+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Effects of inpatient rehabilitation in hip and knee osteoarthritis: a naturalistic prospective cohort study with intraindividual control of effects



Effects of inpatient rehabilitation in hip and knee osteoarthritis: a naturalistic prospective cohort study with intraindividual control of effects



Archives of Physical Medicine and Rehabilitation 94(11): 2139-2145



To quantify pain, function, and health-related quality of life in comparison with normative data, and to quantify intervention effects. Naturalistic cohort study without a control group. Correction of the effects observed during the intervention by those observed during waiting time prior to the intervention. Inpatient rehabilitation clinic. Patients with hip (n=88) and knee (n=164) osteoarthritis. Comprehensive, multidisciplinary inpatient rehabilitation lasting 3 weeks. Medical Outcomes Study 36-Item Short-Form Health Survey and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Four or more comorbid conditions had 45.3% of the hip and 51.8% of the knee patients on entry to and discharge from the clinic. On entry, physical health and some dimensions of psychosocial health were significantly diminished compared with population norms. At discharge, hip osteoarthritis had improved by a corrected effect size of .20 to .47 in pain, .04 to .39 in function, and -.04 to .32 in psychosocial health. Knee osteoarthritis showed a corrected effect size of .43 to .62 in pain, .19 to .51 in function, and .19 to .30 in psychosocial health. All but 1 effect in WOMAC pain and WOMAC function were higher than the minimal clinically important differences. Hip and knee osteoarthritis patients admitted to the inpatient intervention were affected by a substantial burden of disease and comorbidities. Inpatient rehabilitation resulted in small to moderate, statistically significant, and clinically important improvements in pain, function, and psychosocial health.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036849479

Download citation: RISBibTeXText

PMID: 23587838

DOI: 10.1016/j.apmr.2013.03.026


Related references

Multidisciplinary biopsychosocial rehabilitation in chronic neck pain: a naturalistic prospective cohort study with intraindividual control of effects and 12-month follow-up. European Journal of Physical and Rehabilitation Medicine 55(5): 665-675, 2019

Familial effects on structural changes relevant to knee osteoarthritis: a prospective cohort study. Osteoarthritis and Cartilage 23(4): 559-564, 2015

Clinical effectiveness of an interdisciplinary pain management programme compared with standard inpatient rehabilitation in chronic pain: a naturalistic, prospective controlled cohort study. Journal of Rehabilitation Medicine 41(7): 569-575, 2009

Association of the sense of coherence with physical and psychosocial health in the rehabilitation of osteoarthritis of the hip and knee: a prospective cohort study. Bmc Musculoskeletal Disorders 14: 159, 2013

Inpatient rehabilitation for hip or knee osteoarthritis: 2 year follow up study. Annals of the Rheumatic Diseases 63(4): 360-368, 2004

Multidimensional minimal clinically important differences in knee osteoarthritis after comprehensive rehabilitation: a prospective evaluation from the Bad Zurzach Osteoarthritis Study. Rmd Open 4(2): E000685, 2018

Effect of a 16 weeks weight loss program on osteoarthritis biomarkers in obese patients with knee osteoarthritis: a prospective cohort study. Osteoarthritis and Cartilage 22(11): 1817-1825, 2014

Obesity and the Relative Risk of Knee Replacement Surgery in Patients With Knee Osteoarthritis: A Prospective Cohort Study. Arthritis and Rheumatology 68(4): 817-825, 2016

Knee Osteoarthritis Worsening Across the Disease Spectrum and Future Knee Pain, Symptoms, and Functioning: A Multisite Prospective Cohort Study. Arthritis Care and Research 67(12): 1722-1729, 2015

Clinical outcome and cost effectiveness of inpatient rehabilitation after total hip and knee arthroplasty. A multi-centre cohort benchmarking study between nine rehabilitation departments in Rhineland-Palatinate (Western Germany). European Journal of Physical and Rehabilitation Medicine 51(6): 803-813, 2015

Low grading of the severity of knee osteoarthritis pre-operatively is associated with a lower functional level after total knee replacement: a prospective cohort study with 12 months' follow-up. Bone and Joint Journal 96-B(11): 1498-1502, 2014

Effects of inpatient rehabilitation for children with atopic dermatitis: a prospective controlled evaluation study. Journal of Evaluation in Clinical Practice 16(6): 1364-1367, 2010

Defining knee pain trajectories in early symptomatic knee osteoarthritis in primary care: 5-year results from a nationwide prospective cohort study (CHECK). British Journal of General Practice 66(642): E32-E39, 2016

Predictors for living at home after geriatric inpatient rehabilitation: A prospective cohort study. Journal of Rehabilitation Medicine 49(2): 185-190, 2017

Geriatric rehabilitation for patients with advanced chronic obstructive pulmonary disease: a naturalistic prospective cohort study on feasibility and course of health status. Chronic Respiratory Disease 11(2): 111-119, 2014