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Effect of tailored activity pacing on self-perceived joint stiffness in adults with knee or hip osteoarthritis [with consumer summary]
Schepens SL, Braun ME, Murphy SL
The American Journal of Occupational Therapy 2012 May-Jun;66(3):363-367
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

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 x group, p = 0.046) 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.
Copyright by the Amerrican Occupational Therapy Association Inc. Reprinted with permission.

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