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The Knee-SCHOOL: a brief patient-centered multidisciplinary educational program for knee osteoarthritis
Denise Vianna Machado Ayres1, Sabrina Saemy Tome Uchiyama2, Andréa Oliveira Prates1
1Instituto de Medicina Fisica e Reabilitacao, IMREA, Hospital das Clínicas HCFMUSP, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Frontiers in Medicine
|January 20, 2025
Summary
The Knee-SCHOOL program, using a multidisciplinary approach, effectively reduced knee osteoarthritis (KOA) pain in adults. This educational intervention showed promising results for managing KOA symptoms and improving quality of life.
Area of Science:
- Rehabilitation Medicine
- Public Health
- Gerontology
Background:
- Knee osteoarthritis (KOA) is a prevalent condition causing significant disability and healthcare burden.
- Effective management strategies for KOA are crucial for improving patient outcomes and reducing societal costs.
Purpose of the Study:
- To describe the structure and educational components of the Knee-SCHOOL program.
- To evaluate the initial impact of this patient-centered, multidisciplinary educational intervention on KOA pain.
Main Methods:
- An observational prospective study was conducted at a rehabilitation center in Brazil.
- Fifty-five adults aged 50+ with KOA participated in three 4.5-hour educational sessions delivered by a multidisciplinary team.
- The program included supervised and home exercise components, with various health and lifestyle factors assessed.
Main Results:
- Participants experienced a significant reduction in mean pain intensity from 5.52 to 4.04 on the visual analogue scale (effect size 0.7).
- The program was well-received with no dropouts or adverse events reported.
- KOA negatively impacted sports, recreation, and quality of life, with high rates of obesity and inadequate diet among participants.
Conclusions:
- The Knee-SCHOOL program effectively utilized a multidisciplinary educational and exercise approach to address KOA pain.
- The intervention showed promise in managing KOA pain, although further studies are needed to assess its long-term effects.
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