Improving osteoarthritis care by digital means.

[Argirios Argiriou]

March 4, 2020

Improving osteoarthritis care by digital means - Effects of a digital self-management program after 24- or 48-weeks of treatment.

Conclusions
Continuously participating in a digital OA ( osteoarthritis ) treatment program for 6 or 12 months was associated with a clinically important decrease in joint pain and increased physical function, in hip and knee OA. Future research should follow OA-related outcomes in participants that end their treatment to explore when and why that decision was made.

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[Argirios Argiriou]

Όλα αυτά με την βοήθεια ενός Σουηδικού app στο κινητό, που έδινε στους ασθενείς να κάνουν κάποιες ατομικά προσαρμοσμένες ασκήσεις κάθε ημέρα για την άρθρωση του γοφού τους:

The treatment consisted of individually adapted exercises in order to strengthen the muscles and increase mobility in affected joints. Exercises with accompanying explanation were provided daily on the mobile, and lessons on osteoarthritis were given to the patient several times a week. Physiotherapist was available in the app if needed. Participants were followed for half (n = 499) to one year (n = 138), with the outcome measures pain in the hip or knee joint on a 10-degree numerical estimation scale and physical function defined as the maximum number of repetitions during 30 seconds »sitting and standing. Test". After 6 months, the pain from the median value decreased 6 to 3 and the function increased by an average of 43 percent. No statistically significant differences in outcomes between the sexes, different age groups or between hip or knee injuries were detected. Normally, hip arthritis is considered more difficult to treat physiotherapeutically, which makes the results even more unique.

There are more than 50 studies (RCT) that have shown good results from training in osteoarthritis. It is therefore important to confirm the effect in real life in a registry study as well.

In summary, patients' joint-related pain was halved after 6 months, and physical function increased by close to 50 percent. The results remained for the additional 6 months that the study was underway. This strengthens the evidence of the importance of patients with knee or hip osteoarthritis being offered the basic treatment structured according to national guidelines before considering joint prosthesis surgery.

[Argirios Argiriou]

Να και η Σουηδική εταιρεία που είναι πίσω (με την καλή έννοια) από αυτή την μελέτη. Τα πάντα είναι στα Αγγλικά, οπότε θα μπορούσαν και Έλληνες ασθενείς να το δοκιμάσουν. Κοστίζει 89 $/μήνα.
Αξίζει να δείτε το ενημερωτικό βιντεάκι διάρκειας 55 seconds. Μην εκπλαγείτε. Την διάγνωση και την θεραπεία την δίνει Φυσικοθεραπευτής, ούτε καν Γενικός Ιατρός. Τους Ορθοπαιδικούς, τους έχουν κυρίως για να χειρουργούν.
Σκέφτομαι να τους τηλεφωνήσω για να δω εάν ο Φυσιοθεραπευτής κάνει την διάγνωση από μακριά (!) ή αν πρέπει την πρώτη φορά να σε δει.
Η αλήθεια είναι ότι η εμπειρία μου από τους Φυσικοθεραπευτές στην Σουηδία είναι πολύ καλή. Έχουν υψηλό επίπεδο και πέφτουν σχεδόν πάντα μέσα. Ωστόσο δεν τους έχω δοκιμάσει ακόμη σε τηλεδιαγνώσεις:

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