{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T19:46:03Z","timestamp":1793216763297,"version":"4.5.0"},"reference-count":55,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T00:00:00Z","timestamp":1639094400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>Therapeutic exercise is a recommended first\u2010line treatment for patients with knee and hip osteoarthritis (OA); however, there is little specific advice or practical resources to guide clinicians in its implementation. As the first in a series of projects by the Osteoarthritis Research Society International Rehabilitation Discussion Group to address this gap, we aim in this narrative review to synthesize current literature informing the implementation of therapeutic exercise for patients with knee and hip OA, focusing on evidence from systematic reviews and randomized controlled trials. Therapeutic exercise is safe for patients with knee and hip OA. Numerous types of therapeutic exercise (including aerobic, strengthening, neuromuscular, mind\u2010body exercise) may be utilized at varying doses and in different settings to improve pain and function. Benefits from therapeutic exercise appear greater when dosage recommendations from general exercise guidelines for healthy adults are met. However, interim therapeutic exercise goals may also be useful, given that many barriers to achieving these dosages exist among this patient group. Theoretically\u2010informed strategies to improve adherence to therapeutic exercise, such as patient education, goal\u2010setting, monitoring, and feedback, may help maintain participation and optimize clinical benefits over the longer term. Sedentary behavior is also a risk factor for disability and lower quality of life in patients with knee and hip OA, although limited evidence exists regarding how best to reduce this behavior. Current evidence can be used to inform how to implement best practice therapeutic exercise at a sufficient and appropriate dose for patients with knee and hip OA.<\/jats:p>","DOI":"10.1002\/acr.24434","type":"journal-article","created":{"date-parts":[[2020,8,29]],"date-time":"2020-08-29T13:14:56Z","timestamp":1598706896000},"page":"1746-1753","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Guidance for Implementing Best Practice Therapeutic Exercise for Patients With Knee and Hip Osteoarthritis: What Does the Current Evidence Base Tell Us?"],"prefix":"10.1002","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0374-2862","authenticated-orcid":false,"given":"Melanie A.","family":"Holden","sequence":"first","affiliation":[{"name":"Keele University Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Button","sequence":"additional","affiliation":[{"name":"Cardiff University Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9950-0192","authenticated-orcid":false,"given":"Natalie J.","family":"Collins","sequence":"additional","affiliation":[{"name":"The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"Henrotin","sequence":"additional","affiliation":[{"name":"Princess Paola Hospital, Marche\u2010en\u2010Famenne, and University of Li\u00e8ge Li\u00e8ge Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rana S.","family":"Hinman","sequence":"additional","affiliation":[{"name":"University of Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3077-7913","authenticated-orcid":false,"given":"Jesper B.","family":"Larsen","sequence":"additional","affiliation":[{"name":"Aalborg University Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Metcalf","sequence":"additional","affiliation":[{"name":"University of Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0019-3087","authenticated-orcid":false,"given":"Hiral","family":"Master","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center, Nashville, Tennessee, and University of Delaware Newark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4336-7059","authenticated-orcid":false,"given":"S\u00f8ren T.","family":"Skou","sequence":"additional","affiliation":[{"name":"University of Southern Denmark and N\u00e6stved\u2010Slagelse\u2010Ringsted Hospitals Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3077-0423","authenticated-orcid":false,"given":"Louise M.","family":"Thoma","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Wellsandt","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center Omaha"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3792-4621","authenticated-orcid":false,"given":"Daniel\u00a0K.","family":"White","sequence":"additional","affiliation":[{"name":"University of Delaware Newark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Bennell","sequence":"additional","affiliation":[{"name":"University of Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,10]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2019.06.011"},{"key":"e_1_2_3_3_1","unstructured":"World Health Organization.Global recommendations on physical activity for health. 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