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No evidence for stratified exercise therapy being cost-effective compared to usual exercise therapy in patients with knee osteoarthritis: Economic evaluation alongside cluster randomized controlled trial.

J. Knoop; J. Esser; J Dekker; J.W. de Joode; R.W.J.G. Ostelo; J.M. van Dongen

BACKGROUND: A stratified approach to exercise therapy may yield superior clinical and economic outcomes, given the large heterogeneity of individuals with knee osteoarthritis (OA). OBJECTIVE: To evaluate the cost-effectiveness during a 12-month follow-up of a model of stratified exercise therapy compared …

2022AlgemeenArtikel

Stratified exercise therapy does not improve outcomes compared with usual exercise therapy in people with knee osteoarthritis (OCTOPuS study): a cluster randomised trial.

J. Knoop; J Dekker; J.M. van Dongen; M van der Leeden; M. de Rooij; W.F. Peter; W. de Joode; L. van Bodegom-Vos; N. Lopuhaä; K.L. Bennell; W.F. Lems; M. van der Esch; T.P. Vliet Vlieland; R.W.J.G. Ostelo

QUESTION: In people with knee osteoarthritis, how much more effective is stratified exercise therapy that distinguishes three subgroups (high muscle strength subgroup, low muscle strength subgroup, obesity subgroup) in reducing knee pain and improving physical function than usual exercise therapy? DESIGN: …

2022AlgemeenArtikel

Patients' and clinicians' experiences with stratified exercise therapy in knee osteoarthritis: a qualitative study.

J. Knoop; J.W. de Joode; H. Brandt; J Dekker; R.W.J.G. Ostelo

BACKGROUND: We have developed a model of stratified exercise therapy that distinguishes three knee osteoarthritis (OA) subgroups ('high muscle strength subgroup', 'low muscle strength subgroup', 'obesity subgroup'), which are provided subgroup-specific exercise therapy (supplemented by a dietary intervention …

2022AlgemeenArtikel

How does hip osteoarthritis differ from knee osteoarthritis?

M. Hall; M. van der Esch; R.S. Hinman; G. Peat; A. de Zwart; J.G. Quicke; J. Runhaar; J. Knoop; M van der Leeden; M. de Rooij; I. Meulenbelt; T. Vliet Vlieland; W.F. Lems; M.A. Holden; N.E. Foster; K.L. Bennell

Hip and knee osteoarthritis (OA) are leading causes of global disability. Most research to date has focused on the knee, with results often extrapolated to the hip, and this extends to treatment recommendations in clinical guidelines. Extrapolating results from research on knee OA may limit our understanding …

2022AlgemeenArtikel

Implementing a Personalized Physical Therapy Approach (Coach2Move) Is Effective in Increasing Physical Activity and Improving Functional Mobility in Older Adults: A Cluster-Randomized, Stepped Wedge Trial.

W. Heij; L. Sweerts; Bart Staal; S. Teerenstra; E. Adang; P.J. van der Wees; M.W.G. Nijhuis -van der Sanden; T.J. Hoogeboom

OBJECTIVE: The purpose of this study was to assess whether the superior cost-effectiveness of a personalized physical therapy approach (Coach2Move)-which was demonstrated in a previous trial when compared to usual care physical therapy (UCP)-can be replicated in daily clinical practice. METHODS: A multicenter …

2022AlgemeenArtikel

Immediate patient perceptions following lumbar spinal fusion surgery: semi-structured multi-centre interviews exploring the patient journey and experiences of lumbar fusion surgery (FuJourn).

A. Rushton; B. Elena; F. Jadhakhan; A. Masson; Bart Staal; M.L. Verra; A. Emms; M. Reddington; A. Cole; P.C. Willems; L. Benneker; N.R. Heneghan; A. Soundy

PURPOSE: To understand the patient journey to Lumbar Spinal Fusion Surgery (LSFS) and patients' experiences of surgery. METHODS: Qualitative study using interpretive phenomenological analysis. Adult participants following LSFS were recruited from 4 UK clinical sites using purposive sampling to ensure …

2022AlgemeenArtikel

Experiences and needs of physiotherapists and exercise therapists regarding the management of working people with complaints of the arm, neck and shoulder (CANS): A focus group study.

J.J. Brunnekreef; A. Feleus; H.S. Miedema; Bart Staal; Nathan Hutting

BACKGROUND: Non-traumatic complaints of the arm, neck and/or shoulder (CANS) are difficult-to-treat musculoskeletal conditions. CANS treatment has varying degrees of success, particularly in the working population. OBJECTIVES: To evaluate the experiences and needs of physiotherapists (PTs) and exercise …

2022AlgemeenArtikel

Guideline adherence of physiotherapists in the treatment of patients with low back pain: A qualitative study.

G.P.G. Lemmers; J.D. Bier; G.P. Westert; Bart Staal; P.J. van der Wees; Wim van Lankveld

RATIONALE: Adherence rates to guidelines show room for improvement, and increase in adherence to guidelines may potentially lead to better outcomes and reduced costs of treatment. To improve adherence, it is essential to understand the considerations of physiotherapists regarding the assessment and management …

2022AlgemeenArtikel

Prognostic factors for outcome following lumbar spine fusion surgery: a systematic review and narrative synthesis.

R.J. Achttien; A. Powell; K. Zoulas; Bart Staal; A. Rushton

PURPOSE: The objective of this study was to identify and evaluate the value of prognostic factors related to disability, pain and quality of life (QoL) for adult patients undergoing lumbar spine fusion surgery (LSFS). METHODS: Two reviewers independently searched the literature, assessed eligibility, …

2022AlgemeenArtikel

Self-management behaviour after a physiotherapist guided blended self-management intervention in patients with chronic low back pain: A qualitative study.

J.P.J. Achten; Suzan Mooren - van der Meer; M.F. Pisters; C. Veenhof; T. Koppenaal; C.J.J. Kloek

BACKGROUND: Self-management support is considered an important component in the physiotherapeutic treatment of people with chronic low back pain. The stratified blended physiotherapy intervention e-Exercise Low Back Pain is an example of a self-management intervention. More insight may contribute to …

2022AlgemeenArtikel

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