[article] in Journal of Orthopaedic & Sports Physical Therapy > vol. 49, 7 (Juillet 2019) . - p. 501-512 Titre : | Identifying and Prioritizing Clinical Guideline Recommendations Most Relevant to Physical Therapy Practice for Hip and/or Knee Osteoarthritis | Type de document : | article de périodique | Auteurs : | Pek Ling Teo ; [et al.], Auteur | Année de publication : | 2019 | Article en page(s) : | p. 501-512 | Langues : | Anglais (eng) | Descripteurs (mots clés) : | [Thésaurus Mesh]Arthrose [Thésaurus Mesh]Coxarthrose [Thésaurus Mesh]Gonarthrose [Thésaurus Mesh]Guide de bonnes pratiques
| Résumé : | Background
Physical therapists are key providers of conservative management for hip and/or knee osteoarthritis (OA), yet not all guideline recommendations are tailored to their scope of practice.
Objective
To identify and prioritize the most important recommendations relevant to physical therapy practice for hip and/or knee OA.
Methods
International physical therapists (n = 132) were invited to participate in an online modified Delphi survey, followed by a priority-ranking exercise. A total of 63 recommendations were extracted from 2 recent high-quality clinical guidelines. In 3 Delphi rounds, the panel identified those recommendations they considered to be most relevant to physical therapy practice for hip and knee OA. Any new recommendations were ascertained. For a recommendation to be included, at least 70% of respondents had to rate the recommendation as 7 or above on a numeric rating scale (0 is not important and 10 is extremely important). The panel prioritized recommendations that remained after the final round using decision-making software.
Results
Of 132 therapists from 14 countries, 62 completed round 1, 52 completed round 2, 45 completed round 3, and 35 completed the priority-ranking exercise. From an initial list of 70 potential recommendations (including 7 new recommendations), 30 were included in the priority-ranking exercise. The top recommendations were related to providing education and prescribing exercise and weight loss as core treatments, followed by individualized OA assessment and treatment and communication strategies.
Conclusion
This study identified and ranked the most important recommendations relevant to physical therapy practice for hip and/or knee OA | Permalink : | https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= |
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