Article

OBJECTIVES: To quantify pain, function, and health-related quality of life in
comparison with normative data, and to quantify intervention effects. DESIGN:
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. SETTING: Inpatient rehabilitation clinic. PARTICIPANTS:
Patients with hip (n=88) and knee (n=164) osteoarthritis. INTERVENTION:
Comprehensive, multidisciplinary inpatient rehabilitation lasting 3 weeks. MAIN
OUTCOME MEASURES: Medical Outcomes Study 36-Item Short-Form Health Survey and
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). RESULTS:
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.
CONCLUSIONS: 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.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS