Knee Rehabilitation: A Class for Patients with Knee Osteoarthritis and/or Degenerative Meniscal Tears

Purpose

The management of knee osteoarthritis and/or degenerative meniscal tears is more effective if supervised exercise is utilised. Supervised exercise in these circumstances is known to improve function, alleviate pain, enhance quality of life and delay the need for a Total Knee Replacement. Supervised exercise is not standard care in routine clinical practice.

However, the purpose of this observational study is to report on the outcomes of a form of supervised exercise recently developed for patients with knee osteoarthritis and/or degenerative meniscal tears: a knee rehabilitation class.

95%
of patients rated the service received as very satisfied.

87%
said the class met their expectations (ie, very satisfied).

98%
indicated that they would recommend the class to their friends and family.

Approach

All patients diagnosed with knee osteoarthritis and or degenerative meniscal tear were invited to attend sessions of one hour each, including an educational component and a supervised exercise class.

All patients were given an exercise programme at the end of a three week period. They were also given the opportunity to contact the physiotherapists within a 12 week period for support, if needed.

The patients who participated were given a patient satisfaction questionnaire to complete at the end of three week period.

Outcomes

A total of 121 patients completed the questionnaires between December 2017 and October 2018.

  • 95% of patients rated the service received as very satisfied.
  • 87% said the class met their expectations (ie, very satisfied).
  • 98% indicated that they would recommend the class to their friends and family.

A class for the management of knee osteoarthritis and degenerative meniscal tears is feasible, innovative and improves patient outcomes. The results of the study demonstrate that these type of classes are a vital tool which services and patients will benefit from.

In conclusion, it should form a part of standard care for all patients referred with knee osteoarthritis and degenerative meniscal tears.

Implications

A class for the management of knee osteoarthritis and degenerative meniscal tears is a technique that is resource-light, yet flexible. It has the ability, therefore, to render the patient pathway more efficient and economic from a service point of view.

It will also educate staff and patients about each other´s needs and expectations on the issue of knee osteoarthritis and degenerative meniscal tear management.

Funding acknowledgements

None. 

Additional notes

This work was presented at Physiotherapy UK 2019