Application of a Home-based Rehabilitation Program Based on Empowerment Theory in Knee Joint Functional Exercise for Elderly Patients with Knee Osteoarthritis
Objective To explore the effect of a home-based rehabilitation exercise program based on empowerment theory on improving knee joint function in elderly patients with knee osteoarthritis.Methods A total of 100 elderly patients with knee osteoarthritis were selected by convenience sampling who were admitted to the Orthopedics Department of the Affiliated Hospital of Jiangnan University from June 2020 to June 2022.These patients were divided into the control group(n=50,in ward 1)and the observation group(n= 50,in ward 2)by order of admission.The control group was given a routine rehabilitation exercise program after discharge;the observation group was given a home-based rehabilitation exercise program under the guidance of empowerment theory after discharge.After 12 weeks of intervention,the patients were scored using the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Self-Efficacy for Rehabilitation Outcome Scale(SER),Hospital for Special Surgery(HSS)Knee-Rating Scale and Lysholm Knee Scoring Scale,and evaluated for the lower extremity muscle strength.Then,the results were compared between groups.Results The WOMAC scores of the observation group were lower than those of the control group,and the SER,HSS and Lysholm knee scores were higher than those of patients in the control group(P<0.05).Besides,the lower extremity muscle strength in the observation group was higher than that in the control group(P<0.05).Conclusion The home-based rehabilitation exercise program under the guidance of empowerment theory has been shown to yield significant benefits to elderly patients with knee osteoarthritis.This program can not only enhance their rehabilitation self-efficacy,but also improve their lower extremity muscle strength and knee joint function.
Knee osteoarthritis in the elderlyEmpowerment theoryHome-based rehabilitation exerciseLower extremity muscle strengthKnee joint function