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Pulse Home Health Care practices skilled health care procedures firmly rooted in the latest research and best practice policies. We routinely mail bulletins to physicians and other medical referral sources to highlight how we help patients and to explain the scientific basis for different services. On our home health website we share selected physician bulletins about Pulse's Home Health Services. If you have questions about how home health could help you, please contact us today.

Home-Based Exercises Achieve

Long-Term Success with Pain
and Osteoarthritis of the Knee

Home Based Exercise

Eleven percent of the population aged 64 years or older have symptomatic osteoarthritis of the knee. (1)  Thousands of elderly in our area live with reduced mobility, daily pain, and the emotional consequences of the disease.  Many seniors do not ask for help.  A study conducted by the Arthritis Foundation in San Mateo, CA shows that more than 50% of people suffering from arthritis did not believe or were not sure that doctors knew of anything that could improve their condition. (2)  For homebound patients with a recent health occurrence, a referral to Pulse Home Health Care is one of the significantly effective things you can do to help patients with knee pain and osteoarthritis of the knee.

Controlled trials now demonstrate that supervised, home exercise plans achieve significant results for seniors with osteoarthritis of the knee—adding to the improvements achieved through medication. (3,4)  Research also demonstrates that professional supervision is a necessary component for optimal results. (5)  The largest, highest quality trial to date is the randomized, controlled trial by Thomas et al., published in the British Medical Journal.  Six hundred participants completed their two year trial.  Their study included participants with osteoarthritis of the knee and patients with knee pain characteristic of pre-osteoarthritis / pre-radiographic evidence.  Even two years after the start of physical therapy intervention, participants reported an average 12% reduction in knee pain scores, 11% improvement in physical function scores, and 9% improvement in stiffness ratings.  Results were even greater among patients reporting medium to high adherence.  Exercise intervention consisted of 10 in-home visits lasting 30 minutes each to develop and supervise exercise programs that improve the strength of the muscles acting around the knee, knee range of motion, and locomotor function.  Exercises were self-paced but became progressively more challenging using graded elastic bands.  

Pulse Home Health Care delivers exercise programs such as the ones described in these studies.  For qualified patients, Medicare pays 100% of allowable costs with no out-of-pocket expense to your patients.  In addition to homebound requirements, Medicare looks for a recent medical occurrence to justify home health services.  In the case of knee pain, this could be a recent accidental fall, a change in medication for pain relief, a recently documented decline in function, the recent addition of an ambulation device, a recent change in documented pain, new radiographic findings, etc.  When you see patients whose quality of life is decreased by arthritic pain, please remember the therapy and pain relief services available through Pulse Home Health Care.


  1. Felson DT, Zhang Y. An update on the epidemiology of the knee and hip osteoarthritis with a view to prevention. Arthritis Rhuem 1998; 41: 1343-55.
  2. Communication Technologies. A study of help-seeking among individuals with musculoskeletal conditions in San Mateo County. National Arthritis Foundation. San Francisco, CA 1993.
  3. Thomas K, Muir K, Doherty A, et al. Home based exercise programme for knee pain and knee osteoarthritis: randomised controlled trial. BMJ. 2002; 325: 725.
  4. O'Reilly SC, Muir KR, Doherty M. The effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomised controlled trial. Ann Rheum Dis 1999;58:15­9.
  5. Deyle G, Allison S, Makekel R, et al. Physical therapy treatment effectiveness for osteoarthritis of the knee: A randomized comparison of supervised clinical exercise and manual therapy procedures versus a home exercise program. Physical Therapy. 2005; 85 (12): 1301-1317.


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Pulse Home Health Care

HomeCare Elite
2009     2010
Named as one of the top 500 agencies nationwide

2325 Severn Ave, Ste 5 Pulse Home Health CareMetairie LA 70001 Pulse Home Health Care(504) 831-7778

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