{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T19:46:04Z","timestamp":1774899964417,"version":"3.50.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,7,17]],"date-time":"2017-07-17T00:00:00Z","timestamp":1500249600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> To assess the effectiveness of a 12-week self-management and exercise intervention (the PLE<jats:sup>2<\/jats:sup>NO program) in elderly individuals with knee osteoarthritis. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design:<\/jats:title><jats:p> Randomized controlled trial. <\/jats:p><\/jats:sec><jats:sec><jats:title>Setting:<\/jats:title><jats:p> Four different community settings. <\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects:<\/jats:title><jats:p> Eighty individuals aged 60\u2009years or older with clinical and radiographic knee osteoarthritis enrolled in the study. <\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention:<\/jats:title><jats:p> A combined self-management and exercise intervention (treatment group) and an educational intervention (control group). <\/jats:p><\/jats:sec><jats:sec><jats:title>Main measures:<\/jats:title><jats:p> The primary outcomes were pain and other knee osteoarthritis symptoms (swelling, crackling, limitation on movement, and stiffness), self-management behaviors (communication with physician and cognitive symptom management), and functional lower limb strength. Secondary outcomes were knee osteoarthritis\u2013specific health-related quality of life, self-perceived health, aerobic capacity, lower and upper limb flexibility, and handgrip strength. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> In all, 67 participants, mean age 69.1\u2009\u00b1\u20095.8\u2009years, completed the study: 32 in the Educational Group and 35 in the Self-Management and Exercise Group. A significant group effect favorable to the Self-Management and Exercise Group was observed in the following variables: communication with the physicians ( P\u2009=\u2009.048), aerobic capacity ( P\u2009=\u2009.035), and functional lower limb strength ( P\u2009=\u2009.015). Although no significant group effect was detected, clinical improvements in pain (31%) and knee osteoarthritis symptoms (29%) were observed in the experimental group. No improvements regarding cognitive symptom management, self-perceived health, lower limb flexibility, and handgrip strength were found. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> This study supports the importance of a combined self-management and exercise intervention to improve functional lower limb strength and aerobic capacity in a Portuguese sample. Additionally, pain and other symptoms have improved clinically. <\/jats:p><\/jats:sec>","DOI":"10.1177\/0269215517718892","type":"journal-article","created":{"date-parts":[[2017,7,20]],"date-time":"2017-07-20T15:41:42Z","timestamp":1500565302000},"page":"223-232","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":38,"title":["A randomized controlled trial of a combined self-management and exercise intervention for elderly people with osteoarthritis of the knee: the PLE<sup>2<\/sup>NO program"],"prefix":"10.1177","volume":"32","author":[{"given":"Priscila","family":"Marconcin","sequence":"first","affiliation":[{"name":"Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal"},{"name":"Neuromechanics Research Group\u2014Interdisciplinary Centre for the Study of Human Performance (CIPER), Cruz Quebrada, Portugal"}]},{"given":"Margarida","family":"Espanha","sequence":"additional","affiliation":[{"name":"Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal"},{"name":"Neuromechanics Research Group\u2014Interdisciplinary Centre for the Study of Human Performance (CIPER), Cruz Quebrada, Portugal"}]},{"given":"J\u00falia","family":"Teles","sequence":"additional","affiliation":[{"name":"Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal"},{"name":"Neuromechanics Research Group\u2014Interdisciplinary Centre for the Study of Human Performance (CIPER), Cruz Quebrada, Portugal"}]},{"given":"Paulo","family":"Bento","sequence":"additional","affiliation":[{"name":"Federal University of Paran\u00e1, Curitiba, Brazil"}]},{"given":"Pedro","family":"Campos","sequence":"additional","affiliation":[{"name":"Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal"},{"name":"Neuromechanics Research Group\u2014Interdisciplinary Centre for the Study of Human Performance (CIPER), Cruz Quebrada, Portugal"}]},{"given":"Rui","family":"Andr\u00e9","sequence":"additional","affiliation":[{"name":"Rheumatology Service, Hospital Beatriz \u00c2ngelo, Loures, Portugal"}]},{"given":"Fl\u00e1via","family":"Y\u00e1zigi","sequence":"additional","affiliation":[{"name":"Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal"},{"name":"Laborat\u00f3rio de Fisiologia e Bioqu\u00edmica do Exerc\u00edcio, Interdisciplinary Centre for the Study of Human Performance (CIPER), Cruz Quebrada, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2017,7,17]]},"reference":[{"key":"bibr1-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1136\/ard.60.2.91"},{"key":"bibr2-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2014.01.003"},{"key":"bibr3-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004376.pub3"},{"key":"bibr4-0269215517718892","volume":"48","author":"Uthman OA","year":"2014","journal-title":"BMJ"},{"key":"bibr5-0269215517718892","unstructured":"Johnston S, Liddy C, Ives SM, et al Literature review on chronic disease self-management. The Champlain Local Health Integration Network, 2008, https:\/\/www.livinghealthynortheast.ca\/Portals\/0\/Documents\/Literature%20Review%20on%20Chronic%20Disease%20Self%20Management.pdf?ver=2013-01-25-154407-947"},{"key":"bibr6-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008963.pub2"},{"key":"bibr7-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1179\/108331906X163432"},{"key":"bibr8-0269215517718892","volume-title":"Literacia em Sa\u00fade em Portugal","author":"Espanha RA","year":"2016"},{"key":"bibr9-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-016-1115-7"},{"key":"bibr10-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780290816"},{"key":"bibr11-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1136\/ard.16.4.494"},{"key":"bibr12-0269215517718892","volume-title":"Guia para viver em PLE2NO: com menos dor e mais qualidade de vida","author":"Espanha M","year":"2015"},{"key":"bibr13-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005614.pub2"},{"key":"bibr14-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2008.05.009"},{"key":"bibr15-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-1-64"},{"key":"bibr16-0269215517718892","doi-asserted-by":"publisher","DOI":"10.4135\/9781452232966"},{"key":"bibr17-0269215517718892","doi-asserted-by":"publisher","DOI":"10.2466\/pms.1995.80.1.163"},{"key":"bibr18-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(90)90421-9"},{"key":"bibr19-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1123\/japa.6.4.363"},{"key":"bibr20-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.1998.10607708"},{"key":"bibr21-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1123\/japa.7.2.129"},{"key":"bibr22-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr051"},{"key":"bibr23-0269215517718892","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"bibr24-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20013"},{"key":"bibr25-0269215517718892","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1998"},{"key":"bibr26-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.02.008"},{"key":"bibr27-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/44.2.217"},{"key":"bibr28-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2013.05.002"},{"key":"bibr29-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1002\/art.24541"},{"key":"bibr30-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.30620"},{"key":"bibr31-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1002\/art.24832"},{"key":"bibr32-0269215517718892","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2012.660598"},{"key":"bibr33-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-15-235"},{"key":"bibr34-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2010.03.002"},{"key":"bibr35-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1123\/japa.5.3.244"},{"key":"bibr36-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2015.04.021"},{"key":"bibr37-0269215517718892","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyq077"},{"key":"bibr38-0269215517718892","doi-asserted-by":"publisher","DOI":"10.3233\/IES-2010-0385"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215517718892","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0269215517718892","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215517718892","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T07:16:09Z","timestamp":1740813369000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0269215517718892"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,17]]},"references-count":38,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1177\/0269215517718892"],"URL":"https:\/\/doi.org\/10.1177\/0269215517718892","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,17]]}}}