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Feasibility of the SOAR (Stop OsteoARthritis) program
Jackie L Whittaker1,2, Linda K Truong1,2, Trish Silvester-Lee2
1Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Osteoarthritis and Cartilage Open
|December 7, 2022
Summary
The virtually-delivered SOAR program is a feasible way to manage knee health after injury. It showed high adherence and goal achievement, with potential gender-specific benefits.
Area of Science:
- Rehabilitation Science
- Digital Health
- Musculoskeletal Health
Background:
- Activity-related knee injuries are common and can lead to long-term knee health issues and osteoarthritis.
- Effective self-management strategies are crucial for individuals post-knee trauma.
- Physiotherapist-guided programs can support recovery and reduce osteoarthritis risk.
Purpose of the Study:
- To assess the feasibility of a virtually-delivered, physiotherapist-guided knee health program (SOAR).
- To target self-management of knee health and osteoarthritis risk after activity-related knee injury.
Main Methods:
- A 4-week quasi-experimental feasibility study involving individuals with knee trauma.
- Program components included virtual group education, 1:1 exercise/activity goal-setting, home-based exercise tracking, and physiotherapy-guided action-planning.
- Feasibility assessed via attrition, adherence, intervention fidelity, adverse events, goal completion, acceptability, and efficacy outcomes (KOOS, PSFS, GLTEQ, PHS).
Main Results:
- No participant attrition or adverse events were reported; 90% of mandatory components were completed.
- High adherence (80%) and goal achievement (96% exercise-therapy, 95% activity goals) were observed.
- Significant improvements in physical activity (GLTEQ) were reported by both genders. Women showed improvements in PHS and PSFS scores.
Conclusions:
- The SOAR program is feasible for individuals at various timepoints post-knee trauma.
- Gender may influence SOAR program implementation and assessment outcomes.
- A randomized controlled trial is recommended to confirm the intervention's efficacy.
Keywords:
ACL, Anterior Cruciate LigamentAnterior cruciate ligamentBAP, Brief Action PlanningCARE, Consultation and Relational Empathy MeasureEARS, Exercise Adherence Rating ScaleGLTEQ, Godin Leisure Time Exercise QuestionnaireKOOS, Knee injury and Osteoarthritis Outcome ScoreKnee traumaOA, OsteoarthritisPHS, Partners in Health ScalePSFS, Patient Specific Functional ScalePT, Physiotherapy or Physical TherapyPhysiotherapyPost-traumatic osteoarthritisRCT, Randomized Controlled TrialRPE, Rating of Percieved EffortSMART, Specific, Measurable, Attainable, Relevant, Time-boundSOAR, Stop OsteoARthritis
