Oral Communication

Facilitators and Barriers in physical activity engagement for knee osteoarthritis patients

Ms Chloé GAYa, Dr Bénédicte ESCHALIERb, Dr Christine LEVYCKYJc, Dr Aurore CHABAUDd, Prof Emmanuel COUDEYREe

a CHU Clermont-Ferrand, Université d'Auvergne, b Département de médecine générale, Université d'Auvergne, Clermont-Ferrand, c Thermes de Royat, d Service de médecine physique et de réadaptation, Clermont-Ferrand, e Service de médecine physique et de réadaptation, Université d'Auvergne, Clermont-Ferrand

Objective. To identify facilitators and barriers of a regular physical activity practice for knee osteoarthritis patients.

Method. - Qualitative, prospective study, based on semi-structured interviews and focus groups; stopping interviews leans on the principle of data saturation.

Résults. - 20 individual interviews and two focus groups were conducted with knee osteoarthritis patients (27 patients). The study population consisted of 18 women and 8 men, mean age 67 years old and BMI 29.2. They were mostly retired and lived in urban areas. The main facilitators are physical (physical well-being, reduction of pain, glance of other), personal (culture of physical activity, lifestyle, psychological well-being), societal (social link, lifestyle, glance of society) and environmental (living environment). They differ by sex, performance concept for men and others eyes for women. The barriers are psychological (fear of pain), physical (knee pain, asthenia) and related life events (depression and hospitalization).

Discussion - The study population has a positive representation on the relationship between physical activity and knee osteoarthritis management. The patients beliefs and knowledge agree with current recommendations [1-2]. Regular physical activity practice is a main part of the management of knee osteoarthritis. However, the implementation of these guidelines still remains moderate. There is a need to develop educational support taking into account progressivity and adaptation of physical exercice to every patient. Identification of facilitators and barriers can help improve adherence to these guidelines.

[1] Petursdottir & al. « Facilitators and Barriers to Exercising among People with Osteoarthritis: A Phenomenological Study ». Physical Therapy 2010 : 90, 1014?25.

[2] Fernandes & al.. “EULAR Recommendations for the Non-Pharmacological Core Management of Hip and Knee Osteoarthritis.” Annals of the Rheumatic Diseases 2013 ;72, 1125-35.

Keywords : Osteoarthritis Knee Physical Activity Facilitators Barriers Qualitative study Adherence