Education and information
Common misconceptions about osteoarthritis appear to negatively impact an individual’s acceptance of nonsurgical, evidence-based treatments such as exercise and weight loss, in favour of surgery and alternative and experimental treatments. Thus patient education is crucial for effective osteoarthritis self-management to empower people to make informed decisions about their care, adopt healthier lifestyles, engage in exercise and minimise the use of invasive treatments such as joint replacement surgery when not appropriate.
OARSI Rehabilitation Discussion Group expert recommendations state that clinicians should:
- Provide advice and education to every individual with osteoarthritis.
- Educate the individual about osteoarthritis, helping them make sense of osteoarthritis and the symptoms they are experiencing from a patient-centred perspective.
- Use a positive approach when educating the individual about osteoarthritis, with lay terminology that is not perceived as harmful, and that reduces fear of exercise.
- Explain the importance of daily physical activity for long-term health.
- Explain the purpose of exercise in the treatment of osteoarthritis.
- Explain the benefits of exercise for improving pain and function, and that exercise is an effective way to cope with osteoarthritis.
- Emphasize that the benefits of exercise for osteoarthritis come with consistent exercise participation over time, like taking a medication to manage other diseases.
- Explain that participating in exercise is not associated with higher risk of joint damage or joint replacement, and that short-term pain with exercise does not indicate damage.
- Ensure that the individual understands the difference between osteoarthritis pain flare ups and expected pain with exercise (e.g. muscle soreness).
- Address any fears that the individual has that are related to exercise.
- Address any misconceptions about the effectiveness of exercise, the safety of exercise and about pain with exercise.
Resources and tools to help support education and information
Below, you can find a useful selection of free resources and tools available to assist people with hip/knee osteoarthritis learn more about osteoarthritis and its management. Resources were assessed and selected based on their relevance for arthritis and the context of exercise, whether the information was factual and accurate, whether the source/author was reliable, the accessibility and clarity of the content, and whether the resource has been updated recently. Are you aware of other useful resources that aren’t listed here? Click here to let us know.
We would love to know how you are using this toolkit and its resources in your clinical practice. Click here to complete a quick one minute survey to let us know.
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Taking control of your hip and knee osteoarthritis online course
4-week University of Melbourne online course for patients about osteoarthritis & its management
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Osteoarthritis information video
12-minute University of Melbourne video explaining about osteoarthritis & lifestyle management
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Osteoarthritis educational videos
Short University of Melbourne videos with experts & patients about osteoarthritis & lifestyle management
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Keele University resources
Resources including guidebook, leaflets and animated video about osteoarthritis and its management
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Comprehensive quality care standards for hip and knee osteoarthritis
Alberta Bone and Joint Institute tool kit covers a range of topics relating to osteoarthritis and its management
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World PT day 2022: exercising with osteoarthritis
World Physiotherapy infographic on exercise and osteoarthritis
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painTRAINER
An 8 week interactive online program that teaches effective strategies to deal with chronic pain
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Staying moving, staying strong
Osteoarthritis information resources for Australian Aboriginal & Torres Strait Islander peoples
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Osteoarthritis knowledge scale
An outcome measure to evaluate knowledge about hip or knee osteoarthritis based on international consensus
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Osteoarthritis self-management
Arthritis Society Canada website with information on all aspects of osteoarthritis self-management
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Introduction to exercise for osteoarthritis
Arthritis Society Canada videos on information on osteoarthritis, exercise and physical activity, hip and knee osteoarthritis and exercise programme, shoulder osteoarthritis and exercise programme
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Physical activity & exercise
Information on exercise and physical activity for patients with osteoarthritis from Arthritis Australia
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Exercise right: osteoarthritis
Information about exercise for osteoarthritis care from Exercise and Sports Science Australia
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TREK ‘My Knee’ education: self-management toolkit
TREK, at La Trobe University, toolkit providing information to patients and clinicians to better understand osteoarthritis and treatments (such as exercise) available to manage osteoarthritis
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Stay active
Osteoarthritis Action Alliance information on different types of exercise for osteoarthritis
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World PT day 2022: running and osteoarthritis
World Physiotherapy infographic on osteoarthritis and running
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Arthritis Foundation USA website
Information on different types of exercise for osteoarthritis
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Arthritis Research Canada website
Information about exercise at home for arthritis
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CDC arthritis
Centers for Disease Control website with information on arthritis and arthritis treatment
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John Hopkins Arthritis Center website
Information about exercise and how to prescribe it
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UpToDate portal
Patient education about exercise for arthritis
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Versus Arthritis: keep moving booklet
Information about exercise and resources including diary and goal setting toolrnrnu0026nbsp;
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Arthritis Research Canada video
7-minute video with expert explaining benefits of exercise, types of exercise and addressing common barriers
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GLA:D Australia
4 minute video outlining the GLA:D exercise program for osteoarthritis
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Versus Arthritis video
2.5 minute video of expert explaining why it is important to stay active if you have osteoarthritis
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Musculoskeletal Australia Lecture
60 minute video by physiotherapist expert talking about the evidence supporting exercise for osteoarthritis and evidence-practice gaps
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JointPain.IE: exercise and physical activity for knee osteoarthritis
A website developed by researchers at the University of Limerick, Ireland with information and resources about exercise and physical activity for osteoarthritis