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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
      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.
      . 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?.
      ,
      • 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.
      . 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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