Effects of Patient Education on Pain and Function and Its Impact on Conservative Treatment in Elderly Patients with Pain Related to Hip and Knee Osteoarthritis: A Systematic Review

  1. Sinatti, Pierluigi 1
  2. Sánchez Romero, Eleuterio A. 1122
  3. Martínez-Pozas, Oliver 123
  4. Villafañe, Jorge H. 4
  1. 1 Universidad Europea de Madrid
    info

    Universidad Europea de Madrid

    Madrid, España

    ROR https://ror.org/04dp46240

  2. 2 Universidad Europea de Canarias
    info

    Universidad Europea de Canarias

    Orotava, España

    ROR https://ror.org/051xcrt66

  3. 3 Universidad Rey Juan Carlos
    info

    Universidad Rey Juan Carlos

    Madrid, España

    ROR https://ror.org/01v5cv687

  4. 4 IRCCS Fondazione Don Carlo Gnocchi, Piazzale Morandi 6, 20148 Milan
Revista:
International Journal of Environmental Research and Public Health

ISSN: 1660-4601

Año de publicación: 2022

Volumen: 19

Número: 10

Páginas: 6194

Tipo: Revisión

DOI: 10.3390/IJERPH19106194 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: International Journal of Environmental Research and Public Health

Resumen

(1) Background: Patient education (PE), exercise therapy, and weight management are recommended as first-line interventions for hip and knee osteoarthritis (OA). Evidence supporting the effectiveness of exercise therapy and weight management in people with lower-limb OA has been synthesized in recent studies. However, according to the Osteoarthritis Research Society International, PE is often considered a standard of care and the inclusion of this as a first-line intervention for people with knee OA in clinical practice guidelines is often supported by limited evidence. The aim of this review is to evaluate the effects of PE on pain and function and how it impacts on conservative treatment. (2) Methods: This is a literature review of studies investigating the effect of patient education on pain and function and its impact on conservative treatment in elderly patients with pain related to hip and knee OA. PRISMA guidelines were followed during the design, search, and reporting stages of this review. The search was carried out in the PubMed database. (3) Results: A total of 1732 studies were detected and analyzed by performing the proposed searches in the detailed databases. After removing duplicates and analyzing the titles and abstracts of the remaining articles, 20 studies were ultimately selected for this review. Nineteen of these twenty articles showed positive results in pain or function in patients with pain related to hip and knee OA. (4) Conclusions: PE seems to be effective in reducing pain and improving function in patients with pain related to hip and knee OA. Furthermore patient education seems to positively impact the conservative treatment with which it can be associated.

Información de financiación

The publication of this work has been financed by the European University of Madrid C/Tajo s/n, 28670 Villaviciosa de Odón, Madrid, Spain

