Question: To explore how stakeholders (physical therapists, telephone coaches, and patients) experienced, and made sense of, being involved in an integrated program of physical therapist-supervised exercise and telephone coaching for people with knee osteoarthritis (OA). Design: Qualitative cross-sectional design informed by grounded theory and symbolic interactionism. Method: Semi-structured interviews. Setting: Australian Healthcare system. Participants: An earlier randomised controlled trial (RCT) by Bennel et al (2012) provided eligibility for this study as all stakeholders were previously involved in this trial. 6 patients with knee OA with knee pain of ≥4/10, 3 points of criteria from the American College of Rheumatology and a classification
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This is an appropriate design as it allows the construction of theories through the analysis of data. As the study question is looking for stakeholder’s experiences and perception of the intervention this design can be beneficial as it prevents possible bias that may otherwise occur with a preconceived theory. While grounded theory often negates the need for a theoretical perspective, the study used a social theory known is symbolic interactionism, providing a focus for the study. This provided theoretical perspective by focusing the study on human interactions as the theory presumes these interactions are what forms perception and meaning about …show more content…
On average the 19 studies had a PEDro score of 6.78/10, which was considered high quality. Risk of bias was also assessed using the Cochrane collaboration tool. This assessment indicated that 6 studies had a low risk of bias, 10 studies had a high risk and 3 studies had an unclear risk. The results of scientific quality were taken into consideration in the conclusion of the study. The conclusion that home exercise programs reduced knee pain and improved function in patients with knee OA was based on high methodological quality. The large evidence was for open and closed kinematic chain exercises. However, the review also concluded there was small amounts of evidence for other methods of exercise like tai chi, balance and proprioceptive training for providing some effect for knee OA pain and function.
The authors of this review declared no conflicts of interest and acknowledged King Saud University for funding this review. The funding for the studies involved was not
This is an appropriate design as it allows the construction of theories through the analysis of data. As the study question is looking for stakeholder’s experiences and perception of the intervention this design can be beneficial as it prevents possible bias that may otherwise occur with a preconceived theory. While grounded theory often negates the need for a theoretical perspective, the study used a social theory known is symbolic interactionism, providing a focus for the study. This provided theoretical perspective by focusing the study on human interactions as the theory presumes these interactions are what forms perception and meaning about …show more content…
On average the 19 studies had a PEDro score of 6.78/10, which was considered high quality. Risk of bias was also assessed using the Cochrane collaboration tool. This assessment indicated that 6 studies had a low risk of bias, 10 studies had a high risk and 3 studies had an unclear risk. The results of scientific quality were taken into consideration in the conclusion of the study. The conclusion that home exercise programs reduced knee pain and improved function in patients with knee OA was based on high methodological quality. The large evidence was for open and closed kinematic chain exercises. However, the review also concluded there was small amounts of evidence for other methods of exercise like tai chi, balance and proprioceptive training for providing some effect for knee OA pain and function.
The authors of this review declared no conflicts of interest and acknowledged King Saud University for funding this review. The funding for the studies involved was not