Fysioterapeuten 9-2019

FYSIOTERAPEUTEN 9/19 59 spørreskjemaene i kvalitetsregisteret. Uten dere hadde ikke resultatene fra dette imple- menteringsprosjektet blitt synlige. Referanseliste 1. Holm I, Risberg MA, Roos EM, Skou ST. A Pragmatic Approach to the Implementation of Osteoarthritis Guid- elines Has Fewer Potential Barriers Than Recommended Implementation Frameworks. J Orthop Sports Phys Ther. 2019;49(1):1-4. 2. Traeger AC, Moynihan RN, Maher CG. Wise choices: making physiotherapy care more valuable. Journal of physiotherapy. 2017;63(2):63-5. 3. Losina E. Why past research successes do not translate to clinical reality: gaps in evidence on exercise program efficacy. Osteoarthritis and cartilage. 2019;27(1):1-2. 4. Bartholdy C, Nielsen SM, Warming S, Hunter DJ, Christensen R, Henriksen M. Poor replicability of recom- mended exercise interventions for knee osteoarthritis: a descriptive analysis of evidence informing current guid- elines and recommendations. Osteoarthritis and cartilage. 2019;27(1):3-22. 5. Brosseau L, Taki J, Desjardins B, Thevenot O, Fransen M, Wells GA, et al. The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part two: strengthening exercise programs. Clin Rehabil. 2017;31(5):596-611. 6. Brosseau L, Taki J, Desjardins B, Thevenot O, Fransen M, Wells GA, et al. The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part three: aerobic exercise programs. Clin Rehabil. 2017;31(5):612-24. 7. Teo PL, Hinman RS, Egerton T, Dziedzic KS, Bennell KL. Identifying and Prioritizing Clinical Guideline Recommen- dations Most Relevant to Physical Therapy Practice for Hip and/or Knee Osteoarthritis. J Orthop Sports Phys Ther. 2019;49(7):501-12. 8. Eyles JP, Hunter DJ, Bennell KL, Dziedzic KS, Hinman RS, van der Esch M, et al. Priorities for the effective implemen- tation of osteoarthritis management programs: an OARSI international consensus exercise. Osteoarthritis and cartilage. 2019;27(9):1270-9. 9. Skou ST, Roos EM. Good Life with osteoArthritis in Den- mark (GLA:D): evidence-based education and supervised neuromuscular exercise delivered by certified physio- therapists nationwide. BMC musculoskeletal disorders. 2017;18(1):72. 10. Kise NJ, Risberg MA, Stensrud S, Ranstam J, Enge- bretsen L, Roos EM. Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up. Bmj. 2016;354:i3740. 11. Stensrud S, Roos EM, Risberg MA. A 12-week exercise therapy program in middle-aged patients with degenera- tive meniscus tears: a case series with 1-year follow-up. J Orthop Sports Phys Ther. 2012;42(11):919-31. 12. Nelson EC, Dixon-Woods M, Batalden PB, Homa K, Van Citters AD, Morgan TS, et al. Patient focused registries can improve health, care, and science. Bmj. 2016;354:i3319. 13. Nilsdotter AK, Lohmander LS, Klassbo M, Roos EM. Hip disability and osteoarthritis outcome score (HOOS)- -validity and responsiveness in total hip replacement. BMC musculoskeletal disorders. 2003;4:10. 14. Osteras N, Garratt A, Grotle M, Natvig B, Kjeken I, Kvien TK, et al. Patient-reported quality of care for osteo- arthritis: development and testing of the osteoarthritis quality indicator questionnaire. Arthritis care & research. 2013;65(7):1043-51. 15. Moseng T, Tveter A, Holm I, Dagfinrud H. Pasient-Spe- sifikk Funksjons Skala - Et nyttig verktøy for fysioterapeu- ter i primærhelsetjenesten Fysioterapeuten. 2013(2). 16. Kurtze N, Rangul V, Hustvedt BE, Flanders WD. Reliability and validity of self-reported physical activity in the Nord-Trondelag Health Study: HUNT 1. Scand J Public Health. 2008;36(1):52-61. 17. Jonsson T, Ekvall Hansson E, Thorstensson CA, Eek F, Bergman P, Dahlberg LE. The effect of education and su- pervised exercise on physical activity, pain, quality of life and self-efficacy - an intervention study with a reference group. BMC musculoskeletal disorders. 2018;19(1):198. 18. Calvert M, Kyte D, Price G, Valderas JM, Hjollund NH. Maximising the impact of patient reported outcome as- sessment for patients and society. Bmj. 2019;364:k5267. Title: Active with osteoArthritis (AktivA) – treatment of mild to moderate osteoarthritis in clinical physiotherapy practice Abstract n Purpose : To evaluate the impact of AktivA on pain and physical function in patients with mild and moderate hip or knee osteoarthritis. n Design : Cohort study. n Material : 5230 patients with mild and moderate hip- or knee osteoarthritis, mean age 63,4 (±10) years, 75,7% women. n Method : An electronic quality register, primarily based on patient reported question- naires filled in at baseline and after 3 and 12 months, (+ physical performance tests at baseline and 3 months). n Results : The response rate was 98.9 and 83.8% at 3 and 12 months, respectively. After 3 months 94% of the patients had participated in the osteoarthritis school and 77% had fulfilled more than 10 supervised exercise sessions. After 12 months, pain was reduced by 17%, while two self-selected functional activities were improved by 36% and 23%, respectively. The sit to stand test and the 6 minute walk test increased 20% and 8%, respectively. A significant increase in the intensity of physical activity was registered, the percent of patients performing at a moderate intensity (breathless and sweat), increased from 55% to 68%. n Conclusion : 12 months after participation in the AktivA management program, the patients showed reduced pain, increased physical function and physical activity level. n Keywords : Osteoarthritis, pain and physical function. Strekk strikken lenger! – Størst utvalg Theraband strikker www.fysiopartner.no | salg@fysiopartner.no | T: 23 05 11 60