Referencias bibliográficas

  • 1. Hunter, D.J.; Bierma-Zeinstra, S. Osteoarthritis. Lancet 2019, 393, 1745–1759. https://doi.org/10.1016/S0140-6736(19)30417-9.
  • 2. Cross, M.; Smith, E.; Hoy, D.; Nolte, S.; Ackerman, I.; Fransen, M.; Bridgett, L.; Williams, S.; Guillemin, F.; Hill, C.L.; et al. The global burden of hip and knee osteoarthritis: Estimates from the global burden of disease 2010 study. Ann. Rheum. Dis. 2014, 73, 1323–1330. https://doi.org/10.1136/annrheumdis-2013-204763.
  • 3. World Health Organization. Muskoskeletal Conditions. Available online: https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions (accessed on 8 February 2021).
  • 4. Cieza, A.; Causey, K.; Kamenov, K.; Hanson, S.W.; Chatterji, S.; Vos, T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet 2021, 396, 2006–2017. https://doi.org/10.1016/S0140-6736(20)32340-0.
  • 5. Chen, A.; Gupte, C.; Akhtar, K.; Smith, P.; Cobb, J. The global economic cost of osteoarthritis: How the UK compares. Arthritis 2012, 2012, 698709. https://doi.org/10.1155/2012/698709.
  • 6. Basile, M.; Rumi, F.; Palmeri, M.; Mattozzi, I.; Manzoli, L.; Mammuccari, M.; Gigliotti, S.; Bernabei, R.; Cicchetti, A. Economic burden of prescriptive inadequacy in the management of osteoarthritis in Italy. Glob. Reg. Health. Technol. Assess. 2020, 2020, 2130. https://doi.org/10.33393/2020/2130.
  • 7. Kolasinski, S.L.; Neogi, T.; Hochberg, M.C.; Oatis, C.; Guyatt, G.; Block, J.; Callahan, L.; Copenhaver, C.; Dodge, C.; Felson, D.; et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the management of osteoarthritis of the hand, hip, and knee. Arthritis Care Res. 2020, 72, 149–162. https://doi.org/10.1002/acr.24131.
  • 8. Bannuru, R.R.; Osani, M.C.; Vaysbrot, E.E.; Arden, N.K.; Bennell, K.; Bierma-Zeinstra, S.M.A.; Kraus, V.B.; Lohmander, L.S.; Abbott, J.H.; Bhandari, M.; et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthr. Cartil. 2019, 27, 1578–1589. https://doi.org/10.1016/j.joca.2019.06.011.
  • 9. Villafañe, J.H. Exercise and osteoarthritis: An update. J. Exerc. Rehabil. 2018, 14, 538–539. https://doi.org/10.12965/jer.1836352.176.
  • 10. Gay, C.; Chabaud, A.; Guilley, E.; Coudeyre, E. Educating patients about the benefits of physical activity and exercise for their hip and knee osteoarthritis. Systematic literature review. Ann. Phys. Rehabil. Med. 2016, 59, 174–183. https://doi.org/10.1016/j.rehab.2016.02.005.
  • 11. Villafañe, J.H.; Pirali, C.; Dughi Testa, A.; Manno, A.; Bishop, M.D.; Negrini, S. Association between malnutrition and barthel index in a cohort of hospitalized older adults article information. J. Phys. Sci. 2016, 28, 607–612.
  • 12. Sánchez Romero, E.A.; Meléndez Oliva, E.; Alonso Pérez, J.L.; Pérez, S.M.; Turroni, S.; Marchese, L.; Villafañe, J.H. Relationship between the gut microbiome and osteoarthritis pain: Review of the literature. Nutrients 2021, 13, 716. https://doi.org/10.3390/nu13030716.
  • 13. Villafañe, J.H.; Valdes, K.; Pedersini, P.; Berjano, P. Osteoarthritis: A call for research on central pain mechanism and personalized prevention strategies. Clin. Rheumatol. 2019, 38, 583–584.
  • 14. Joypaul, S.; Kelly, F.; McMillan, S.S.; King, M.A. Multi-disciplinary interventions for chronic pain involving education: A systematic review. PLoS ONE 2019, 14, e0223306. https://doi.org/10.1371/journal.pone.0223306.
  • 15. Goff, A.J.; De Oliveira Silva, D.; Merolli, M.; Bell, E.C.; Crossley, K.M.; Barton, C.J. Patient education improves pain and function in people with knee osteoarthritis with better effects when combined with exercise therapy: A systematic review. J. Physiother. 2021, 67, 177–189. https://doi.org/10.1016/j.jphys.2021.06.011.
