Research Week Abstract Book - Northern Health
Research Week Abstract Book - Northern Health
Research Week Abstract Book - Northern Health
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Aged Care<br />
ABSTRACT OF A Case STUDY COMParinG USUAL Care EXERCise AND BRAIN<br />
TRAINING EXERCises IN THE MANAGemenT OF KNEE OSTEOARTHRITIS<br />
Harms AD 1 , Stanton TR 2,3, Moseley LG 2,3 , Hau R. 1<br />
1<br />
<strong>Northern</strong> <strong>Health</strong>, Melbourne<br />
2<br />
The Sansom Institute for <strong>Health</strong> <strong>Research</strong>, The University of South Australia, Adelaide<br />
3<br />
Neuroscience <strong>Research</strong> Australia, Sydney<br />
Background<br />
Central sensitisation including disrupted cortical body schema is known to occur in chronic pain states and may contribute to<br />
osteoarthritis pain.<br />
Aim<br />
Case study using brain training exercises in osteoarthritic knee pain.<br />
Methodology<br />
Design: Case study, recruited from a replicated case series study using a randomised cross-over design comparing a usual<br />
care exercise programme (2 weeks) and brain training exercises (2 weeks) consisting of left/right judgments (pictures of left<br />
or right feet). Usual care was the first intervention. The participant was followed up at six months. Participant: A 71 year old<br />
lady with a three year history of right knee pain and known osteoarthritis Outcome measures: Knee pain rating with visual<br />
analogue scale, knee two point discrimination threshold, left/right judgment accuracy and speed, daily medication<br />
Results<br />
Baseline, knee pain 46/100mm, paracetamol 3990mg, ibuprofen 800mg, two point discrimination threshold 97mm, Left/right<br />
judgment accuracy right images 70% and left images 90% correct, reaction time 2.0 secs. Following two weeks of usual<br />
care: (17/100mm, paracetamol 2660mg, ibuprofen 400mg) two point discrimination 81mm, left/right accuracy (right 100%,<br />
left 80%) and reaction time increased to 2.4secs. Following brain training: pain and medication use decreased (0/100mm,<br />
paracetamol 665mg only), two point discrimination and left/right judgment similar (78mm, 90% right, 90% left), speed<br />
improved (1.5secs). At six month follow-up: pain remained at 0/100mm and no medication. Large decreases in two point<br />
discrimination occurred (52mm). Left/right judgment accuracy decreased (right 75%, left 83%) although speed improvements<br />
remained (1.6secs).<br />
Conclusion<br />
Brain training exercises may play a role in management of some presentations of osteoarthritic knee pain.<br />
16 <strong>Research</strong> <strong>Week</strong> <strong>Abstract</strong> <strong>Book</strong> <strong>Northern</strong> <strong>Health</strong> 2013
Change language