StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...
Free

Physical therapy/ implementing ESCAPE for knee OA patients in Middle East - Research Proposal Example

Cite this document
Summary
One of the cardinal symptoms of OA is chronic joint pain, which is a main cause of dependency, suffering, disability, healthcare expenditure, reduced quality of life, and psychosocial co-morbidities like depression and anxiety (Jacobson, 2012: p35). As people in the Middle East…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER95.6% of users find it useful
Physical therapy/ implementing ESCAPE for knee OA patients in Middle East
Read Text Preview

Extract of sample "Physical therapy/ implementing ESCAPE for knee OA patients in Middle East"

Physical Therapy/ Implementing Escape for Knee OA Patients in Middle East PHYSICAL THERAPY/ IMPLEMENTING ESCAPE FOR KNEE OA PATIENTS IN MIDDLE EASTOne of the cardinal symptoms of OA is chronic joint pain, which is a main cause of dependency, suffering, disability, healthcare expenditure, reduced quality of life, and psychosocial co-morbidities like depression and anxiety (Jacobson, 2012: p35). As people in the Middle East continue to live for longer, it is expected that these problems will only increase.

Some core recommendations for OA management are self-management advice, patient education, and exercise, specifically because they bring short-term benefits related to psychosocial functioning, physical functioning, and pain management. However, current studies have not identified sustained long-term benefits of these interventions, which has made healthcare commissioners reluctant to give interventions that do not show sustained benefits and, thus, depriving people of potentially beneficial treatment (Boyers et al, 2013: p369).

The research study being proposed will seek to demonstrate a program for OA patient rehabilitation that integrates exercise, strategies of self-management, and patient education known as ESCAPE-knee pain. This is an acronym for Enabling Self-management and Coping of Arthritic knee pain through exercise. The objective of the proposed research study is to investigate the long-term cost-effectiveness clinical effectiveness of the Enabling Self-management and Coping of Arthritic Knee Pain through Exercise, ESCAPE-knee pain rehabilitation program, which combines exercise and self-management.

The rationale for the proposed study is that, although chronic joint pain due to OA causes debilitating disability and suffering, the long term benefits of the ESCAPE-knee pain program are as of yet unclear (Walsh et al, 2013: p355). The study design for the proposed research will be a pragmatic randomized control trial. This research design will involve assignment of participants to a study group at random, which means that they will have an equal chance of being assigned to either the control group or the experimental group.

In this case, participants in both groups will be treated the same, except that those in the experimental group will receive the ESCAPE-knee pain intervention, unlike those in the control group. The participants will be recruited from primary care surgeries and randomized to ESCAPE-knee pain group and usual care group. The primary outcome of measure will be physical function according to the WOMAC-function instrument, in which physical function improvement that is clinically meaningful is defined as that which has a >15% shift from the baseline (Coleman et al, 2012: p126).

Cost effectiveness, physiological and psychosocial variables, and pain will make up the secondary outcomes. As such, the primary goal will be to test whether the ESCAPE-knee pain intervention works in the long term by comparing its outcomes to those in the control condition. In essence, such a study design will also allow the research to identify factors impacting on the intervention’s effects and also to understand how the intervention influences change (Susko & Kelley, 2013: p83). Overall, an RCT study fits the objective of this study because it will allow for the examination of ESCAPE-knee pain’s effectiveness in reducing symptoms and improving life quality.

Moreover, identification of consistent findings that ESCAPE-knee pain’s outcomes surpass those of usual care will help in establishing it as evidence based. By comparing the outcomes of the patients in both groups using the WOMAC-function instrument, it will become clearer on whether the cost and clinical benefits of ESCAPE-knee pain can be sustained for more than thirty months following the completion of this program (Golightly et al, 2012: p57). It is hypothesized that the intervention is more clinically effective and efficacious, leading to less costs of healthcare and enhanced cost-effectiveness as compared to usual OA care.

ReferencesBoyers, D., McNamee, P., Clarke, A., Jones, D., Martin, D., Schofield, P., & Smith, B. H. (2013). Cost-effectiveness of self-management methods for the treatment of chronic pain in an aging adult population: a systematic review of the literature. The Clinical Journal of Pain, 29, 4, 366-375. Coleman, S., Briffa, N. K., Carroll, G., Inderjeeth, C., Cook, N., & McQuade, J. (2012). A randomised controlled trial of a self-management education program for osteoarthritis of the knee delivered by health care professionals.

Arthritis Research and Therapy, 14, 1, 121-134 Golightly, Y. M., Allen, K. D., & Caine, D. J. (2012). A comprehensive review of the effectiveness of different exercise programs for patients with osteoarthritis. The Physician and Sportsmedicine, 40, 4, 52-65. Hodkinson, B., & Tikly, M. (2011). Osteoarthritis in 2011: many steps to climb. CME: Your SA Journal of CPD, 29, 8, 311-315. Hurley, M. V., Walsh, N. E., Mitchell, H., Nicholas, J., & Patel, A. (2012). Long-term outcomes and costs of an integrated rehabilitation program for chronic knee pain: A pragmatic, cluster randomized, controlled trial.

Arthritis Care & Research, 64, 2, 238-247. Jacobson, J. (2012). Osteoarthritis: the patients experience. The American Journal of Nursing, 112, 3, 35 Lusa, A. L., Amigues, I., Dam, T.-T., Giles, J. T., & Kramer, H. R. (2014). Indicators of walking speed in rheumatoid arthritis: Relative influence of articular, psychosocial, and body composition characteristics. Arthritis Care and Research, 67, 1, 21-31. Patel, G., Walsh, N., & Gooberman-Hill, R. (2014). Managing osteoarthritis in primary care: exploring healthcare professionals views on a multiple-joint intervention designed to facilitate self-management.

