Barton C1,2, Kemp J1, Francis M1, Dundules K1, Wallis J1,3, Roos E4, Skou S4, Crossley K1
1La Trobe Sports and Exercise Medicine Research Centre, 2Department of Surgery, St Vincent’s Hospital, University of Melbourne, 3Cabrini Hospital, 4University of Southern Denmark.
Aim: Evaluate the feasibility of implementing an evidence based physiotherapy led 8-week education and exercise program for people with of knee OA – Good Life with osteoArthritis (GLA:D®).
Method: 40 physiotherapists (public and private) were trained to deliver GLA:D®, and implementation was supported where necessary. Knowledge and confidence to deliver evidence-based education and exercise was evaluated before and after. Patients attending a subset of GLA:DTM Australia programs completed outcomes at baseline and 3-months, including worst pain in the previous week and the knee osteoarthritis outcome score quality of life subscale (KOOS-QoL).
Results: The proportion of physiotherapists with adequate confidence to implement elements of evidence based care for knee OA increased from before to after the workshop, including prescription of resistance (80% to 100%), aerobic (69 to 88%) and functional (44 to 100%) exercise; and tailor education on self-management (84 to 100%), physical activity (61 to 100%), and weight management (64 to 80%) to people with knee OA improved following the workshop. GLA:DTM Australia was implemented in private practice, private hospital, public hospital and community health settings. Data from 51 patients (across all settings) indicated a 37% reduction in pain and a 12 point improvement in KOOS-QoL at 3-months.
Significance of the findings: GLA:DTM Australia improves physiotherapist knowledge and confidence to provide evidence-based education and exercise. Implementation of GLA:DTM Australia is feasible in public and private settings and leads to clinically meaningful improvements in pain and joint related quality of life. Further research is needed to determine the cost-effectiveness of scaling up this intervention.
[pdf-embedder url=”https://opus-tjr.org.au/wp-content/uploads/2019/04/Barton-C_poster-2.pdf” title=”Barton C_poster 2″]
For more information about this abstract, please contact:
Christian Barton, Sports and Exercise Medicine Research Centre, La Trobe University
- OPUS Forum 2019 Poster Presentations
- The combined effect of physiotherapy, intra-articular steroid injection and bracing on knee OA
- Telehealth v face-to-face physiotherapy for knee OA: a contingent valuation preference exercise
- Effectiveness of behavioural interventions on physical activity levels after joint replacement
- Opioid use prior to elective surgery is strongly associated with persistent use following surgery. An analysis of 14,354 Medicare patients
- Design of a text message intervention to support home exercise for people with knee osteoarthritis
- Candidacy and the Pathway to Total Knee Replacement: A Qualitative Study
- Community Osteoarthritis Hip and Knee Services may be a solution to keeping patients out of hospital
- Are illness perceptions a barrier to uptake of evidence-based interventions for knee osteoarthritis?
- How do patients appraise satisfaction, and pain and function outcomes after total knee replacement?
- Quality of Life Trajectories in Total Knee Replacement Patients: What can they tell us?
- Engaging in an evidence-based osteoarthritis management program: Referrer and patient perspectives
- Implementing evidence based education and exercise for knee osteoarthritis
- Does adding hip to quadriceps exercises improve outcomes for people with knee osteoarthritis?
- The utilisation of total knee replacement exceeds that predicted by population growth and obesity