ESCAPE-pain Programme in Malaysia

Launched by MUHAMMAD KAMIL CHE HASAN · Dec 18, 2017

Keywords

ClinConnect Summary

In Malaysia, functional limitations and impaired daily living activities affect patients with knee osteoarthritis (OA) in such a way that they tend to refrain from hospital visits. This may may lead to depression and reduced quality of life, which may then impact on increases in health care costs. The service provided by hospitals to these patients, is under-utilised by the multi-ethnic people that make up the population. Through the researcher's previous clinical experience, it was observed that patients were complaining of difficulty in getting to the hospital, long waiting times, and als...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age 50 years or older (one of the criteria to diagnose knee osteoarthritis by a medical officer based on Ministry of Health Malaysia guidelines (MoH, 2014)).
• • Diagnosed with osteoarthritis affecting the knee by medical officer based on Clinical Practice Guidelines (CPG) MOH (MOH, 2014).
• • Independently mobile either with or without walking aid.
• • Approved medically fit for exercise by a medical officer.
• • Able to communicate in Malay language.
• • Must have mental capacity to give informed consent.
• Exclusion Criteria:
• • Had knee replacement / lower limb arthroplasty.
• • Intraarticular injections within past six months.
• • Have any significant musculoskeletal issues (e.g. inflammatory arthritis, connective tissue diseases, fibromyalgia, severe osteoporosis, peripheral neuropathy, or gout).
• • Very severe joint pain which limiting mobility to less than 50 metres.
• • people with unstable co-morbidities (such as cardiovascular and respiratory conditions, type 2 diabetes, severe pain in other joints).
• • wheelchair user.
• • severe cognitive impairment assessed by a medical officer.
• • severe auditory or visual impairment assessed by a medical officer.
• • inability to comprehend the ESCAPE-pain procedure