Musculoskeletal Care, 12, 4, 199-209. Susko, A. M., & Kelley, F. G. (2013). The pain-relieving qualities of exercise in knee osteoarthritis. Open Access Rheumatology: Research and Reviews, 5, 81-91. Walsh, N., Cramp, F., Palmer, S., Pollock, J., Hampson, L., Gooberman-Hill, R., Green, C., & Hurley, M. (2013). Exercise and self-management for people with chronic knee, hip or lower back pain: a cluster randomised controlled trial of clinical and cost-effectiveness. Study protocol. Physiotherapy, 99, 4, 352-357.

Read More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Physical therapy/ implementing ESCAPE for knee OA patients in Middle Research Proposal”, n.d.)
Physical therapy/ implementing ESCAPE for knee OA patients in Middle Research Proposal. Retrieved from https://studentshare.org/health-sciences-medicine/1675545-physical-therapy-implementing-escape-for-knee-oa-patients-in-middle-east
(Physical Therapy/ Implementing ESCAPE for Knee OA Patients in Middle Research Proposal)
Physical Therapy/ Implementing ESCAPE for Knee OA Patients in Middle Research Proposal. https://studentshare.org/health-sciences-medicine/1675545-physical-therapy-implementing-escape-for-knee-oa-patients-in-middle-east.
“Physical Therapy/ Implementing ESCAPE for Knee OA Patients in Middle Research Proposal”, n.d. https://studentshare.org/health-sciences-medicine/1675545-physical-therapy-implementing-escape-for-knee-oa-patients-in-middle-east.
  • Cited: 0 times

CHECK THESE SAMPLES OF Physical therapy/ implementing ESCAPE for knee OA patients in Middle East

The Importance of Maintaining a Valid Physical Therapy License

By neglecting to property renew his license, a physical therapist deceives his patients in this respect.... It is of the utmost importance, without exception, for a physical therapist to maintain a valid license in order to practice physical therapy.... physical therapy licenses exist for a reason: to ensure that physical therapy professionals conform to the high standards of the industry.... Furthermore, because physical therapy continues to evolve and change, it is important for a physical therapist to renew his license in order that he keeps himself abreast of the newest advances within the profession through continuing education....
3 Pages (750 words) Essay

Iontophoresis use in physical therapy ( therapeutic modalites)

Iontophoresis is contraindicated in patients with cardiac pacemaker or arrhythmia, patients with Iontophoresis Use in physical therapy INDICATION Iontophoresis is indicated in delivering ionized drugs (Cameron, 236).... Iontophoresis is contraindicated in patients with cardiac pacemaker or arrhythmia, patients with electrodes placed over carotid sinus, areas with venous or arterial thrombosis or thrombophlebitis, and pregnant patients (Cameron, 237)....
2 Pages (500 words) Admission/Application Essay

LANGUAGE BARRIERS IN PHYSICIAN PATIENT COMMUNICATION

It is about building professionally kind relationship with the patients by valuing them.... Dissatisfied patients spread negative word of mouth about the physicians by whom they have been treated [1].... Physicians may need to treat different categories of patients like illiterate people, abnormal ones, old age people, diverse lingual people, children etc.... They must be trained with such communication skills which are essential to deal with every category of the patients [3]....
4 Pages (1000 words) Research Paper

Physical Therapy Wounds Case Study

The sharpness of Wound physical therapy Persons with acute or chronic wounds have continued to seek services of physical therapists.... Simple Island dressing has cellulose pad material at the middle that absorbs any fluid oozing from the wound.... Some patients with open wounds may fail to heal in time.... With no any documented allergy to any physical agent or medication, the patient has relatively broad range therapy plan procedures....
2 Pages (500 words) Essay

Patient Informed Consent to Intervention in Physical Therapy Practice

This paper is determined to provide detailed information about the meaning of informed consent to intervention and the significance of obtaining patient informed consent to intervention in physical therapy practice.... Before many crucial healthcare procedures are conducted, there are acceptable ethical and legal principles that a trained healthcare provider must obtain....
5 Pages (1250 words) Essay

Patients Physical Incompetence

In the following paper “patients' Physical Incompetence” as a part of the clinical experience, the author describes an opportunity recently to work at the physiotherapy and sports medicine department of Nanavati Hospital, Mumbai, India for four weeks.... What was even more shocking was the manual handling techniques that were used to move the patients.... The patient was picked up by the ward boys by putting their hands under the armpit of the patients....
6 Pages (1500 words) Assignment

Psychosocial Aspects in Discharging Decision in Physical Therapy

This paper discusses psychosocial aspects in discharging decision in physical therapy.... Thus, physical therapists have asked for more independence concerning their role in the clinical decision-making, although many physical therapy leaders believe that this increased autonomy can lead to a more complex ethical dilemma and responsibility for the physical therapist (Swisher 2002, p.... he APTA (please spell this out first) recently developed a vision statement in support of direct access to physical therapy services: “By 2020, physical therapy will be provided by physical therapists who are doctors of physical therapy, recognized by consumers and other health care professionals as the practitioners of choice to whom consumers have direct access for the diagnosis of, interventions for, and prevention of impairments, functional limitations, and disabilities related to movement, function, and health” (Jette, et al....
18 Pages (4500 words) Research Paper

Importance of Physical Therapy

This is the "physical therapy" essay.... nbsp;physical therapy is a profession that I admire for several reasons.... Through physical therapy, my pains were numbed, and I was restored to my normal state.... My admiration for a profession in physical therapy is also due to the firm belief that it not only saves people's lives, careers, and futures.... physical therapy is particularly important when dealing with significant bone fractures and limited mobility....
4 Pages (1000 words) Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Contact Us