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Home Exercise Program for OA

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Megan Yeoman

on 24 October 2016

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Transcript of Home Exercise Program for OA

Home Exercise Program for older adults with early stage knee osteoarthritis
Implementation through local GP referrals

Set of flexible pre-determined criteria
A recent diagnosis of early knee OA
Aged between 45-65
Able to independently participate in a dynamic 45 minute exercise class

The PAR-Q+ survey assisted with suitability for exercise

Recommendations for Future Implementation
Clear, concise instructions and education on the exercises
Use of outcome measures
FITT-VP principles
Safety instructions – pacing and intensity advice.
Progressions and regressions for all exercises
Address barriers and facilitators to assist with continuation of program

What is Osteoarthritis (OA)?
Gradual articular cartilage degeneration of joints
No single cause
Common presentation of pain, crepitus, inflammation and stiffness
Increasing in prevalence due to the ageing population

FITT-VP Principles
Aerobic Component
Exercise Benefits for
Knee OA
Improve lower limb strength
Reduce joint loading
Normalisation of joint mobility
Delay disease progression
Reduce pain and improve physical function
Promote physical and psychosocial well-being

Class Aims
Improving joint mobility and muscle strength surrounding the knee
Exercises are safe and easy to complete at home
Incorporated into daily living
No equipment required
Exercises demonstrated by qualified physiotherapists
Progressions and regressions provided for all exercises
45 minute duration
Key Components
Outcome Measures
Borg Rate of Perceived Exertion (RPE) Scale
Visual Analogue Scale
Class Evaluation
Reflection and Appraisal
Not individualized
Participants must be independently mobile, working and currently active.
Independent HEP
Outcome measures only assessed after 4 weeks
A. De Silva, T. Hall, L. Pearson, S. Starkey, T. Theoharidis & M. Yeoman

Warm Up Component
Cool Down/Flexibility Component
Strengthening Component
Knee Injury & OA Outcome Score (KOOS)
Arthritis Self-Efficacy Scale – 8 item (ASES-8)
Physiotherapy Outpatient Survey (POPS)
12, 13
Warm up (5 minutes)
Aerobic (20 minutes)
Lower limb strengthening (15 minutes)
Cool down/flexibility (5 minutes)
Delay progression of OA
Prevent the need for surgical intervention
Optimize self-management of OA
Educational resources and pain management
Reduce health care costs & hospital presentations
Enhance psychosocial well-being
Improve quality of life and community access
Use of validated, reliable outcome measures

HEP can be completed independently with no additional equipment required

Promotes long-term self-management

Designed from evidence-based practice

Target independence and mobility levels
Improves physical and psychosocial well-being
HEP promotes long-term adherence

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