What should a toolkit to aid the delivery of therapeutic exercise for hip and knee osteoarthritis look like? Qualitative analysis of an international survey of 318 researchers, clinicians, and consumers by the OARSI Rehabilitation Discussion Group

Belinda J Lawford; Hiral Master; Jesper B Larsen; Cecilie Bartholdy; Patrick Corrigan; Elisabeth Ginnerup-Nielsen; Christina Le; Anthony Teoli; Kim L Bennell; Ben Metcalf; Rana S Hinman; Kate Button; Natalie J Collins; Elizabeth Cottrell; Yves Henrotin; Søren T Skou; Louise M Thoma; Elizabeth Wellsandt; Daniel K White; Melanie A Holden

doi:10.1002/msc.1732

What should a toolkit to aid the delivery of therapeutic exercise for hip and knee osteoarthritis look like? Qualitative analysis of an international survey of 318 researchers, clinicians, and consumers by the OARSI Rehabilitation Discussion Group

Musculoskeletal Care. 2023 Jun;21(2):545-555. doi: 10.1002/msc.1732. Epub 2023 Jan 11.

Authors

Belinda J Lawford¹, Hiral Master², Jesper B Larsen³, Cecilie Bartholdy⁴, Patrick Corrigan⁵, Elisabeth Ginnerup-Nielsen⁴, Christina Le⁶, Anthony Teoli^{7

8}, Kim L Bennell¹, Ben Metcalf¹, Rana S Hinman¹, Kate Button⁹, Natalie J Collins¹⁰, Elizabeth Cottrell¹¹, Yves Henrotin^{12

13

14

15}, Søren T Skou^{16

17}, Louise M Thoma¹⁸, Elizabeth Wellsandt¹⁹, Daniel K White²⁰, Melanie A Holden¹¹

Affiliations

¹ Department of Physiotherapy, Centre for Health, Exercise and Sports Medicine, School of Health Sciences, The University of Melbourne, Melbourne, Parkville, Australia.
² Vanderbilt Institute of Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
³ Department of Health Science and Technology, Musculoskeletal Health and Implementation, Aalborg University, Aalborg, Denmark.
⁴ The Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
⁵ Department of Physical Therapy and Athletic Training, Doisy College of Health Sciences, Saint Louis University, St. Louis, Missouri, USA.
⁶ University of Alberta in Edmonton, Edmonton, Alberta, Canada.
⁷ School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada.
⁸ Centre for Interdisciplinary Research in Rehabilitation (CRIR), Montreal, Quebec, Canada.
⁹ School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
¹⁰ School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland, Australia.
¹¹ Primary Care Centre Versus Arthritis, School of Medicine, David Weatherall Building, Keele University, Staffordshire, UK.
¹² Department of Physical Therapy and Rehabilitation, Princess Paola Hospital, Marche-en-Famenne, Belgium.
¹³ Motricity Sciences Department, musculoSKeletal Innovative Research Lab (mSKIL), Institute of Pathology, University of Liège, Liège, Belgium.
¹⁴ Center for Interdisciplinary Research on Medicines (CIRM), Institute of Pharmacy, University of Liège, Liège, Belgium.
¹⁵ The Osteoarthritis Foundation, Boncelles, Belgium.
¹⁶ Department of Sports Science and Clinical Biomechanics, Research Unit for Musculoskeletal Function and Physiotherapy, University of Southern Denmark, Odense, Denmark.
¹⁷ Department of Physiotherapy and Occupational Therapy, The Research Unit PROgrez, Naestved-Slagelse-Ringsted Hospitals, Slagelse, Denmark.
¹⁸ Division of Physical Therapy, Department of Health Sciences, School of Medicine, Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
¹⁹ Department of Health and Rehabilitation Sciences, College of Allied Health Professions, University of Nebraska Medical Center, Omaha, Nebraska, USA.
²⁰ Department of Physical Therapy, College of Health Sciences, University of Delaware, Newark, Delaware, USA.

PMID: 36631968
DOI: 10.1002/msc.1732

Abstract

Background: We aimed to identify important components of, and practical resources relevant for inclusion in, a toolkit to aid exercise delivery for people with hip/knee osteoarthritis.

Method: An online international multi-disciplinary survey was conducted across 43 countries (139 clinicians, 44 people with hip/knee osteoarthritis and 135 osteoarthritis researchers). Participants were presented with the seeding statement 'Practical resources to aid the implementation of exercise for people with hip/knee osteoarthritis should…' and asked to provide up to 10 open text responses. Responses underwent refinement and qualitative content analysis to create domains and categories.

Results: Refinement of 551 open text responses yielded 72 unique statements relevant for analysis. Statements were organised into nine broad domains, suggesting that resources to aid exercise delivery should: (1) be easily accessible; (2) be of high quality; (3) be developed by, and for, stakeholders; (4) include different ways of delivering information; (5) include different types of resources to support exercise and non-exercise components of self-management; (6) include resources on recommended exercises and how to perform/progress them; (7) include tools to support motivation and track progress; (8) include resources to enable tailoring of the programme to the individual and; (9) facilitate access to professional and peer support.

Conclusion: Our findings identified important components of, and practical resources to include within, a toolkit to aid delivery of exercise for people with hip/knee osteoarthritis. These findings have implications for exercise providers and lay the foundation for the development of a toolkit to help ensure exercise provision aligns with current international recommendations.

Keywords: exercise; implementation; osteoarthritis; qualitative; rehabilitation; toolkit.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Exercise
Exercise Therapy
Humans
Knee Joint
Osteoarthritis, Hip* / rehabilitation
Osteoarthritis, Knee* / rehabilitation

Abstract

Publication types

MeSH terms

Grants and funding