Joint Action

Although joint replacement surgery is an effective treatment for end-stage osteoarthritis, they are not appropriate for everyone. Factors such as age, overall health and the severity of osteoarthritis must be considered when making decisions about joint replacement surgery. By selecting appropriate patients for joint replacement surgery, we can ensure that the procedure remains a safe and effective option for improving the quality of life for those living with osteoarthritis.

On this week’s podcast, Prof Gillian Hawker joins us to discuss this important topic.

Gillian Hawker is Professor of Medicine in the Department of Medicine, Division of Rheumatology, at the University of Toronto. She is active staff in Rheumatology at Women’s College Hospital, where she is a clinician-scientist at the Women’s College Research Institute. She is a senior scientist at the Institute for Health Policy, Management and Evaluation and adjunct senior scientist at the Institute for Clinical Evaluative Sciences. In July 2014, she was appointed the Sir John and Lady Eaton Professor and Chair of the Department of Medicine at the University of Toronto (U of T).

RESOURCES

• Instruments to assess appropriateness of hip and knee arthroplasty: a systematic review
• The crux of the issue: assessment of patient appropriateness for joint replacement requires a conversation with the patient

CONNECT WITH GILLIAN

• Twitter: @UofTDoMChair
• Email: [email protected]

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

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We have spoken about occupational risk factors for osteoarthritis on previous episodes, but one occupation we have not covered is elite level athletes or Olympians. The intense training schedules sometimes lasting up to 6 hours a day make Olympians more susceptible to joint injury. On this week’s episode of Joint Action, we are joined by Dr Debbie Palmer to discuss the prevalence of osteoarthritis in Olympians.

Dr Debbie Palmer OLY is a lecturer in research methods and epidemiology. She is a three-time Winter Olympian, and competed in short track speed skating between 1990-2002. Debbie subsequently worked as an exercise physiologist at the University of Bath before completing her PhD in injury epidemiology 2009, and she has worked in sport injury and illness prevention for over 14 years. Debbie’s research focuses on epidemiology, risk and prevention of injury and illness in elite, youth and recreational cohorts, longer-term consequences of sport-related injury, and current and retired athlete health.

RESOURCES

• Prevalence of and factors associated with osteoarthritis and pain in retired Olympians compared with the general population: part 1 – the lower limb
• Prevalence of and factors associated with osteoarthritis and pain in retired Olympians compared with the general population: part 2 – the spine and upper limb
• Consequences of injury are greater for Olympians than the general population

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

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Exercise is a commonly recommended treatment for osteoarthritis. There have been many studies which have shown the benefits of exercise which include improved pain, function, and quality of life. However, more often times than not, exercise is delivered sub-optimally with health care professionals unclear about how to deliver exercise effectively to people with hip or knee OA. On this week’s episode of Joint Action, we are joined by Melanie Holden to discuss.

Melanie Holden is a Chartered Physiotherapist with 17 years of experience of applied health research based within the School of Medicine at Keele University in the UK.  She leads the Osteoarthritis Research Group within the Centre for Musculoskeletal Health Research at Keele. Her research focus is optimising the management of musculoskeletal conditions, including osteoarthritis, through rehabilitation (non-drug, non-surgical treatments).

RESOURCES

• Versus Arthritis: Exercising with Arthritis

Journal articles

• Recommendations for the delivery of therapeutic exercise for people with knee and/or hip osteoarthritis. An international consensus study from the OARSI Rehabilitation Discussion Group

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

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About 50% of people who have an anterior cruciate ligament (ACL) injury will go on to develop osteoarthritis later down the track. What determines who will go on to develop OA? And is it possible to reduce your risk of developing OA? On this week’s episode, Dr Adam Culvenor joins us to discuss.

Dr Adam Culvenor is a Senior Research Fellow and Head of the Anterior Cruciate Ligament (ACL) Knee Injury Group within the La Trobe Sport and Exercise Medicine Research Centre. His research focuses on the outcomes of ACL injuries, in particular the prevention and management of early knee osteoarthritis in young adults following ACL injury and reconstruction.