  • 16. Kroon, F.P.; van der Burg, L.R.; Buchbinder, R.; Osborne, R.H.; Johnston, R.V.; Pitt, V. Self-management education programmes for osteoarthritis. Cochrane. Database Syst. Rev. 2014, 1, CD008963. https://doi.org/10.1002/14651858.CD008963.pub2.
  • 17. World Health Organization. Therapeutic Patient Education. Available online: https://www.euro.who.int/__data/assets/pdf_file/0007/145294/E63674.pdf (accessed on 23 January 2022).
  • 18. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: Elaboration and explanation. BMJ 2016, 354, i4086. https://doi.org/10.1136/bmj.i4086.
  • 19. Maher, C.G.; Sherrington, C.; Herbert, R.D.; Moseley, A.M.; Elkins, M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys. Ther. 2003, 83, 713–721.
  • 20. Farrah, K.; Young, K.; Tunis, M.C.; Zhao, L. Risk of bias tools in systematic reviews of health interventions: An analysis of PROSPERO-registered protocols. Syst. Rev. 2019, 8, 280. https://doi.org/10.1186/s13643-019-1172-8.
  • 21. Bennell, K.L.; Nelligan, R.K.; Rini, C.; Keefe, F.J.; Kasza, J.; French, S.; Forbes, A.; Dobson, F.; Abbott, J.H.; Dalwood, A.; et al. Effects of internet-based pain coping skills training before home exercise for individuals with hip osteoarthritis (HOPE trial): A randomised controlled trial. Pain 2018, 159, 1833–1842. https://doi.org/10.1097/j.pain.0000000000001281.
  • 22. Bennell, K.L.; Egerton, T.; Martin, J.; Haxby Abbott, J.; Metcalf, B.; McManus, F.; Sims, K.; Pua, Y.-H.; Wrigley, T.V.; Forbes, A.; et al. Effect of physical therapy on pain and function in patients with hip osteoarthritis: A randomized clinical trial. JAMA 2014, 311, 1987–1997. https://doi.org/10.1001/jama.2014.4591.
  • 23. Allen, K.D.; Oddone, E.Z.; Coffman, C.J.; Datta, S.K.; Juntilla, K.A.; Lindquist, J.H.; Walker, T.A.; Weinberger, M.; Bosworth, H.B. Telephone-based self-management of osteoarthritis: A randomized trial. Ann. Intern. Med. 2010, 153, 570–579. https://doi.org/10.7326/0003-4819-153-9-201011020-00006.
  • 24. Giraudet-Le Quintrec, J.S.; Coste, J.; Vastel, L.; Pacault, V.; Jeanne, L.; Lamas, J.-P.; Kerboull, L.; Fougeray, M.; Conseiller, C.; Kahan, A.; et al. Positive effect of patient education for hip surgery: A randomized trial. Clin. Orthop. Relat. Res. 2003, 414, 112–120. https://doi.org/10.1097/01.blo.0000079268.91782.bc.
  • 25. Heuts, P.H.; de Bie, R.; Drietelaar, M.; Aretz, K.; Hopman-Rock, M.; Bastiaenen, C.H.G.; Metsemakers, J.F.M.; van Weel, C.; van Schayck, O. Self-management in osteoarthritis of hip or knee: A randomized clinical trial in a primary healthcare setting. J. Rheumatol. 2005, 32, 543–549.
  • 26. Somers, T.J.; Blumenthal, J.A.; Guilak, F.; Kraus, V.B.; Schmitt, D.O.; Babyak, M.A.; Craighead, L.W.; Caldwell, D.S.; Rice, J.R.; McKee, D.C.; et al. Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: A randomized controlled study. Pain 2012, 153, 1199–1209. https://doi.org/10.1016/j.pain.2012.02.023.
  • 27. Arnold, C.M.; Faulkner, R.A.; Gyurcsik, N.C. The relationship between falls efficacy and improvement in fall risk factors following an exercise plus educational intervention for older adults with hip osteoarthritis. Physiother. Can. 2011, 63, 410–420. https://doi.org/10.3138/ptc.2010-29.
  • 28. Lawford, B.J.; Hinman, R.S.; Kasza, J.; Nelligan, R.; Keefe, F.; Rini, C.; Bennell, K.L. Moderators of effects of internet-delivered exercise and pain coping skills training for people with knee osteoarthritis: Exploratory analysis of the IMPACT randomized controlled trial. J. Med. Internet. Res. 2018, 20, e10021. https://doi.org/10.2196/10021.
