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Effect of Programmed Exercise through Telerehabilitation at Home on Visual Analogue Scale, Body Mass Index, and WOMAC among Patients with Obesity and Knee Osteoarthritis: A Quasi-Experimental Study

ACTA MEDICA INDONESIANA · Vol. 58 No. 1 (2026)

ISSN
2338-2732, 0125-9326
Published
2026-04-09
Publisher
The Indonesian Society of Internal Medicine
Language
eng
License
creativecommons.org/licenses/by/4.0

Abstract

Background: This study aims to determine the effectiveness of programmed exercise with telerehabilitation at home in patients with obesity and knee osteoarthritis on visual analogue scale scores, body mass index, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Methods: This research is a pre–post study in patients with obesity and knee osteoarthritis. Research subjects performed a series of exercise programs at home for 28 days. Before the program, there was an initial assessment from a psychologist and a nutritionist. During the program, there was tele-education, telemonitoring, and teleconsultation from doctors. Twenty-six female subjects participated. Results: Visual analogue scale scores decreased statistically significantly every week, until the end of the fourth week, compared with before the intervention (p<0.001). Body mass index and WOMAC scores decreased statistically significantly at the end of the fourth week compared with before the intervention (both p<0.001). Further analysis of all WOMAC components in the intervention group, including pain, stiffness, and physical function, also showed a statistically significant decrease (p<0.001). Conclusion: Programmed exercise as part of telerehabilitation at home has been statistically proven to reduce visual analogue scale scores, body mass index, and WOMAC in patients with obesity and knee osteoarthritis.

Keywords

Collaboration network of the authors

40 authors · 167 co-authorship links · showing the 40 most connected

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Co-authorOrganisationJoint articles
Siti SetiatiAffiliation unknown3
Nyoman MurdanaAffiliation unknown2
Rudy HidayatAffiliation unknown2
Nury NusdwinuringtyasAffiliation unknown2
Ari Fahrial SyamAffiliation unknown2
Aria KekalihAffiliation unknown2
Agus Dwi SusantoAffiliation unknown2
Siti Chandra WidjanantieAffiliation unknown2
Won Ah ChoiAffiliation unknown2
Seong Woong KangAffiliation unknown2
Purwita W LaksmiAffiliation unknown1
Euphemia SetoAffiliation unknown1
F.H. IdrisAffiliation unknown1
M. MansyurAffiliation unknown1
Sidartawan SoegondoAffiliation unknown1
Pradana SoewondoAffiliation unknown1
Joedo PrihartonoAffiliation unknown1
Nafrialdi NafrialdiAffiliation unknown1
Purwita Wijaya LaksmiAffiliation unknown1
Wasilah RochmahAffiliation unknown1
Eka D SafitriAffiliation unknown1
Yupitri PitoyoAffiliation unknown1
Dyah PurnamasariAffiliation unknown1
Kuntjoro HarimurtiAffiliation unknown1
Alida R HarahapAffiliation unknown1
Noto DwimartutieAffiliation unknown1
Ani Retno PrijantiAffiliation unknown1
I Dewa Putu PramantaraAffiliation unknown1
Maryastuti MaryastutiAffiliation unknown1
Triya DamayantiAffiliation unknown1
Putri PrathiwiAffiliation unknown1
Angela BM TulaarAffiliation unknown1
Muctarudin MansyurAffiliation unknown1
Ferial Hadipoetro IdrisAffiliation unknown1
Ismail IsmailAffiliation unknown1
Ratna Darjanti HaryadiAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, first harvested 8 Nov 2026, last seen 8 Nov 2026.
Original metadata (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Effect of Programmed Exercise through Telerehabilitation  at Home on Visual Analogue Scale, Body Mass Index,  and WOMAC among Patients with Obesity  and Knee Osteoarthritis: A Quasi-Experimental Study</dc:title>
	<dc:creator>Sasono, Binar</dc:creator>
	<dc:creator>Tamin, Tirza Z</dc:creator>
	<dc:creator>Harini, Melinda </dc:creator>
	<dc:creator>Rachmawati, Maria Regina </dc:creator>
	<dc:subject xml:lang="en-US">Telerehabilitation</dc:subject>
	<dc:subject xml:lang="en-US">Knee Osteoarthritis</dc:subject>
	<dc:subject xml:lang="en-US">Obesity</dc:subject>
	<dc:subject xml:lang="en-US">Body Mass Index</dc:subject>
	<dc:subject xml:lang="en-US">Visual Analogue Scale</dc:subject>
	<dc:subject xml:lang="en-US">WOMAC</dc:subject>
	<dc:description xml:lang="en-US">Background: This study aims to determine the effectiveness of programmed exercise with telerehabilitation at home in patients with obesity and knee osteoarthritis on visual analogue scale scores, body mass index, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Methods: This research is a pre–post study in patients with obesity and knee osteoarthritis. Research subjects performed a series of exercise programs at home for 28 days. Before the program, there was an initial assessment from a psychologist and a nutritionist. During the program, there was tele-education, telemonitoring, and teleconsultation from doctors. Twenty-six female subjects participated. Results: Visual analogue scale scores decreased statistically significantly every week, until the end of the fourth week, compared with before the intervention (p&amp;lt;0.001). Body mass index and WOMAC scores decreased statistically significantly at the end of the fourth week compared with before the intervention (both p&amp;lt;0.001). Further analysis of all WOMAC components in the intervention group, including pain, stiffness, and physical function, also showed a statistically significant decrease (p&amp;lt;0.001). Conclusion: Programmed exercise as part of telerehabilitation at home has been statistically proven to reduce visual analogue scale scores, body mass index, and WOMAC in patients with obesity and knee osteoarthritis.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2026-04-09</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/3119</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 58 No. 1 (2026): Acta Medica Indonesiana; 44</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/3119/848</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2026 Binar Sasono, Tirza Z Tamin, Melinda Harini, Maria Regina Rachmawati</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by/4.0</dc:rights>
</oai_dc:dc>