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The effect of self-management training on pain intensity in patients with knee osteoarthritis referring to orthopedic clinic of Imam Hossein Hospital in Malayer
Omidi A, Zanganeh MJ, Khodaveisi M, Mohammadi Y
National Journal of Physiology, Pharmacy and Pharmacology 2018;8(7):1035-1040
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; 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*

BACKGROUND: Knee esthetic anesthesia is one of the most common diseases of old age. Pain, which limits the activity of patients, is the most common symptom of the disease. Self-management is one of the best approaches for reducing the symptoms of osteoarthritis. AIMS AND OBJECTIVES: The present study aimed to determine the effect of self-management training on pain intensity in patients with knee osteoarthritis. MATERIALS AND METHODS: The present quasi-experimental study was conducted on 100 patients with knee osteoarthritis who referred to Imam Hossein Malayer Hospital; subjects were selected by convenience sampling method and randomly divided into two groups of test and control. Required data were collected using a questionnaire including demographic information and pain intensity questionnaire, which was measured by visual analog scale. Questionnaires were completed before and 2 months after the intervention by both groups. Then, pain intensity was evaluated and compared in two groups. Data were analyzed using SPSS version 22, Chi-square, independent t-test, and paired t-test. RESULTS: The results showed that the mean score of pain severity was not significantly different between the two groups before and after the intervention (p < 0.05). There was a statistically significant decrease between the mean scores of pain intensity before (3.97 +/- 0.91) and after intervention (2.77 +/- 1.03) (p < 0.05). Furthermore, there was a statistically significant difference between the mean pain scores in the intervention and control groups after intervention (p < 0.05). However, in the control group, there was no statistically significant difference between the mean scores of pain severity before the intervention (3.96 +/- 1.12) and after intervention (3.64 +/- 0.8) (p < 0.05). CONCLUSION: The results of this study showed that considering proper diet and using non-medical pain relief methods such as exercise and stretching exercises and water treatment during self-management can reduce the severity of pain in knee osteoarthritis patients. Therefore, the implementation of self-management program by patients can be effective in reducing the incapacity and improves their range of motion.

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