What is the level of reporting around the education component in randomised controlled trials using manual therapy and education as a management for knee osteoarthritis? A Structured Literature Review
Item
- Title
- What is the level of reporting around the education component in randomised controlled trials using manual therapy and education as a management for knee osteoarthritis? A Structured Literature Review
- Author(s)
- Raufast, C
- Abstract
- Background Osteoarthritis is a chronic condition which prevalence is growing world-wide. Self-management and knowledge are vital to manage patients with knee osteoarthritis, for which literature has identified manual therapy and education to be an effective method to reduce symptoms and improve quality of life. Objective The aim of this study is to critically appraise the literature conducted over the last five years concerning combined manual therapy and education for management of patients diagnosed with knee osteoarthritis, to evaluate the level of report of education in clinical trials. Design Structured literature review Methods A systematic search using selected terms was conducted on PubMed, PEDro, ScienceDirect and the Cochrane Library databases to for relevant literature published between 2015 and 2019. A total of 1051 articles were found, followed by further filtering with inclusion and exclusion criteria. Ten eligible trials were kept, and relevant data were extracted in table forms. The PEDRo scale was used to determine study quality and a bespoke grading scale was elaborated to assess the level of education reporting. Results The overall quality of the studies was good to very good according to the bespoke scale. PEDro scores were overall indicative of good quality trials. The level of education reporting was good across studies, pointing toward a biomedical definition of education, and disease-centred intervention. However, there was no report of patient learning styles or level of understanding, and no report around the assessor trained in evaluating patients’ cognitive function. Discussion Heterogeneity in the manner of reporting about education across studies has led to limited analysis of data, with an additional risk of bias due to the bespoke scale. Addition of the biopsychosocial model in the management of knee osteoarthritis can clarify the role of education in improving patients’ symptoms and quality of life. It can also improve communication between patient and health care provider. Conclusion Patients suffering from knee osteoarthritis benefit from manual therapy and education, however results highlight that the type of education received is mostly focused on knowledge about the disease, hence there is scope for designing randomised control trials with intervention group using education based on patient-centred approach.
- presented at
- European School of Osteopathy
- Date Accepted
- 2020
- Date Submitted
- 28.10.2020 18:08:19
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16686
- Inst-Identifier
- 1229
- Keywords
- Education, Communication, Knee osteoarthritis, literature review
- Recommended
- 0
- Item sets
- Thesis
Raufast, C, “What is the level of reporting around the education component in randomised controlled trials using manual therapy and education as a management for knee osteoarthritis? A Structured Literature Review”, Osteopathic Research Web, accessed May 5, 2025, https://www.osteopathicresearch.org/s/orw/item/169