{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:28:27Z","timestamp":1791239307870,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T00:00:00Z","timestamp":1732752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Many outcome measures used in lower\u2010limb osteoarthritis (OA) present ceiling effects. This compromises the ability of those measures to accurately assess people with higher levels of physical function. Understanding of the difficulty and importance of physical activities would enable the inclusion of challenging and meaningful activities in new outcome measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To explore the perceived difficulty and importance of 40 physical activities by people with and without lower limb OA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a discrete choice experiment (DCE) using 1000minds software. We recruited people with and without OA using OA databases and social media. Participants were asked to complete two comparison tasks, first about the relative difficulty and then about the importance of the physical activities. Pairwise comparisons were presented (i.e., two alternatives at a time), and participants selected the most difficult\/important.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We analysed data from 613 participants, of whom 215 had OA. Rankings of difficulty and importance were obtained. No major differences existed in the difficulty ranking between people with and without OA. People with OA rated activities like kneeling and balancing activities as more important than those without OA. In contrast, people without OA rated jogging, squatting, and running as more important than those with OA. Challenging activities were generally rated as less important.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A DCE ranked 40 different lower limb physical activities in terms of difficulty and importance. Challenging activities were found to be less important than easier ones. People with OA gave more importance to easier activities than people without OA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.70011","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T02:05:12Z","timestamp":1732845912000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring the Perceived Difficulty and Importance of Lower Limb Physical Activities for People With and Without Osteoarthritis: A Discrete Choice Experiment"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4229-7223","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Pierobon","sequence":"first","affiliation":[{"name":"Department of Primary Health Care and General Practice University of Otago  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Will","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Otago  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Siegert","sequence":"additional","affiliation":[{"name":"Centre for Person Centred Research Auckland University of Technology  Auckland New Zealand <!--Query ID=\"q2\" Text=\"AUTHOR: Please check and confirm that authors and their affiliations are correct.\"-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Willink","sequence":"additional","affiliation":[{"name":"Dean's Department University of Otago  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Bennell","sequence":"additional","affiliation":[{"name":"Centre for Health, Exercise and Sports Medicine University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelli","family":"Allen","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Allergy, and Immunology University of North Carolina  Wilmington North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackie","family":"Whittaker","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy University of British Columbia  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jake","family":"Pearson","sequence":"additional","affiliation":[{"name":"Physiotherapy Division Capital Sports Medicine  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marrissa","family":"Norton","sequence":"additional","affiliation":[{"name":"Lived Experience Research Partner  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Clark","sequence":"additional","affiliation":[{"name":"Lived Experience Research Partner  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilal Ata","family":"Tay","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Marmara University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dieuwke","family":"Schiphof","sequence":"additional","affiliation":[{"name":"General Practice Erasmus University Medical Center  Rotterdam Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Darlow","sequence":"additional","affiliation":[{"name":"Department of Primary Health Care and General Practice University of Otago  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2021.03.003"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/309506"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2019.06.011"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1249\/mss.0000000000002459"},{"issue":"12","key":"e_1_2_10_6_1","first-page":"1833","article-title":"Validation Study of WOMAC: A Health Status Instrument for Measuring Clinically Important Patient Relevant Outcomes to Antirheumatic Drug Therapy in Patients With Osteoarthritis of the Hip or Knee","volume":"15","author":"Bellamy N.","year":"1988","journal-title":"Journal of Rheumatology"},{"issue":"4","key":"e_1_2_10_7_1","first-page":"371","article-title":"The Lower Extremity Functional Scale (LEFS): Scale Development, Measurement Properties, and Clinical Application. North American Orthopaedic Rehabilitation Research Network","volume":"79","author":"Binkley J. M.","year":"1999","journal-title":"Physical Therapy"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2022.06.001"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010023\u201016167\u20109"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1727"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2007.12.016"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40271\u2010015\u20100118\u2010z"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511996214"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102012\u2010002241"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2020.102758"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41584\u2010019\u20100237\u20103"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2023.05.008"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2019.01.011"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/55.6.P362"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/mcda.428"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2023.04.008"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102474\u20107\u2010100"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.5395\/rde.2018.43.e21"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1941738120976363"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102021\u2010104692"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.4085\/1062\u20106050\u20100608.21"},{"key":"e_1_2_10_27_1","volume-title":"Range and Frequency of Physical Functions Assessed by Existing Knee Functional Performance\u2010Based and Self\u2010Reported Outcome Measures Aotearoa Osteoarthritis Research Network Meeting","author":"Pierobon A.","year":"2023"},{"key":"e_1_2_10_28_1","unstructured":"Pierobon A. B.Darlow W.Taylor R.Siegert K.Bennell andK.Allen.2024.Exploring the Perceived Difficulty and Importance of Different Lower Limb Physical Activities: An Online Survey.https:\/\/doi.org\/10.17605\/OSF.IO\/2RTUD."},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.17605\/OSF.IO\/JYKFV"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1998.28.2.88"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1249\/mss.0000000000003323"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2016.02.006"}],"container-title":["Musculoskeletal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T02:22:05Z","timestamp":1735266125000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msc.70011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,28]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1002\/msc.70011"],"URL":"https:\/\/doi.org\/10.1002\/msc.70011","archive":["Portico"],"relation":{},"ISSN":["1478-2189","1557-0681"],"issn-type":[{"value":"1478-2189","type":"print"},{"value":"1557-0681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,28]]},"assertion":[{"value":"2024-10-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70011"}}