Stakeholder Perspectives on the Use of Exercise for Knee Osteoarthritis: Panoramas From a Patient, a Payer, and Healthcare Providers

Public health organizations advocate that people with osteoarthritis (OA) should engage in physical activity because it can improve their mental and physical well-being without worsening their OA progression.1 Further, most clinical practice guidelines strongly endorse individualized or tailored exercise programs for people with OA.2,3 Unfortunately, what looks good on paper can be challenging to implement. Moreover, some have cast doubt on the effectiveness of exercise for knee OA, but they often focus on the joint symptoms and lose sight of the benefits exercise can offer the whole patient. To highlight the value of physical activity, especially exercise, we invited 4 stakeholders to each write a Panorama article: (1) a rheumatologist,4 (2) a physical therapist,5 (3) a patient,6 and (4) a chief medical officer from a large health insurance company.7

We purposefully selected these stakeholders because they can offer unique perspectives on the role of exercise in treating someone with OA. First, a rheumatologist was asked to provide insights into how and why they recommend exercise for people with OA and the observed benefits.4 Second, we invited a physical therapist to describe what they do when someone comes to them with OA.5 We then asked a patient to discuss their experience, and they offered details on how they became more sedentary, its consequences, their road back to feeling “like myself again,” and the role of their healthcare providers in this process.6 Finally, we asked a chief medical officer at a large insurance company to discuss the pressures they face from a payer perspective to manage a long-term chronic disease such as OA.7

The Journal of Rheumatology’s Panorama articles allow patients, healthcare professionals, and other stakeholders to share their perspectives and interactions. While The Journal typically publishes a panorama from one stakeholder on a topic, we felt that having a panorama from each stakeholder could offer a unique perspective for people with OA that may be missed in traditional research manuscripts. Further, we hope these panoramas offer readers ideas on how we can encourage people with OA to engage in exercise. We appreciate The Journal providing this opportunity and hope others will work with other stakeholders to submit shared panoramas in other areas relevant to rheumatology.

Copyright © 2024 by the Journal of Rheumatology

留言 (0)

沒有登入
gif