Rehabilitation program on knee osteoarthritis pain management in Iranian peri-menopausal women

Abstract

Background: Based on prevalent knee osteoarthritis (KOA) in Iran, this study evaluated the effectiveness of a model- based educational intervention in reducing knee pain and symptom in peri menopausal women with knee osteoarthritis in Yasouj, Iran. Methods: This randomized, parallel-controlled was conducted on 100 peri- menopausal women with KOA who randomly divided to two groups of intervention and control (50 women in each group). The model-based knee protective interventional program was applied just for intervention group. The clinic did allocation sequence procedures blindly to the groups and both participants and investigators were blinded. Data by demographic questionnaire, Western Ontario and Mc. Master Universities Arthritis Index (WOMAC), rheumatoid arthritis self- efficacy (RASE) and a designed checklist were collected at baseline and 6-monthh follow up and analyzed by SPSS24. Results: A total of 100 informed peri- monaural women with mean age of 46.02 ± 4.85 years took part in this study. Comparing mean difference of both groups at 6- month follow up showed significant improvement for the intervention group versus control group regarding clinical symptom (13.10 ± 11.42 vs 5.5 ± 10.6 ; P<0.001), joint stiffness (8.99 ± 8.85 vs 1.69 ±8.96 ; P< 0.001), muscle strengths (3.00 ± 8.2 vs 1.00±0.01; P<0.001 ), and daily activities (12.50 ± 8.31 vs 5.06± 4.04 ; P< 0.001) and pain severity (16.50 ± 7.37 vs 2.56 ± 4.08; P<0.001 ). Conclusion: The program strategies could be effective in promoting protective behaviors and relieving knee pain and symptoms in peri - menopausal women with KOA. Trial registration: Current Controlled Trials IRCT20220105053636N1 Date of registration on 2022-02-05