Key Study Findings
The study compared the benefits of in-person physical therapy and internet-based physical therapy for knee OA.
In-Person Physical Therapy
- Reported more physical activity instruction
- Performed better on physical ability tests
- Had higher satisfaction with sleep, fatigue, and overall life satisfaction
- Experienced less fatigue
- Had a higher overall rating of knee symptom improvement
Internet-Based Physical Therapy
- Reported a higher level of weekly stretching
- Showed more consistency with exercise
- Reported a higher level of symptom improvement in pain
While the study didn’t find significant differences between the treatment groups and the control group, it highlights the importance of personalized care and consistent engagement with treatment plans. Speak with your health care provider to determine the best approach for managing your knee OA, considering your lifestyle and preferences.
Using a Hybrid PT Model
Susan Nowell, DPT, finds that physical therapy exercises implemented at home complement in-person PT. As a physical therapist, she thinks of herself as a movement specialist, researcher, coach, and educator. The hybrid model she uses in her practice offers people in-person physical therapy to evaluate their needs and establish a plan of action. Then, with proper guidance on exercises, she can follow up with patients remotely. “We establish a plan of care, get people started, coach them, and guide them through exercises, but alongside that, we’re also doing remote check-ins with our strengthening program,” explains Dr. Nowell.
After being discharged from in-person physical therapy, Dr. Nowell’s patients still check in remotely at three months, six months, and a year down the road. “We really consider those wellness checks,” she says. “This study reflects what we’re finding in practice that works very well — a wellness, holistic approach utilizing both in-person and web-based care.”
Using a hybrid model combines the benefits of a professional evaluation and a customized care plan from a physical therapist with the flexibility and ongoing support of telehealth. This approach can enhance recovery outcomes and potentially reduce overall treatment costs. “It depends on the type of patient who’s going to benefit the most from telehealth versus in-person physical therapy,” explains Dr. Nowell. “If the patient really needs hands-on muscle facilitation, or I need to gauge how well they’re activating a muscle, I can’t see what they’re doing functionally through video only, so I would want to see somebody in person. Or if they need some hands-on traction, mobilizations, and manual therapy, then I would prefer to see them in person.”
Tips for Continuing PT at Home
While there is no substitute for in-person PT, Dr. Nowell shares that there is a place for home-based therapy. “Once they get to a place where we’ve set up an exercise program or they’re not in as much pain, then I absolutely think telehealth and video-based or remote-based care is beneficial for guiding somebody forward with exercises,” she explains. Here she shares a few tips to help make it work for you.
- Be consistent: Regular engagement with any treatment is crucial. If you opt for an online program, set a routine to follow it consistently.
- Use a tailored treatment plan: Working closely with a physical therapist to adjust exercises based on your progress and challenges can enhance the benefits.
- Create a routine: Incorporating regular stretching and aerobic activities into your daily routine can help manage OA symptoms. Even small, consistent changes in your physical activity can make a difference.
- Remember to stretch: Stretching helps maintain flexibility and reduce muscle tension around the joints, reducing stiffness and increasing your range of motion.
- Do low-impact exercises: Walking can help improve cardiovascular health, manage weight, and reduce joint pain. Aim for at least 20-30 minutes of walking at a moderate pace most days of the week. Use supportive shoes and walk on even surfaces to minimize joint strain.
- Use strengthening exercises: Strengthening the muscles around your joints helps support and protect them, reducing pain and improving function. Exercises such as leg extensions and squats can be helpful components of your routine.
- Ask your doctor about wearing a brace: A knee brace can be worn during physical activity to support your knee by offloading pressure, making it easier to move around.
- Listen to your body: If an exercise causes pain (beyond normal discomfort), stop and consult your health care provider.
- Stay hydrated: Drink plenty of water before, during, and after exercising.
- Seek guidance: If you’re unsure how to perform an exercise, ask your physical therapist for a demonstration or look for reputable online resources.
- Stay informed and motivated: Finding motivation and staying informed about your treatment options can help you stay on track. Support from your health care team, family, friends, or OA support groups can be beneficial.
Remember, managing OA is a journey, and finding what works best for you might take time. Stay proactive, seek support, and keep moving forward towards better joint health.
Be a More Proactive Patient with PatientSpot
PatientSpot (formerly ArthritisPower) is a patient-led, patient-centered research registry for people living with chronic conditions. You can participate in voluntary research studies about your health conditions and use the app to track your symptoms, disease activity, and medications — and share with your doctor. Learn more and sign up here.
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