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An 8-week multimodal treatment program improves symptoms of knee osteoarthritis: a real-world multicenter experience

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Author(s): Miller LE | Block JE

Journal: Pragmatic and Observational Research
ISSN 1179-7266

Volume: 2013;
Issue: default;
Start page: 39;
Date: 2013;
Original page

ABSTRACT
Larry E Miller,1,2 Jon E Block21Miller Scientific Consulting, Inc, Arden, NC, USA; 2The Jon Block Group, San Francisco, CA, USAPurpose: To report outcomes from a 5-year real-world clinical experience with a multimodal treatment program in patients with symptomatic knee osteoarthritis (OA).Methods: Patients with symptomatic, radiographically confirmed knee OA resistant to traditional conservative treatments underwent a supervised 8-week multimodal treatment program consisting of low-impact aerobic exercise, muscle flexibility exercises, joint mobilization, physical therapy modalities, muscle strengthening and functional training, patient education, and a series of 3 or 5 weekly hyaluronic acid injections. Patients were evaluated at admission, 4 weeks, and 8 weeks. Patient-reported outcomes included knee pain severity using an 11-point (0–10) numerical scale and the Western Ontario and McMaster Universities Osteoarthritis Index.Results: A total of 3,569 patients completed an 8-week treatment course between January 2008 and April 2013 at 66 dedicated treatment centers in the United States. Knee pain severity assessed on a numeric scale decreased 59% on average, from 5.4±2.9 to 2.2±2.2 (P
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