家使用抗炎药。在干预组和对照组之间,我们观察到疼痛(93.1%对60.75%)、僵硬(94.8%对62.3%)和功能能力(96.6%对68.9%)的显著改善(均p < 0.001)。干预组患者的生活质量优于对照组(13.81比41.38,p < 0.001)。治疗组的生活质量改善和临床结果在所有骨关节炎领域均有显著改善,主要是髋关节、脊柱和膝关节骨关节炎(p < 0.001)。综上所述,经过两个月的治疗,物理治疗干预改善了老年骨关节炎患者的疼痛、僵硬、功能能力和生活质量。骨关节炎患者从药物治疗过渡到物理治疗可以显著改善生活质量和疾病症状,但需要长期研究。
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来源期刊
自引率
0.00%
发文量
14422
期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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