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PEAK Orientation

Welcome to the Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis (PEAK) course! We are excited that you were interested in undertaking our course to better inform your management for …

Is Exercise Good For Osteoarthritis?

ALL people with Osteoarthritis (OA) should be advised to exercise as a core treatment, irrespective of age, comorbidity, pain severity or disability. A Cochrane Review17 shows that: High-quality evidence suggests …

Evidence-based clinical guidelines

There are many clinical practice guidelines for management of osteoarthritis: National Institute for Health Care and Excellence (NICE)6 – OA 2014 American College of Rheumatology13 – hip, knee & hand …

Common myths and misconceptions about OA

People with knee OA typically present with some knowledge of their condition- and the knowledge may or may not be factually based! Myths and misconceptions about OA include7: Knee OA …

Common comorbidities

In Australia, according to the ABS National Health Survey (2014–15), among people with OA: 51% reported also having cardiovascular disease compared with 15% of people without OA 35% reported also …

Explaining pain

Explaining persistent pain to patients can be challenging! It’s a complex neuroscience and can be difficult to understand for the lay person. Watch this video clip of Prof Lorimer Moseley, …

Pain and OA

Pain is the most prevalent symptom among people with OA, and is the reason that most patients seek treatment. With progression of disease, pain can become persistent and night pain …

Pathophysiology of OA

Osteoarthritis is an imbalance in cartilage breakdown and cartilage synthesis, yet ultimately, OA affects all structures within the knee joint. There is no single cause of OA, and the exact …

Clinical presentation

There is extreme variability in the clinical presentation of people with knee OA. REMEMBER! The structural changes seen in the knee joint on x-ray DO NOT correspond well to the …

Diagnosing Knee Osteoarthritis

Clinical guidelines (National Institute for Health and Care Excellence (UK), 2014)6 advocate that Osteoarthritis (OA) should be diagnosed clinically, without investigations, if a person: Is 45 or over and; Has …

Prognosis

The natural history of OA is variable: It does not necessarily progress to more severe radiographic disease The life-time risk of knee joint replacement is 8-11%8 ………most people with knee …

Prescribing an Osteoarthritis (OA) Exercise Program

Osteoarthritis Re-assessment (5 mins) A brief osteoarthritis re-assessment should be performed. This should primarily involve “checking in” with the patient about the following: changes in knee pain how they have …

Introducing our team

The Centre for Health, Exercise and Sports Medicine (CHESM) was established in 2000 as a multidisciplinary research centre within the Faculty of Medicine, Dentistry and Health Sciences, administered through the …