Effectiveness of behavior graded activity on exercise adherence and physical activity in hip and knee osteoarthritis - A systematic review

Harikesavan Karvannan, Arun G. Maiya, Raj Dev Chakravarty, V. Prem, Syed Nafeez, S. Karthikbabu, S. Rajasekar

Research output: Contribution to journalReview article

Abstract

Background: Osteoarthritis (OA) has a major impact on daily life and often leads to avoidance of physical activity. A lack of regular physical activity in people with OA of the hip or knee is an important risk factor for further functional decline. Recently developed and evaluated exercise program called the behavioral graded activity (BGA) program acts as an approach to enhance adherence to exercises that lead to a more physically active lifestyle. The purpose of this systematic review is to identify Randomized Controlled Trials (RCT) on BGA interventions for hip and knee OA and to provide summary of current evidence. Methods: The database searched with the keywords (knee osteoarthritis, hip osteoarthritis, behavior graded activity, behavior physical therapy, physical activity), in Cochrane Library (Cochrane Database of Systematic Reviews), PubMed, MEDLINE Plus, PEDro and CINAHL for studies published from January 2000 to May 2011. The randomized controlled trials included in the study assessed the effect of behavioral graded activity on hip and knee osteoarthritis. Results: Four RCTs meeting the qualitative levels of evidence based on the grading system described by Tugwell and O'Shea (2004) and recommended by the Cochrane Musculoskeletal Group were considered for analysis and the results were projected. Conclusion: There is a silver level evidence that the BGA results in better exercise adherence and more physical activity than usual care in people with OA of the hip and knee, both in the short- and long-term.

Original languageEnglish
Pages (from-to)141-146
Number of pages6
JournalIndian Journal of Rheumatology
Volume7
Issue number3
DOIs
Publication statusPublished - 01-01-2012

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Hip Osteoarthritis
Knee Osteoarthritis
Randomized Controlled Trials
Databases
Behavior Therapy
Silver
PubMed
MEDLINE
Osteoarthritis
Libraries
Life Style

All Science Journal Classification (ASJC) codes

  • Rheumatology

Cite this

Karvannan, Harikesavan ; Maiya, Arun G. ; Chakravarty, Raj Dev ; Prem, V. ; Nafeez, Syed ; Karthikbabu, S. ; Rajasekar, S. / Effectiveness of behavior graded activity on exercise adherence and physical activity in hip and knee osteoarthritis - A systematic review. In: Indian Journal of Rheumatology. 2012 ; Vol. 7, No. 3. pp. 141-146.
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abstract = "Background: Osteoarthritis (OA) has a major impact on daily life and often leads to avoidance of physical activity. A lack of regular physical activity in people with OA of the hip or knee is an important risk factor for further functional decline. Recently developed and evaluated exercise program called the behavioral graded activity (BGA) program acts as an approach to enhance adherence to exercises that lead to a more physically active lifestyle. The purpose of this systematic review is to identify Randomized Controlled Trials (RCT) on BGA interventions for hip and knee OA and to provide summary of current evidence. Methods: The database searched with the keywords (knee osteoarthritis, hip osteoarthritis, behavior graded activity, behavior physical therapy, physical activity), in Cochrane Library (Cochrane Database of Systematic Reviews), PubMed, MEDLINE Plus, PEDro and CINAHL for studies published from January 2000 to May 2011. The randomized controlled trials included in the study assessed the effect of behavioral graded activity on hip and knee osteoarthritis. Results: Four RCTs meeting the qualitative levels of evidence based on the grading system described by Tugwell and O'Shea (2004) and recommended by the Cochrane Musculoskeletal Group were considered for analysis and the results were projected. Conclusion: There is a silver level evidence that the BGA results in better exercise adherence and more physical activity than usual care in people with OA of the hip and knee, both in the short- and long-term.",
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Effectiveness of behavior graded activity on exercise adherence and physical activity in hip and knee osteoarthritis - A systematic review. / Karvannan, Harikesavan; Maiya, Arun G.; Chakravarty, Raj Dev; Prem, V.; Nafeez, Syed; Karthikbabu, S.; Rajasekar, S.

In: Indian Journal of Rheumatology, Vol. 7, No. 3, 01.01.2012, p. 141-146.

Research output: Contribution to journalReview article

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T1 - Effectiveness of behavior graded activity on exercise adherence and physical activity in hip and knee osteoarthritis - A systematic review

AU - Karvannan, Harikesavan

AU - Maiya, Arun G.

AU - Chakravarty, Raj Dev

AU - Prem, V.

AU - Nafeez, Syed

AU - Karthikbabu, S.

AU - Rajasekar, S.

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N2 - Background: Osteoarthritis (OA) has a major impact on daily life and often leads to avoidance of physical activity. A lack of regular physical activity in people with OA of the hip or knee is an important risk factor for further functional decline. Recently developed and evaluated exercise program called the behavioral graded activity (BGA) program acts as an approach to enhance adherence to exercises that lead to a more physically active lifestyle. The purpose of this systematic review is to identify Randomized Controlled Trials (RCT) on BGA interventions for hip and knee OA and to provide summary of current evidence. Methods: The database searched with the keywords (knee osteoarthritis, hip osteoarthritis, behavior graded activity, behavior physical therapy, physical activity), in Cochrane Library (Cochrane Database of Systematic Reviews), PubMed, MEDLINE Plus, PEDro and CINAHL for studies published from January 2000 to May 2011. The randomized controlled trials included in the study assessed the effect of behavioral graded activity on hip and knee osteoarthritis. Results: Four RCTs meeting the qualitative levels of evidence based on the grading system described by Tugwell and O'Shea (2004) and recommended by the Cochrane Musculoskeletal Group were considered for analysis and the results were projected. Conclusion: There is a silver level evidence that the BGA results in better exercise adherence and more physical activity than usual care in people with OA of the hip and knee, both in the short- and long-term.

AB - Background: Osteoarthritis (OA) has a major impact on daily life and often leads to avoidance of physical activity. A lack of regular physical activity in people with OA of the hip or knee is an important risk factor for further functional decline. Recently developed and evaluated exercise program called the behavioral graded activity (BGA) program acts as an approach to enhance adherence to exercises that lead to a more physically active lifestyle. The purpose of this systematic review is to identify Randomized Controlled Trials (RCT) on BGA interventions for hip and knee OA and to provide summary of current evidence. Methods: The database searched with the keywords (knee osteoarthritis, hip osteoarthritis, behavior graded activity, behavior physical therapy, physical activity), in Cochrane Library (Cochrane Database of Systematic Reviews), PubMed, MEDLINE Plus, PEDro and CINAHL for studies published from January 2000 to May 2011. The randomized controlled trials included in the study assessed the effect of behavioral graded activity on hip and knee osteoarthritis. Results: Four RCTs meeting the qualitative levels of evidence based on the grading system described by Tugwell and O'Shea (2004) and recommended by the Cochrane Musculoskeletal Group were considered for analysis and the results were projected. Conclusion: There is a silver level evidence that the BGA results in better exercise adherence and more physical activity than usual care in people with OA of the hip and knee, both in the short- and long-term.

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