None listed
Conditions
Brief summary
Historically, the management of knee OA has been variable, and often limited to pharmaceutical management and total joint replacement. Recently, evidence-based recommendations for the management of knee OA have been developed by scientific societies and health organisations. Best-practice guidelines for the treatment of knee OA focus on conservative (non-operative) multidisciplinary management that encompasses education, exercise, lifestyle modification and weight-loss where relevant, while promoting self-management. This body of evidence demonstrates that multidisciplinary conservative management of knee OA is efficacious. This observational study aims to discover how knee osteoarthritis patients are currently been managed by community physiotherapists, and if this aligns with recommended guidelines.
Interventions
This is an observational study that will examine current practice for the management of knee OA. Nine metropolitan-based, community physiotherapy practices and 30 patients with knee OA will be recruited. Patients will be included if they have activity-related joint pain, morning stiffness lasting <30 minutes and are aged over 45 years. All patients who who consent will have their physiotherapy notes audited using a proforma and participate in an interview with the researcher at 6 weeks taking ap
This is an observational study that will examine current practice for the management of knee OA. Nine metropolitan-based, community physiotherapy practices and 30 patients with knee OA will be recruited. Patients will be included if they have activity-related joint pain, morning stiffness lasting <30 minutes and are aged over 45 years. All patients who who consent will have their physiotherapy notes audited using a proforma and participate in an interview with the researcher at 6 weeks taking approximately 30 minutes. Patients will also complete three patient reported outcome measures at baseline and 12 weeks taking up to 1 hr. All physiotherapists who consent will be interviewed by the researcher at 6 weeks after the final patient is recruited, each taking approximately 20 minutes.
Sponsors
University of New South Wales
Eligibility
Sex/Gender
All
Age
45 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
People who present with knee OA defined as • activity related joint pain • morning stiffness<30 mins • over 45 years old These participants may also have . bony enlargement • crepitus on active motion • deformity fixed flexion • +/-varus/valgus • knee instability • peri-articular or joint tenderness • pain on patellar femoral compression • swelling All physiotherapists working in the practices, who have given consent, will be included in the study.
Exclusion criteria
Patients will be excluded from participation if they have • inflammatory arthritis • rheumatoid arthritis • gout • history of/or current infection in the joint • cognitive impairment • significant trauma • hemi or total knee replacement of affected joint • have had knee surgery in the last 12 months • or are being treated under workers compensation Physiotherapists will be excluded from participation if they choose to opt out and do not consent, or withdraw consent at any time during the project.
Outcome results
None listed