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Group Versus Individual Physical Therapy for Veterans With Knee Osteoarthritis: Randomized Clinical Trial

Kelli D. Allen, Dennis Bongiorni, Hayden B. Bosworth, Cynthia J. Coffman, Santanu K. Datta, David Edelman, Katherine S. Hall, Jennifer H. Lindquist, Eugene Z. Oddone, Helen Hoenig
DOI: 10.2522/ptj.20150194 Published 1 May 2016
Kelli D. Allen
K.D. Allen, PhD, Health Services Research and Development Service 152, Durham VA Medical Center, 508 Fulton St, Durham, NC 27705 (USA); Department of Medicine and Thurston Arthritis Research Center, University of North Carolina, Chapel Hill, North Carolina; and Center for Aging and Human Development, Duke University, Durham, North Carolina.
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Dennis Bongiorni
D. Bongiorni, DPT, Physical Medicine and Rehabilitation Service, Durham VA Medical Center.
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Hayden B. Bosworth
H.B. Bosworth, PhD, Health Services Research and Development Service, Durham VA Medical Center; Center for Aging and Human Development, Duke University; Department of Medicine, Duke University Medical Center; and Department of Psychiatry and Behavioral Science, Duke University.
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Cynthia J. Coffman
C.J. Coffman, PhD, Health Services Research and Development Service, Durham VA Medical Center, and Department of Biostatistics and Bioinformatics, Duke University.
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Santanu K. Datta
S.K. Datta, PhD, Health Services Research and Development Service, Durham VA Medical Center, and Department of Medicine, Duke University Medical Center.
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David Edelman
D. Edelman, MD, MHS, Health Services Research and Development Service, Durham VA Medical Center, and Department of Medicine, Duke University Medical Center.
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Katherine S. Hall
K.S. Hall, PhD, Center for Aging and Human Development, Duke University; Department of Medicine, Duke University Medical Center; and Geriatric Research, Education, and Clinical Center, Durham VA Medical Center.
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Jennifer H. Lindquist
J.H. Lindquist, MStat, Health Services Research and Development Service, Durham VA Medical Center.
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Eugene Z. Oddone
E.Z. Oddone, MD, MHSc, Health Services Research and Development Service, Durham VA Medical Center, and Department of Medicine, Duke University Medical Center.
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Helen Hoenig
H. Hoenig, MD, MPH, Center for Aging and Human Development, Duke University; Department of Medicine, Duke University Medical Center; and Physical Medicine and Rehabilitation Service, Durham VA Medical Center.
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Figures

Figure 2.
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Figure 2.

Estimated mean Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores. IPT=individual physical therapy, GPT=group physical therapy.

Figure 1.
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Figure 1.

Study participant flowchart.

Tables

Table 1.
Table 1.

Activities Occurring During Group and Individual Physical Therapy Sessionsa

  • ↵a N/A=not applicable.

Table 2.
Table 2.

Participant Characteristics at Baselinea

  • ↵a Q1=first quartile, Q3=third quartile, WOMAC=Western Ontario and McMaster Universities Osteoarthritis Index, SPPB=Short Physical Performance Battery.

Table 3.
Table 3.

Estimated Mean and 95% CI Values for Study Outcomes: Results of Linear Mixed and Generalized Linear Mixed Modelsa

  • ↵a Seventy participants (34 group physical therapy, 36 individual physical therapy) and 60 participants (27 group physical therapy, 33 individual physical therapy) had no follow-up data for 12 and 24 wk, respectively. Additional data missing across time points: WOMAC scores (2 baseline; 1 group physical therapy, 1 individual physical therapy, 12 wk); SPPB scores (19 baseline; 15 group physical therapy, 20 individual physical therapy; 12 wk); 6-minute walk (23 baseline; 28 group physical therapy, 25 individual physical therapy; 12 wk); satisfaction score (6 baseline; 4 group physical therapy, 3 individual physical therapy; 12 wk). WOMAC=Western Ontario and McMaster Universities Osteoarthritis Index, SPPB=Short Physical Performance Battery, CHAMPS=Community Health Activities Model Program for Seniors, IRR=incidence rate ratio, N/A=not applicable.

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Vol 96 Issue 5 Table of Contents
Physical Therapy: 96 (5)

Issue highlights

  • Group Versus Individual Physical Therapy for Veterans With Knee Osteoarthritis: Randomized Clinical Trial
  • What Influences Patient-Therapist Interactions in Musculoskeletal Physical Therapy? Qualitative Systematic Review and Meta-Synthesis
  • Identifying Patients With Chronic Low Back Pain Who Respond Best to Mechanical Diagnosis and Therapy: Secondary Analysis of a Randomized Controlled Trial
  • Therapeutic Exercise Training to Reduce Chronic Headache in Working Women: Design of a Randomized Controlled Trial
  • Effects of Nonpharmacological Interventions for Dizziness in Older People: Systematic Review
  • Effects of Cooling During Exercise on Thermoregulatory Responses of Men With Paraplegia
  • Cognitive Contributions to Freezing of Gait in Parkinson Disease: Implications for Physical Rehabilitation
  • Neck Pain and Proprioception Revisited Using the Proprioception Incongruence Detection Test
  • 10-m Shuttle Ride Test in Youth With Osteogenesis Imperfecta Who Use Wheelchairs: Feasibility, Reproducibility, and Physiological Responses
  • Tonic Stretch Reflex Threshold as a Measure of Ankle Plantar-Flexor Spasticity After Stroke
  • Diaphragm Pacing as a Rehabilitative Tool for Patients With Pompe Disease Who Are Ventilator-Dependent: Case Series
  • NF-κB Signaling Pathway in Controlling Intervertebral Disk Cell Response to Inflammatory and Mechanical Stressors
  • Mechanotransduction: Relevance to Physical Therapist Practice—Understanding Our Ability to Affect Genetic Expression Through Mechanical Forces
  • Developmental Biology and Regenerative Medicine: Addressing the Vexing Problem of Persistent Muscle Atrophy in the Chronically Torn Human Rotator Cuff
  • Neural Stem Cell Therapy and Rehabilitation in the Central Nervous System: Emerging Partnerships
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Group Versus Individual Physical Therapy for Veterans With Knee Osteoarthritis: Randomized Clinical Trial
Kelli D. Allen, Dennis Bongiorni, Hayden B. Bosworth, Cynthia J. Coffman, Santanu K. Datta, David Edelman, Katherine S. Hall, Jennifer H. Lindquist, Eugene Z. Oddone, Helen Hoenig
Physical Therapy May 2016, 96 (5) 597-608; DOI: 10.2522/ptj.20150194

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Group Versus Individual Physical Therapy for Veterans With Knee Osteoarthritis: Randomized Clinical Trial
Kelli D. Allen, Dennis Bongiorni, Hayden B. Bosworth, Cynthia J. Coffman, Santanu K. Datta, David Edelman, Katherine S. Hall, Jennifer H. Lindquist, Eugene Z. Oddone, Helen Hoenig
Physical Therapy May 2016, 96 (5) 597-608; DOI: 10.2522/ptj.20150194
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  • Reliability and Validity of Force Platform Measures of Balance Impairment in Individuals With Parkinson Disease
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Show more Musculoskeletal

Subjects

  • Geriatrics
    • Osteoporosis
  • Intervention
    • Patient/Client-Related Instruction
    • Therapeutic Exercise
  • Randomized Controlled Trials
  • Musculoskeletal System/Orthopedic
    • Osteoarthritis
    • Injuries and Conditions: Knee
  • Military and Veteran Rehabilitation

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