RESOURCES

Websites

• LaTrobe University Sport and Exercise Medicine Research Centre Blog
• The OPTIKNEE group is working to prevent osteoarthritis after knee injury

Journal articles

• OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis
• Knee Extensor Strength and Risk of Structural, Symptomatic, and Functional Decline in Knee Osteoarthritis: A Systematic Review and Meta-Analysis
• Early Knee Osteoarthritis Is Evident One Year Following Anterior Cruciate Ligament Reconstruction: A Magnetic Resonance Imaging Evaluation

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

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Over the years, there has been good evidence that certain treatments are of little or no value, provide harm and have substantial costs associated with them. Arthroscopic partial meniscectomy (APM) is not a recommended treatment for osteoarthritis. Despite this, millions of these procedures are still being performed each year. On this week's episode of Joint Action we are joined by Professor Teppo Järvinen to discuss the evidence behind APM and evidence-based medicine.

Professor Teppo Järvinen, an orthopaedic surgeon at the department of orthopaedics and trauma at Helsinki University and Helsinki University Central Hospital. Teppo led the Fidelity trial and has a strong interest in the “too much medicine” movement.

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

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Osteoarthritis is a highly prevalent disease affecting many developing and developed countries worldwide. The prevalence of OA depends on which joint is involved – whether it is the knee, hip or hand. Depending on what type of OA you have, it may also play a role in your overall health. On this week’s episode of Joint Action, we are joined by Qiang Liu to discuss the different sites of OA, their prevalence and risk factors.

Dr Qiang Liu is an orthopedic surgeon and associate professor who sees patients with joint diseases and does research on osteoarthritis in Peking University People’s Hospital. Qiang has published studies on the burden of osteoarthritis and exercise therapy for knee/hip osteoarthritis in prestige journals such as the Lancet Rheumatology and Osteoarthritis and Cartilage. Qiang has devoted himself to helping patients with osteoarthritis by applying and promoting strategies overlooked by the healthcare system in China. Together with Prof. Jianhao Lin, Qiang introduced the Good Life with Osteoarthritis from Denmark (GLA:DTM) to China together and has served as the program manager since 2017. They also opened the first private special clinic which focuses on delivering evidence-based non-surgical treatment for osteoarthritis in China.

RESOURCES

Journal articles

• Prevalence Trends of Site-Specific Osteoarthritis From 1990 to 2019: Findings From the Global Burden of Disease Study 2019

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

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Digital interventions include mobile apps, virtual reality, and the internet and telephones. They have been recommended by the World Health Organization to complement traditional care. There has been a shift towards digital interventions especially during the COVID-19 pandemic. On this week's episode we are joined by Andrea Dell'Isola to discuss digital interventions for osteoarthritis.

Andrea Dell’Isola is a research associate at the Clinical Epidemiology Unit Lund University in Sweden and a member of the OARSI early career investigators committee. His research interests include multimorbidity and the impact that other disease have on osteoarthritis development and management and first-line interventions for OA.

RESOURCES

Journal Articles

• Comparison of Face-to-Face vs Digital Delivery of an Osteoarthritis Treatment Program for Hip or Knee Osteoarthritis
• Technology-assisted rehabilitation following total knee or hip replacement for people with osteoarthritis: a systematic review and meta-analysis
• Participatory health through behavioural engagement and disruptive digital technology for postoperative rehabilitation: protocol of the PATHway trial

Websites

• MyJointPain
• MindSpot Clinic

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

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Exercise, physical activity and education are the cornerstone treatments for osteoarthritis. However, despite their proven efficacy, they are difficult to maintain long-term. Behaviour change techniques, which are specific techniques such as goal-setting or monitoring that can help people stick to an OA management plan long-term. On this week’s episode of Joint Action, we are joined by Dr Shannon Mihalko to discuss how we can use behaviour change techniques to stick to our diet and exercise routines.

Dr. Shannon Mihalko is a behavioral scientist whose research focuses on adherence and quality of life in adults with chronic disease, with a special interest in knee osteoarthritis and cancer populations. Specifically, her work examines determinants and consequences of behavior change and adherence, with a specific focus on building self-efficacy in older adults to engage in physical activity and healthy nutritional practices on their road to independence.

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

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On the second installment of this two part series, we share some insights from our osteoarthritis experts this season.

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts!

Hosted on Acast. See acast.com/privacy for more information.

On this two part series, we share some insights from our osteoarthritis experts this season.

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts!

Hosted on Acast. See acast.com/privacy for more information.