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Hydrotherapy Outcome Measures for People with Arthritis

1. Clinical experience suggests that which of the following are benefits of hydrotherapy when compared to land-based exercises?

A. The warm temperature of hydrotherapy pools may decrease pain and stiffness. B. The warm temperature of hydrotherapy pools may promote relaxation. C. Buoyancy reduces the amount of load going through a joint, which enables patients to perform functional closed-chain exercises that may not be possible on land. D. All of the above.

2. Patient reported outcome measures are important to gain an understanding of outcomes relevant to patient's concerns and are increasingly being used to evaluate the benefits of interventions in chronic conditions.

A. True B. False

3. Out of the eight categories of patient reported outcome measures, the majority used in hydrotherapy studies are all of the following, except:

A. Generic B. Condition specific C. Disease specific D. Joint specific

4. The Physical Activity Scale for the Elderly (PASE) is considered the gold standard patient reported outcome measure as it was specifically developed for hydrotherapy intervention studies.

A. True B. False

5. The Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) is widely promoted for patients with osteoarthritis of the hip or knee due to all of the following, except:

A. Its ability to measure change B. Its validity C. Its reliability D. Its responsiveness

6. Which of the following osteoarthritis questionnaires have been reported to have sound psychometric properties for arthritic populations and can be considered appropriate outcome measures?

A. Knee Injury and Osteoarthritis Outcome Score Questionnaire B. Lequesne Index for Osteoarthritis of the Knee C. Both (A) and (B) D. None of the above

7. Hydrotherapy is often suggested as an exercise intervention for people with arthritis, however, inappropriate outcome measures may account for why few studies have been able to demonstrate that water-based exercises are superior to other forms of exercise.

A. True B. False


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