{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T06:36:19Z","timestamp":1782974179990,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T00:00:00Z","timestamp":1591315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Exercise and Sport Science Australia","award":["Tom Penrose Community Service grant"],"award-info":[{"award-number":["Tom Penrose Community Service grant"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Clinical guidelines for the non\u2010surgical management of knee osteoarthritis (OA) recommend exercise and education. This study aimed to evaluate the extent to which accredited exercise physiologists (AEPs) deliver exercise and education for knee OA and how it aligns with clinical practice guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>An online survey targeted to AEPs across Australia to understand the exercise and education content of their interventions for knee OA. Likert scale and multiple\u2010choice questions were used to measure responses relating to exercise prescription. Thematic analysis was used to evaluate the nature of education being delivered by AEPs. The revised neurophysiology of pain questionnaire (r\u2010NPQ) was used to quantify pain neuroscience knowledge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 161 AEPs completed the survey (63 men, 98 women; mean experience 5.8 \u00b1 4.7 years). Exercises commonly prescribed included: strength (99% of respondents), weight bearing (90%) and aerobic (83%), with 98% of AEPs prescribing exercise for the affected and unaffected limb. Only 32% of respondents frequently considered prescribing \u2018exercise into pain\u2019. The four main education themes were exercise (86%), self\u2010management (61%), weight loss (56%) and pain management (51%). Specific pain neuroscience education (PNE) was provided by only 21% of respondents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Exercise prescription mostly aligned with evidence\u2010based recommendations. The education component of AEP interventions for knee OA focused on the benefits of exercise. However, other education guideline recommendations about the disease, appropriate treatments and self\u2010management were underutilised. The PNE knowledge of AEPs was comparable with other secondary care providers, although only a minority of AEPs provide PNE.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1477","type":"journal-article","created":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T11:41:46Z","timestamp":1591357306000},"page":"425-433","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Exercise and education for knee osteoarthritis\u2014What are accredited exercise physiologists providing?"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9768-5613","authenticated-orcid":false,"given":"Adrian","family":"Ram","sequence":"first","affiliation":[{"name":"School of Medical Sciences The University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2218-9943","authenticated-orcid":false,"given":"John","family":"Booth","sequence":"additional","affiliation":[{"name":"School of Medical Sciences The University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6575-3711","authenticated-orcid":false,"given":"Jeanette","family":"Thom","sequence":"additional","affiliation":[{"name":"School of Medical Sciences The University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5534-755X","authenticated-orcid":false,"given":"Matthew D.","family":"Jones","sequence":"additional","affiliation":[{"name":"School of Medical Sciences The University of New South Wales  Sydney Australia"},{"name":"Centre for IMPACT (Investigating Mechanisms of Pain, Advancing Clinical Translation), Neuroscience Research Australia  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,5]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Accredited Exercise Physiologist Professional Standards. (2015). Retrieved fromhttps:\/\/www.essa.org.au\/wp-content\/uploads\/2016\/12\/AEP-Professional-Standards-with-coverpage_approved.pdf"},{"key":"e_1_2_9_3_1","unstructured":"AIHW analysis of ABS Microdata: National Health Survey 2014\u201315. (2015). 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