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VOLUME 55 , ISSUE 3 ( July-September, 2021 ) > List of Articles

Original Article

Impact of Mobile App-based Non-surgical Nursing Intervention on the Adherence to Exercise and Other Management among Patients with Knee Osteoarthritis

Pooja Kumari, Sushma K Saini, Amarjeet Singh, Bibek Adhya, Bhim Singh

Citation Information :

DOI: 10.5005/jp-journals-10028-1450

License: CC BY-NC 4.0

Published Online: 00-09-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Background and objective: Technology is an important part of today's scenario. In the healthcare department, many technological advancements took place that make it easy for patients as well as healthcare providers. This study was designed to assess the effectiveness of the mobile app-based non-surgical nursing management on reducing the problems of knee osteoarthritis (KOA) patients attending physiotherapy OPD, PGIMER, Chandigarh. Materials and methods: This randomized control trial was conducted at physiotherapy OPD, PGIMER, Chandigarh. A total of 80 participants attending physiotherapy OPD from July 15, 2019, to August 30, 2019, were involved in the study and randomized into two groups (experimental and control groups) using a random number table. Problems of KOA patients were assessed by interviewing them. The protocol was in the form of a mobile app (Jiyyo app)-based non-surgical nursing management of KOA patients. This app contained the patient's information, audio call and messages option, medical record-keeping, bills, appointments. Follow-up can also be done through this app. Through this app exercise pdf file was sent to the patient's app that contained exercises related to the KOA. After baseline assessment, a mobile app was installed in the mobile of the experimental group. Weekly motivational telephonically call was done to participants of the experimental group. Monthly two follow-ups were done to motivate the participants. The control group was asked to carry out the instructions given to them. Post-assessment was done after 3 months in both groups by using the same interview schedule. Results and analysis: There was a significant improvement in physical function and movement of the knee. Knee movement, physical functions improved and there was decreased joint stiffness (p ≤ 0.01) and level of pain (p ≤ 0.01). The experimental group had significantly better adherence to treatment and exercises. The control group had no significant improvement after 3 months. Conclusion: Mobile-based non-surgical nursing management for KOA patients was effective in improving the adherence to the prescribed exercises, treatment and helped in reducing pain and improving activities of daily living among patients with KOA.

  1. Pal CP, Singh P, Caturvedi S, et al. Epidemiology of knee osteoarthritis in India and related factors. Indian J Orthop 2016;50(5):518–522. DOI: 10.4103/0019-5413.189608.
  2. Azad CS, Singh AK, Pandey P, et al. Osteoarthritis in India: an epidemiologic aspect. Int J Recent Sci Re 2017;8(10):20918–20922. DOI: 10.24327/ijrsr.2017.0810.0984.
  3. Chen D, Shen J, Zhao W, et al. Osteoarthritis: toward a comprehensive understanding of pathological mechanism. Bone Res 2017;5(1):16044. DOI: 10.1038/boneres.2016.44.
  4. Osteoarthritis Causes [Internet]. WebMD. [cited 2020 Jun 27]. Available from:
  5. Susko AM, Fitzgerald GK. The pain-relieving qualities of exercise in knee osteoarthritis. Open Access Rheumatol 2013;5:81–91. DOI: 10.2147/OARRR.S53974.
  6. Salaffi F, Leardini G, Canesi B, et al. Reliability and validity of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index in Italian patients with osteoarthritis of the knee. Osteoarthritis Cartilage 2003;11(8):551–560. DOI: 10.1016/s1063-4584(03)00089-x.
  7. Visual Analog Survey Scale -- A Pain-ful Misnamed Scale [Internet]. Great Brook Consulting. 2019 [cited 2020 Jun 27]. Available from:
  8. Paula JJ, Bertola L, Ávila RT, et al. Development, validity, and reliability of the general activities of daily living scale: a multidimensional measure of activities of daily living for older people. Brazil J Psychiat 2014;36(2):143–152. DOI: 10.1590/1516-4446-2012-1003.
  9. American Academy of Orthopaedic Surgeons - AAOS [Internet]. [cited 2020 Jun 27]. Available from:
  10. 10.7573/dic.2020-7-5American College of Rheumatology [Internet]. [cited 2020 Jun 27]. Available from:
  11. Osteoarthritis Research Society International (OARSI) [Internet]. [cited 2020 Jun 27]. Available from:
  12. Venkatachalam J, Natesan M, Eswaran M, et al. Indian Journal of Public Health - Prevalence of osteoarthritis of knee joint among adult population in a rural area of Kanchipuram District, Tamil Nadu: Download PDF [Internet]. [cited 2020 Mar 19]. Available from:;year=2018;volume=62;issue=2;spage=117;epage=122;aulast=Venkatachalam;type=2.
  13. Silverwood V, Blagojevic-Bucknall M, Jinks C, et al. Current evidence on risk factors for knee osteoarthritis in older adults: a systematic review and meta-analysis. Osteoarthri Cartil 2015;23(4):507–515. DOI: 10.1016/j.joca.2014.11.019.
  14. Srilekha C, Kumar CP. The study on prevalence and management of osteoarthritis in South India. Int J Orthopaed Sci 2019;5(4):112–117. DOI: 10.22271/ortho.2019.v5.i4c.1656.
  15. Plotnikoff R, Karunamuni N, Lytvyak E, et al. Osteoarthritis prevalence and modifiable factors: a population study. BMC Public Health 2015;15(1):1195. DOI: 10.1186/s12889-015-2529-0.
  16. Danbjørg DB, Villadsen A, Gill E, et al. Usage of an exercise app in the care for people with osteoarthritis: user-driven exploratory study. JMIR Mhealth Uhealth [Internet] 2018;6(1). DOI: 10.2196/mhealth.7734Available from:
  17. Sharma M, Singh A, Dhillon MS, et al. Awareness level and recommendation of non pharmacological strategies for managing knee osteoarthritis among medical personnel. Int J Concept Manage Soc Sci 2015;3(1):7–10.
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