  • 29. Ganji, R.; Pakniat, A.; Armat, M.R.; Tabatabaeichehr, M.; Mortazavi, H. The effect of self-management educational program on pain intensity in elderly patients with knee osteoarthritis: A randomized clinical trial. Open Access Maced. J. Med. Sci. 2018, 6, 1062–1066. https://doi.org/10.3889/oamjms.2018.225.
  • 30. Ravaud, P.; Flipo, R.M.; Boutron, I.; Roy, C.; Mahmoudi, A.; Giraudeau, B.; Pham, T. ARTIST (osteoarthritis intervention standardized) study of standardised consultation versus usual care for patients with osteoarthritis of the knee in primary care in France: Pragmatic randomised controlled trial. BMJ 2009, 338, b421. https://doi.org/10.1136/bmj.b421.
  • 31. Lluch, E.; Dueñas, L.; Falla, D.; Baert, I.; Meeus, M.; Sánchez-Frutos, J.; Nijs, J. Preoperative pain neuroscience education combined with knee joint mobilization for knee osteoarthritis: A randomized controlled trial. Clin. J. Pain 2018, 34, 44–52. https://doi.org/10.1097/AJP.0000000000000511.
  • 32. Allen, K.D.; Somers, T.J.; Campbell, L.C.; Arbeeva, L.; Coffman, C.J.; Cené, C.W.; Oddone, E.Z.; Keefe, F.J. Pain coping skills training for African Americans with osteoarthritis: Results of a randomized controlled trial. Pain 2019, 160, 1297–1307. https://doi.org/10.1097/j.pain.0000000000001525.
  • 33. Bezalel, T.; Carmeli, E.; Katz-Leurer, M. The effect of a group education programme on pain and function through knowledge acquisition and home-based exercise among patients with knee osteoarthritis: A parallel randomised single-blind clinical trial. Physiotherapy 2010, 96, 137–143. https://doi.org/10.1016/j.physio.2009.09.009.
  • 34. Hansson, E.E.; Jönsson-Lundgren, M.; Ronnheden, A.M.; Sörensson, E.; Bjärnung, A.; Dahlberg, L.E. Effect of an education programme for patients with osteoarthritis in primary care—A randomized controlled trial. BMC Musculoskelet. Disord. 2010, 11, 244. https://doi.org/10.1186/1471-2474-11-244.
  • 35. Mazzuca, S.A.; Brandt, K.D.; Katz, B.P.; Chambers, M.; Byrd, D.; Hanna, M. Effects of self-care education on the health status of inner-city patients with osteoarthritis of the knee. Arthritis Rheum. 1997, 40, 1466–1474. https://doi.org/10.1002/art.1780400815.
  • 36. Coleman, S.; Briffa, N.K.; Carroll, G.; Inderjeeth, C.; Cook, N.; McQuade, J. A randomised controlled trial of a self-management education program for osteoarthritis of the knee delivered by health care professionals. Arthritis Res. Ther. 2012, 14, R21. https://doi.org/10.1186/ar3703.
  • 37. Arnold, C.M.; Faulkner, R.A. The effect of aquatic exercise and education on lowering fall risk in older adults with hip osteoarthritis. J. Aging Phys. Act. 2010, 18, 245–260. https://doi.org/10.1123/japa.18.3.245.
  • 38. Keefe, F.J.; Caldwell, D.S.; Baucom, D.; Salley, A.; Robinson, E.; Timmons, K.; Beaupre, P.; Weisberg, J.; Helms, M. Spouseassisted coping skills training in the management of osteoarthritic knee pain. Arthritis Care Res. 1996, 9, 279–291. https://doi.org/10.1002/1529-0131(199608)9:4<279::aid-anr1790090413>3.0.co;2-6.
  • 39. Hughes, S.L.; Seymour, R.B.; Campbell, R.; Pollak, N.; Huber, G.; Sharma, L. Impact of the fit and strong intervention on older adults with osteoarthritis. Gerontologist 2004, 44, 217–228. https://doi.org/10.1093/geront/44.2.217.
  • 40. Saraboon, Y.; Aree-Ue, S.; Maruo, S.J. The effect of multifactorial intervention programs on health behavior and symptom control among community-dwelling overweight older adults with knee osteoarthritis. Orthop. Nurs. 2015, 34, 296–308. https://doi.org/10.1097/NOR.0000000000000180.