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Delivering exercise therapy in practice: a lot to consider, and much still to work out

  • J. Haxby Abbott
    Correspondence
    Address correspondence and reprint requests to: Professor Haxby Abbott, PO Box 913, 3rd Floor, University of Otago Medical School, Dunedin 9054, New Zealand.
    Affiliations
    Centre for Musculoskeletal Outcomes Research, Department of Surgical Sciences, University of Otago Medical School, Dunedin, New Zealand
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Published:December 09, 2022DOI:https://doi.org/10.1016/j.joca.2022.12.001
Delivering exercise therapy in practice: a lot to consider, and much still to work out
Previous ArticleTrajectories of body mass index from early adulthood to late midlife and incidence of total knee arthroplasty for osteoarthritis: findings from a prospective cohort study
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      It is well accepted that ‘exercise’ is a core, first-line treatment for people with hip or knee osteoarthritis, recommended by clinical practice guidelines internationally
      • Overton C.
      • Nelson A.E.
      • Neogi T.
      Osteoarthritis treatment guidelines from six professional societies: similarities and differences.
      Rheum Dis Clin. 2022; 48: 637-657https://doi.org/10.1016/j.rdc.2022.03.009
      . Evidence for the effectiveness of exercise therapy in this context has been clear for perhaps two decades
      • Verhagen A.P.
      • Ferreira M.
      • Reijneveld-van de Vendel E.A.
      • Teirlinck C.H.
      • Runhaar J.
      • van Middelkoop M.
      • et al.
      Do we need another trial on exercise in patients with knee osteoarthritis?.
      Osteoarthritis Cartilage. 2019 Sep 1; 27: 1266-1269https://doi.org/10.1016/j.joca.2019.04.020
      ,
      • Uthman O.A.
      • Van Der Windt D.A.
      • Jordan J.L.
      • Dziedzic K.S.
      • Healey E.L.
      • Peat G.M.
      • et al.
      Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis.
      BMJ. 2013; 347https://doi.org/10.1136/bmj.f5555
      . But what do we mean by exercise? What kind of exercise? Does any type of exercise work well for everyone? And how is it best delivered?
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      References

        • Overton C.
        • Nelson A.E.
        • Neogi T.
        Osteoarthritis treatment guidelines from six professional societies: similarities and differences.
        Rheum Dis Clin. 2022; 48: 637-657https://doi.org/10.1016/j.rdc.2022.03.009
        View in Article
        • Verhagen A.P.
        • Ferreira M.
        • Reijneveld-van de Vendel E.A.
        • Teirlinck C.H.
        • Runhaar J.
        • van Middelkoop M.
        • et al.
        Do we need another trial on exercise in patients with knee osteoarthritis?.
        Osteoarthritis Cartilage. 2019 Sep 1; 27: 1266-1269https://doi.org/10.1016/j.joca.2019.04.020
        View in Article
        • Uthman O.A.
        • Van Der Windt D.A.
        • Jordan J.L.
        • Dziedzic K.S.
        • Healey E.L.
        • Peat G.M.
        • et al.
        Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis.
        BMJ. 2013; 347https://doi.org/10.1136/bmj.f5555
        View in Article
        • Selten E.M.
        • Vriezekolk J.E.
        • Nijhof M.W.
        • Schers H.J.
        • van der Meulen-Dilling R.G.
        • van der Laan W.H.
        • et al.
        Barriers impeding the use of non-pharmacological, non-surgical care in hip and knee osteoarthritis: the views of general practitioners, physical therapists, and medical specialists.
        J Clin Rheumatol. 2017; 23: 405-410
        View in Article
        • Cottrell E.
        • Roddy E.
        • Foster N.E.
        The attitudes, beliefs and behaviours of GPs regarding exercise for chronic knee pain: a systematic review.
        BMC Fam Pract. 2010; 11: 4
        http://www.biomedcentral.com/1471-2296/11/4
        View in Article
        • Moseng T.
        • Dagfinrud H.
        • Østerås N.
        Implementing international osteoarthritis guidelines in primary care: uptake and fidelity among health professionals and patients.
        Osteoarthritis Cartilage. 2019 Aug 1; 27: 1138-1147https://doi.org/10.1016/j.joca.2019.03.010
        View in Article
        • Barton C.J.
        • King M.G.
        • Dascombe B.
        • Taylor N.F.
        • de Oliveira Silva D.
        • Holden S.
        • et al.
        Many physiotherapists lack preparedness to prescribe physical activity and exercise to people with musculoskeletal pain: a multi-national survey.
        Phys Ther Sport. 2021; 49: 98-105https://doi.org/10.1016/j.ptsp.2021.02.0 02
        View in Article

      8. Holden et al. Recommendations for the Delivery of Therapeutic Exercise for People with Knee And/or Hip Osteoarthritis. An International Consensus Study from the OARSI Rehabilitation Discussion Group. OAC12443R1.

        View in Article
        • Holden M.A.
        • Button K.
        • Collins N.J.
        • Henrotin Y.
        • Hinman R.S.
        • Larsen J.B.
        • et al.
        Guidance for implementing best practice therapeutic exercise for patients with knee and hip osteoarthritis: what does the current evidence base tell us?.
        Arthritis Care Res. 2021; 73: 1746-1753
        View in Article
        • Juhl C.
        • Christensen R.
        • Roos E.M.
        • Zhang W.
        • Lund H.
        Impact of exercise type and dose on pain and disability in knee osteoarthritis: a systematic review and meta-regression analysis of randomized controlled trials.
        Arthritis Rheumatol. 2014; 66: 622-636
        View in Article
        • Goh S.L.
        • Persson M.S.
        • Stocks J.
        • Hou Y.
        • Welton N.J.
        • Lin J.
        • et al.
        Relative efficacy of different exercises for pain, function, performance and quality of life in knee and hip osteoarthritis: systematic review and network meta-analysis.
        Sports Med. 2019; 49: 743-761
        View in Article
        • Quicke J.G.
        • Runhaar J.
        • van der Windt D.A.
        • Healey E.L.
        • Foster N.E.
        • Holden M.A.
        Moderators of the effects of therapeutic exercise for people with knee and hip osteoarthritis: a systematic review of sub-group analyses from randomised controlled trials.
        Osteoarthritis Cartilage Open. 2020; 2100113
        View in Article
        • Moseng T.
        • Dagfinrud H.
        • Smedslund G.
        • Østerås N.
        The importance of dose in land-based supervised exercise for people with hip osteoarthritis. A systematic review and meta-analysis.
        Osteoarthritis Cartilage. 2017; 25: 1563-1576
        View in Article
        • Pinto D.
        • Bockenholt U.
        • Lee J.
        • Chang R.W.
        • Sharma L.
        • Finn D.J.
        • et al.
        Preferences for physical activity: a conjoint analysis involving people with chronic knee pain.
        Osteoarthritis Cartilage. 2019; 27: 240-247
        View in Article
        • Gesell S.
        • Prvu Bettger J.
        • Lawrence R.H.
        • Li J.
        • Hoffman J.
        • Lutz B.J.
        • et al.
        Implementation of complex interventions: lessons learned from the patient-centered outcomes research institute transitional care portfolio.
        Med Care. 2021; 59: S344-S354https://doi.org/10.1097/MLR.0000000000001591
        View in Article

      Article info

      Publication history

      Published online: December 09, 2022
      Accepted: December 1, 2022
      Received: November 23, 2022

      Publication stage

      In Press Journal Pre-Proof

      Identification

      DOI: https://doi.org/10.1016/j.joca.2022.12.001

      Copyright

      © 2022 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

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