{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:11:25Z","timestamp":1765887085459},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2008,10,28]],"date-time":"2008-10-28T00:00:00Z","timestamp":1225152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objectives:<\/jats:bold>\u2002To document physiotherapy provision for patients with knee osteoarthritis (OA) in relation to the United Kingdom (UK) recently published National Institute of health and Clinical Excellence (NICE) guidelines for osteoarthritis.<\/jats:p><jats:p><jats:bold>Design:<\/jats:bold>\u2002Questionnaire survey of chartered physiotherapists.<\/jats:p><jats:p><jats:bold>Method:<\/jats:bold>\u2002300 postal questionnaires were distributed to Physiotherapy Departments requesting information regarding source of referrals, treatment aims, preferred methods of treatment and service delivery.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold>\u2002Responses were received from 83 physiotherapists (28 %), predominantly working in the UK National Health Service. Approximately equal numbers of referrals came from primary and secondary care. Aims of physiotherapy management were to; encourage self\u2010management; increase strength and range of movement; reduce pain; and improve function. To achieve these, exercise was utilised by 100% of practitioners, often supplemented with electrotherapeutic modalities (66%), manual therapy (64%) and acupuncture (60%). The majority of patients received individual treatment for a total contact time of 1\u20132 hours, whilst most group interventions lasted 5\u20136 hours. Approximately half (54%) of respondents reported using outcome measures to determine treatment efficacy.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold>\u2002Although knee OA is usually managed in primary care, the similar number of referrals from primary and secondary care may suggest a deviation from evidence\u2010based management guidelines. The guidelines' recommendations of exercise, patient education and self\u2010management are observed by physiotherapists, but other modalities are often used despite poor or no research evidence supporting their efficacy. Whether any of these interventions are clinically beneficial is speculative as treatment outcomes were frequently under\u2010evaluated. Copyright \u00a9 2008 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/msc.144","type":"journal-article","created":{"date-parts":[[2008,10,28]],"date-time":"2008-10-28T10:06:19Z","timestamp":1225188379000},"page":"45-56","source":"Crossref","is-referenced-by-count":42,"title":["Evidence based guidelines and current practice for physiotherapy management of knee osteoarthritis"],"prefix":"10.1002","volume":"7","author":[{"given":"Nicola E.","family":"Walsh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael V.","family":"Hurley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,10,28]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(200009)43:9<1905::AID-ANR1>3.0.CO;2-P"},{"key":"e_1_2_1_3_1","unstructured":"Arthritis Research Campaign. The Big Picture (2002)www.arc.org.uk\/about_arth\/bigpic.htmAccessed January2008"},{"key":"e_1_2_1_4_1","first-page":"95","article-title":"Validation Study of WOMAC: A health status instrument for measuring clinically important patient relevant outcomes following total knee or hip arthroplasty in osteoarthritis","volume":"1","author":"Bellamy N","year":"1988","journal-title":"Journal of Orthopaedic Rheumatology"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bor.0000171214.49876.38"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1179\/108331904225005061"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjtr.2001.8.12.13820"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2003.015263"},{"key":"e_1_2_1_9_1","unstructured":"Department of Health.The Musculoskeletal Service Framework. A joint responsibility: doing it differently. 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