Stacey L. Schepens, Marcia E. Braun, Susan L. Murphy; Effect of Tailored Activity Pacing on Self-Perceived Joint Stiffness in Adults With Knee or Hip Osteoarthritis. Am J Occup Ther 2012;66(3):363-367. doi: 10.5014/ajot.2010.004036.
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© 2017 American Occupational Therapy Association
OBJECTIVE. We examined the effects of a tailored activity-pacing intervention on self-perceived joint stiffness in adults with osteoarthritis (OA).
METHOD. Thirty-two adults with hip or knee OA were randomized to a tailored or general activity-pacing intervention. Participants’ symptoms and physical activity over 5 days were used to tailor activity pacing. The outcome was self-perceived joint stiffness measured at baseline, 4 wk, and 10 wk. A linear mixed regression model was used.
RESULTS. The tailored group significantly improved in stiffness compared with the general group over time. We found a significantly different linear trend between groups (Time × Group, p = .046) in which the tailored group had decreasing stiffness over the three time points, denoting continued improvement. The general group’s stiffness improved from baseline to 4 wk but returned to baseline levels at 10 wk.
CONCLUSION. Tailoring activity pacing may be effective in sustaining improvements in self-perceived joint stiffness in adults with OA.
Self-perceived joint stiffness is an important OA symptom that can be addressed through behavioral strategies.
A tailored, occupational therapist–led, activity-pacing intervention improved self-perceived joint stiffness in adults with OA.
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