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| Trigger points for a GP referral to an exercise physiologist- Initial diagnosis of osteoarthritis
- Difficulty performing activities of daily living
- Poor strength and/or mobility
- History of falls/fractures
- Obesity exacerbating symptoms
- Requires preparation for surgical intervention
Trigger points for an exercise physiologist referral to a GP- Movement intolerance
- Poor progress
- Development of associated diseases from previous inactivity
Potential treatment by an exercise physiologist- Exercise prescription: to increase strength, balance, active (muscular) joint support and physical function
- Decrease body weight
- Education: about arthritis management and weight loss
- Pain management: incorporated with activity prescription to minimise excessive joint loading, understand pain management principles
- Assessment: may include goals, exercise history, muscular function, fitness, strength, power, balance, mobility, posture and may include specific assessments for work or activities of daily living
- Physical activity advice: encouraging incidental and leisure time activity, active transport and reducing sedentary behaviours
- Self management support: health education, planning, monitoring, follow up, behavioural counselling and relapse prevention
- Referral: matching patients to appropriate community based physical activity options with consideration of their age, interests, transport, functional capacity and cultural orientation
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