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

Holden, Melanie, Metcalf, Ben, Lawford, Belinda, Hinman, Rana, Boyd, M, Button, Kate ORCID: https://orcid.org/0000-0003-1073-9901, Collins, Natalie, Cottrell, Elizabeth, Henrotin, Yves, Larsen, Jesper, Master, Hiral, Skou, Soren, Thoma, Louise, Rydz, R, Wellsandt, Elizabeth, White, Daniel and Bennell, Kim 2023. 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. Osteoarthritis and Cartilage 31 (3) , pp. 386-396. 10.1016/j.joca.2022.10.009

PDF - Published Version Available under License Creative Commons Attribution. Download (1MB)

Abstract

Objective To develop evidence-informed recommendations to support the delivery of best practice therapeutic exercise for people with knee and/or hip osteoarthritis (OA). Design A multi-stage, evidence-informed, international multi-disciplinary consensus process that included: 1) a narrative literature review to synthesise existing evidence; 2) generation of evidence-informed proposition statements about delivery of exercise for people with knee and/or hip OA by an international multi-disciplinary expert panel, with statements refined and analysed thematically; 3) an e-Delphi survey with the expert panel to gain consensus on the most important statements; 4) a final round of statement refinement and thematic analysis to group remaining statements into domains. Results The expert panel included 318 members (academics, health care professionals and exercise providers, patient representatives) from 43 countries. Final recommendations comprised 54 specific proposition statements across 11 broad domains: 1) use an evidence-based approach; 2) consider exercise in the context of living with OA and pain; 3) undertake a comprehensive baseline assessment with follow-up; 4) set goals; 5) consider the type of exercise; 6) consider the dose of exercise; 7) modify and progress exercise; 8) individualise exercise; 9) optimise the delivery of exercise; 10) focus on exercise adherence; and 11) provide education about OA and the role of exercise. Conclusion The breadth of issues identified as important by the international diverse expert panel highlights that delivering therapeutic exercise for OA is multi-dimensional and complex. Keywords

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
ISSN:	1063-4584
Date of First Compliant Deposit:	9 December 2022
Date of Acceptance:	10 October 2022
Last Modified:	07 May 2023 14:51
URI:	https://orca.cardiff.ac.uk/id/eprint/154784

Citation Data

Cited 17 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item