Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercise in the management of hip osteoarthritis

Brosseau, Lucie; Wells, George A.; Pugh, Arlanna; Smith, Christine; Rahman, Prinon; Gallardo, Inmaculada C Álvarez; Toupin‐April, Karine; Loew, Laurianne; Angelis, Gino De; Cavallo, Sabrina; Taki, Jade; Marcotte, Rachel; Fransen, Marlene; Hernández-Molina, Gabriela; Kenny, Glen P.; Regnaux, Jean‐Philippe; Lefèvre-Colau, Marie-Martine; Brooks, Sydney; Laferrière, Lucie; McLean, Linda; Longchamp, Guy

doi:10.1177/0269215515606198

Cited by 60 publications

(58 citation statements)

References 25 publications

(75 reference statements)

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“…Previous studies emphasised the positive effect of knowledge and insight on the ability of an individual to manage a progressive disorder and to function in one's daily life (Selman et al, 2009;De Rezende, 2017). Information and knowledge has the capacity to reduce your pain, improve compliance with exercise and most importantly, it could improve your health-seeking behaviour (Brosseau et al, 2010;Mann and Gooberman-Hill, 2011;Cobbing et al, 2014). Similarly to this study, a report from Uganda found that at times the only source of information for a patient was a magazine article or a family member/friend, which could lead to misconceptions and the circulation of myths (Selman et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation needs in individuals with knee OA in rural Western Cape, South Africa: an exploratory qualitative study

Coetzee

Giljam-Enright

Morris

2020

Prim Health Care Res Dev

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Background: Current clinical practice guidelines have suggested that each individual with knee osteoarthritis (OA) should receive three core treatments from their health care provider. These core treatments comprise of exercise, education and weight loss. Identification of the health care and rehabilitation needs of individuals with knee OA in rural areas are imperative for focusing service delivery in a specific context in order to empower the individual. The aim of this study was to explore the rehabilitation needs of individuals with knee OA living in rural Western Cape in order to identify the gaps in services offered and inform rehabilitation programmes in these settings. Methods: Semi-structured in-depth individual interviews were performed on 16 individuals with knee OA living in rural settings of the Western Cape, South Africa. A deductive data analysis approach was used and the needs of the individuals were identified and categorised for interpretation and comparison with the reported services received. Findings: The three major themes identified were ‘I would like to know more’, ‘There’s not much support from the clinic’ and ‘I don’t feel myself anymore’. These themes relate to the lack of disease-specific education, barriers in the health systems and service delivery resulting in individuals lack of self-worth and poor mental wellbeing. The results revealed the integral relationship between health care systems, service delivery and the effect on patient wellbeing. Conclusion: The rehabilitation needs of individuals with knee OA in rural areas advocates for addressing barriers in rural primary health care system such as adequate human resources, referral systems and continuity of care. This will allow for a comprehensive, person-centred and context-specific multidisciplinary approach focused on empowering individuals with knee OA through disease-specific education, improving functional participation and symptom management strategies. This could improve the social inclusion and mental wellbeing of individuals living with knee OA.

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Section: Discussionmentioning

confidence: 99%

Rehabilitation needs in individuals with knee OA in rural Western Cape, South Africa: an exploratory qualitative study

Coetzee

Giljam-Enright

Morris

2020

Prim Health Care Res Dev

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“…Two of the biggest limitations to the efficacy of exercise-based treatment are prescription and patient adherence. Poor exercise prescription for people with knee osteoarthritis can result in either overloading the affected joint, leading to increases in pain and swelling; or more commonly, prescribed exercises that are not challenging enough to facilitate a training effect (Brosseau et al, 2016;Fransen et al, 2015;Hunter, 2017). The inclusion of strategies to improve the adherence to the prescribed exercises could boost treatment effectiveness O'Brien, Bassett, & McNair, 2013).…”

Section: Myth 5: Conservative Treatments Are Ineffectual and Only Desmentioning

confidence: 99%

“…Physiotherapists should only consider referring a person for orthopaedic review (TJR) after the patient has failed an appropriate exercise programme that meets best practice clinical guidelines (Brosseau et al, 2016;Fransen et al, 2015).…”

Section: Practice Point Mythmentioning

confidence: 99%

Time to bust common osteoarthritis myths

O’Brien¹,

Chapple²,

Baldwin³

et al. 2019

NZJP

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Several common beliefs about osteoarthritis held by people living with the condition and some clinicians are discordant with current evidence and can hinder effective management. Therefore, providing information about the disease and its mechanisms could lead to better management of people with osteoarthritis. This paper addresses the seven most common myths surrounding osteoarthritis relating to its causative factors, pathology, assessment and management. We present the evidence to refute these misconceptions and argue that physiotherapists are in an ideal position to provide education to people with osteoarthritis. Ultimately, physiotherapists can play a central role in the provision of care for people with osteoarthritis.

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“…It has been used by researchers to translate scientific knowledge and professional experience into informed judgment, in order to support effective decision-making [29]. The Delphi technique has been reported to be the most widely used consensus method for developing clinical guidelines [30][31][32]. Delphi techniques have been used to develop guidelines, to establish consensus on the use of the guidelines and to establish and evaluate how well a clinical practice is conforming to guidelines [33].…”

Section: Rationale For the Use Of The Delphi Technique In This Projectmentioning

confidence: 99%

Evaluation of a guideline developed to reduce HIV-related stigma and discrimination in healthcare settings and establishing consensus

Feyissa

Lockwood

Munn

2018

Preprint

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Evaluation of a guideline developed to reduce HIV-related stigma and discrimination in healthcare settings and establishing consensus Abstract BackgroundDeveloping guidelines and policies is critical to address HIV-related stigma and discrimination (SAD) in healthcare settings. To this end, a multidisciplinary panel developed a guideline to reduce SAD. This project evaluated the appropriateness of implementing the guideline in the Ethiopian context. Methods A consensus of the expert panel was established through a Delphi technique which was followed by a panel meeting. Initial tentative recommendations were distributed to experts through e-mails to be evaluated using the modified guideline implementability appraisal (GLIA) v.2.0 checklist. ResultsIn the first round of the Delphi survey, all (13) panel members evaluated the guideline. The overall score for the general domain of the modified GLIA checklist was 96.56%. The scores for individual recommendations ranged from 68.33% to 92.76%. Maximum and minimum scores were attained for measurability (97.71%) and flexibility (59.77%) domains respectively. Percentages mean score lower than 75% was obtained for flexibility and validity domains. Participants suggested that additional tools and training should be added to the guideline. In the second round of the survey, all the recommendations received endorsement with scores above 75%. Maximum and minimum scores were attained for measurability (100%) and flexibility (86.88%) domains respectively. During the panel meeting, issues of responsibility for implementing the guideline were discussed. ConclusionThe project evaluated implementability of a guideline developed to reduce HIV-related SAD in healthcare settings. The Delphi survey was followed by a half-day meeting that helped in further clarification of points.

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Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercise in the management of hip osteoarthritis

Abstract: The Ottawa Panel recommends land-based therapeutic exercise, notably strength training, for management of hip osteoarthritis in reducing pain, stiffness and self-reported disability, and improving physical function and range of motion.

Cited by 60 publications

References 25 publications

Rehabilitation needs in individuals with knee OA in rural Western Cape, South Africa: an exploratory qualitative study

Rehabilitation needs in individuals with knee OA in rural Western Cape, South Africa: an exploratory qualitative study

Time to bust common osteoarthritis myths

Evaluation of a guideline developed to reduce HIV-related stigma and discrimination in healthcare settings and establishing consensus

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