Clinical effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain





A recent study compared a rehabilitation program which included exercise, self-management, patient education, and active coping strategies (Hurley et al, 2007). Here is a link for a detailed description of the intervention:

http://www.kcl.ac.uk/depsta/medicine/gppc/escape/

"We compared the effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies (Enabling Self-management and Coping with Arthritic Knee Pain through Exercise [ESCAPE-knee pain]) with usual primary care in improving functioning in persons with chronic knee pain" (Hurley et al, 2007).

"Rehabilitated participants had better functioning than participants continuing usual primary care" (Hurley et al, 2007).

"For individuals with chronic knee pain, supplementing usual primary care with a personalized, progressive rehabilitation program integrating exercise, education, and active coping strategies (ESCAPE-knee pain) improved functioning for up to 6 months after completion of rehabilitation, regardless of whether it was delivered to individuals or small groups of patients" (Hurley et al, 2007).


Hurley MV, Walsh NE, Mitchell HL, Pimm TJ, Patel A, Williamson E, Jones RH, Dieppe PA, Reeves BC. Clinical effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain: A cluster randomized trial. Arthritis Rheum. 2007 Sep 28;57(7):1211-1219

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