Ann Rheum Dis 1999;58:15-19 ( January )

Extended reports

Effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomised controlled trial Sheila C O'Reilly,^a Ken R Muir,^b Michael Doherty^a

^a Rheumatology Unit, City Hospital, Nottingham, ^b Department of Epidemiology, Queens Medical Centre, Nottingham

Correspondence to: Dr S O'Reilly, Rheumatology Unit, City Hospital, Hucknall Road, Nottingham, NG5 1PB.

Accepted for publication 12 October 1998

OBJECTIVETo assess the effect of a home based exercise programme, designed to improve quadriceps strength, on knee pain and disability.
Methods191 men and women with knee pain aged 40-80 were recruited from the community and randomised to exercise (n=113) or no intervention (n=78). The exercise group performed strengthening exercises daily for six months. The primary outcome measure was change in knee pain (Western Ontario McMaster Osteoarthritis index (WOMAC)). Secondary measures included visual analogue scales (VAS) for pain on stairs and walking and WOMAC physical function scores.
ResultsWOMAC pain score reduced by 22.5% in the exercise group and by 6.2% in the control group (between group difference p<0.05, unpaired t test).VAS scores for pain also reduced in the exercise group compared with the control group (p<0.05). Physical function scores reduced by 17.4% in the exercise group and were unchanged in controls (p<0.05).
ConclusionA simple programme of home quadriceps exercises can significantly improve self reported knee pain and function.

Keywords: knee osteoarthritis; knee pain; quadriceps strength; exercise

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© 1999 by Annals of the Rheumatic Diseases
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