Management of OA Hip and Knee – A holistic approach

Mr Gaurav  Arora1, Mr Minh Huynh2

1Dpv Health, Epping, Australia, 2Dpv Health, Epping, Australia

Abstract: 

  • Aim

Osteoarthritis (OA) of the hip and knee joints are some of the more common chronic conditions seen in community health. A common belief associated with these conditions include a fear of weight bearing and exercising, which may lead to further comorbidities including diabetes, obesity, cardiac disease and dementia. To address these issues, DPV Health is following a holistic, evidence-based program to help clients in their management of these conditions. The program is adapted from the GLA:D (Good Life Osteoarthritis: Denmark) program which originated from Denmark.

  • Method

At DPV Health, the physiotherapy team screens potential clients for suitability for the program. Selected clients then undergo a physiotherapist led supervised exercise program on a twice weekly basis for six weeks including two educational sessions in the beginning. Both subjective and objective measures are taken at the start and end of the program for evaluation purposes along with a 6 and 12 month follow up for clients with adequate English proficiency .

  • Results

The results of the program have been promising. Majority of the clients have shown positive trend on their 40 m walk and 30 sec Sit-stand tests along with subjective benefits.

  • Significance

Physio-led supervised exercise programs such as the GLA:D , are effective in improving quality of life for people with OA knees and Hips. They also contribute to reducing the burden on the public health system by reducing the waiting for associated surgery.

Biography: 

Gaurav Arora is Grade 2 physiotherapist at DPV Health. He holds masters degree in Manual, orthopaedic and sports physiotherapy from UNISA, Adelaide. Likes to treat all musculoskeletal conditions and has specialised interest in dealing with chronic pain management, knee , shoulder and back conditions.