The PLE(2)NO self-management and exercise program for knee osteoarthritis: Study Protocol for a Randomized Controlled...

Area of Science:

• Gerontology
• Rheumatology
• Clinical Trials

Background:

• International guidelines recommend exercise and self-management for knee osteoarthritis (KOA).
• Non-pharmacological treatments are crucial for pain relief, improved function, and adherence.
• The PLE(2)NO program integrates self-management and exercise to enhance self-efficacy in managing KOA.

Purpose of the Study:

• To assess the effects of the PLE(2)NO self-management and exercise program versus an educational control program.
• To evaluate impacts on KOA symptoms, physical fitness, quality of life, and self-management behaviors.
• To determine the program's influence on self-efficacy, physical activity levels, and coping strategies.

Main Methods:

• A single-blinded, randomized controlled trial (PLE(2)NO study) involving elderly patients (age > 60) with clinical and radiographic KOA.
• Participants allocated to either an educational control group or a self-management and exercise experimental group.
• All participants received a supplement of chondroitin and glucosamine sulfates.

Main Results:

• The study protocol is described, focusing on the PLE(2)NO program's design and implementation.
• The program's strengths include proximity, short duration, low-cost exercise resources, and focus on self-efficacy.
• Guidance on the effectiveness of self-management and exercise for KOA symptom control is provided.

Conclusions:

• The PLE(2)NO program offers a promising approach for knee osteoarthritis management.
• Combined self-management and exercise interventions can enhance patient self-efficacy and health outcomes.
• The program's design facilitates adherence and widespread application for KOA patients.