ArticleBMJ open2018
Qualitative study exploring the factors influencing physical therapy management of early knee osteoarthritis in Canada.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The trial behind it
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Who cites it
21 citing papers in PubMed, 44 citations in OpenAlex.
- Experiences and perceptions of Chinese patients enrolled in a clinical trial assessing tuina and manual therapies for knee osteoarthritis: a nested qualitative study.BMC complementary medicine and therapies · 2025Trial
- Lived Experiences and Perceptions of People with Knee Osteoarthritis in Saudi Arabia:Saudi medical journal · 2026Article
- Promoting and inhibiting factors for the implementation of evidence-based non-invasive treatment programs for patients with knee- and/or hip-osteoarthritis: a rapid review.BMC health services research · 2026Review
- Real-World Cost-Effectiveness of a Standardized Education and Exercise Therapy Program for Hip and Knee Osteoarthritis Compared to Usual Care.Arthritis care & research · 2025Article
- Estimating Budget Impact and Joint Replacement Avoidance by Implementing a Standardized Education and Exercise Therapy Program for Hip and Knee Osteoarthritis in a Publicly Insured Health Care System.Arthritis care & research · 2025Article
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- Barriers and facilitators to implementation of an exercise and education programme for osteoarthritis: a qualitative study using the consolidated framework for implementation research.Rheumatology international · 2024Article
- Multi-level strategies to improve equitable timely person-centred osteoarthritis care for diverse women: qualitative interviews with women and healthcare professionals.International journal for equity in health · 2023Article
- Exercise physiologists use of pain neuroscience education for treating knee osteoarthritis: A qualitative interview study.Musculoskeletal care · 2022Article
- Inter-individual variability in mechanical pain sensation in patients with cervicogenic headache: an explorative study.Scientific reports · 2022Article
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- Feasibility of a Novel Video Game-Based Electromyography Biofeedback System in Patients With Knee Osteoarthritis.Journal of sport rehabilitation · 2022Article
- Do people with knee osteoarthritis use guideline-consistent treatments after an orthopaedic surgeon recommends nonsurgical care? A cross-sectional survey with long-term follow-up.Osteoarthritis and cartilage open · 2022Article
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- An up to date on clinical prospects and management of osteoarthritis.Annals of medicine and surgery (2012) · 2021Review
- General population knowledge about osteoarthritis and its related risk factors in Jeddah Saudi Arabia.Saudi medical journal · 2020Article
- Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study.ACR open rheumatology · 2019Article
- Exploring the clinical context of adopting an instrumented insole: a qualitative study of clinicians' preferences in England.BMJ open · 2019Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesIncreasingly, there is emphasis on identifying and initiating treatment of osteoarthritis (OA) in the early phases of the disease. This study aimed to identify the perceived barriers and facilitators to managing clients with early knee OA and the contextual factors affecting implementation of care by physical therapists (PTs).
designQualitative study using in-depth semistructured interviews with 33 PTs. The interviews were audio-recorded, transcribed verbatim and analysed inductively using thematic analysis.
settingCanada.
participantsA purposive sample of PTs who managed clients with knee symptoms and/or diagnosed knee OA in community/outpatient settings in three provinces in Canada (Ontario, Alberta, British Columbia).
resultsFactors that affected physical therapy management of early knee OA were identified at four levels: the community, healthcare system, healthcare provider and client level. Some healthcare provider factors acted primarily as enablers of management, such as PTs' confidence in their ability to manage perceived early knee OA, PTs' beliefs about consequences of OA and the PT scope of practice. However, the study illuminated a range of modifiable factors that can act as barriers to management. These factors included access to services in the community and healthcare system; healthcare provider factors such as time, access to evidence and physician's role in referrals and messaging; and client factors related to client characteristics (eg, general health, socioeconomic status), engagement in management and beliefs about OA.
conclusionThese findings provide us with a basis to begin to address specific barriers and to optimise care for early knee OA.
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Registered trials
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