Physical therapy in knee-hip osteoarthritis (FS-24)

Focused symposium
Time:
Monday 13 May 2019, 13:45-15:15
Location:
Room A
Chair/speaker
Speakers
IMPROVEMENT OF AND ACCESS TO PHYSICAL THERAPY IN KNEE-HIP OSTEOARTHRITIS

van der Esch M1,2Bennell KL3van der Leeden M4,5Hinman RS6Skou ST7,8 
1Reade, Centre for Rehabilitation and Rheumatology, Rehabilitation, Amsterdam, Netherlands, 2University of Allied Sciences Amsterdam, Research Unit and School of Physiotherapy, Amsterdam, Netherlands, 3University of Melbourne, Centre for Health, Exercise and Sports Medicine, Melbourne School of Health Science, Department of Physiotherapy, Melbourne, Australia, 4VU University Medical Centre, Rehabilitation Medicine, Amsterdam, Netherlands, 5Reade, Centre for Rehabilitation and Rheumatology, Rehabilitation Medicine, Amsterdam, Netherlands, 6University of Melbourne, Victoria, Australia, ARC Future Fellow, Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, Melbourne, Australia, 7University of Southern Denmark, Odense, Denmark, Research Unit for Musculoskeletal Function and Physiotherapy, Institute of Sports Science and Clinical Biomechanics, Odense, Denmark, 8Næstved, Slagelse and Ringsted hospitals, Slagelse, Denmark, Department of Physiotherapy and Occupational Therapy, Slagelse, Denmark

Learning objective 1: The focussed symposium will be designed for participants who have a general familiarity with osteoarthritis in an attempt to increase their levels of understanding and application in how to deal with the demands of an increasing number of (older and complex) knee- and hip osteoarthritis patients in the near future.
Learning objective 2: Participants of the symposium will be informed on present research, developments and clinical implications in the field of knee- and/or hip osteoarthritis.
Learning objective 3: The content of the focussed symposium will be on latest advances for practicing physical therapists, encompassing health promotion, treatment and rehabilitation across different service settings in knee- and/or hip osteoarthritis.
Description: The aim of this proposed focussed symposium at the WCPT in Geneva 2019 is to complement the scientific impact of the program by improving participants' applied knowledge and skills specifically in the management of knee and hip osteoarthritis. The focussed symposium will cover the latest research and its practical application emphasizing how practice needs to change to improve outcomes of and access to physical therapy for people with knee and/or hip osteoarthritis. 
Osteoarthritis of the knees and hips is the third most prevalent musculoskeletal disorder according to the Global Burden of Disease Study 2015 (Lancet 2016). The population is ageing, and obesity rates are escalating, driving an increased prevalence of osteoarthritis worldwide: becoming a major public health problem. People with osteoarthritis have pain, impaired mobility and function and psychological impairments. In addition, they frequently have multiple co-morbid diseases that increase the complexity of care. Complexity further increases when gait performance is deteriorated during walking and dual-task conditions, suggesting that gait is not completely automatic anymore, resulting in further impaired mobility and function. Exercise is recommended by all clinical guidelines for the management of osteoarthritis, but its benefits are modest. Methods to optimize outcomes from exercise are needed including specific adaptations to account for co-morbidities and gait impairments and incorporating psychological strategies to assist patients to deal with pain. Furthermore, effective and cost-effective service delivery models that can be readily implemented in clinical practice are needed to improve access to physical therapy for management of knee and hip osteoarthritis, including in the aging population. These include group-based programs, adapted exercise programs as well as remotely delivered services utilizing mobile and digital technologies.
Implications / Conclusions: The focussed symposium gives the participants the opportunity to learn directly from physical therapy experts in the field of osteoarthritis. The proposal reflects the collaboration between research physical therapists in Australia, Denmark and the Netherlands. 
Key-words: 1. Osteoarthritis 2. Implementation 3. Comorbidity
Funding acknowledgements: NA
Relevance to physical therapy globally: The population is ageing, and obesity rates are escalating, driving an increased prevalence of osteoarthritis worldwide: becoming a major public health problem. Exercise is recommended by all clinical guidelines for the management of osteoarthritis, but its benefits are modest. Methods to optimize outcomes from exercise are needed including specific adaptations to account for co-morbidities and gait impairments and incorporating psychological strategies to assist patients to deal with pain
Target audience: Physical therapists wanting to increase their understanding how to deal with an increasing number of (older and complex) knee-hip osteoarthritis patients in the near future.