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Evidence to Improve Care

Structured Education and Neuromuscular Exercise Program for Hip and/or Knee Osteoarthritis


Final Recommendation

  • Health Quality Ontario, under the guidance of the Ontario Health Technology Advisory Committee, recommends publicly funding a structured education and neuromuscular exercise program for the management of people with osteoarthritis of the hip and/or knee

Read the Final Recommendation Report

Osteoarthritis is the most common form of arthritis. It is a chronic, progressive condition most often affecting the hips and knees. Because of this condition, tissues and cartilage break down and people lose joint function. Symptoms include pain and stiffness, which can lead to movement limitations, reduced physical function, and reduced quality of life.

More than 10 percent of Canadians over the age of 15 have osteoarthritis and although there is no cure, treatment options are available.

This health technology assessment looked at how effective and safe a structured education and neuromuscular exercise program is for the management of hip and/or knee osteoarthritis, if it is good value for money, the budget impact of publicly funding this kind of program in Ontario, and the preferences and values of people with hip and/or knee osteoarthritis.

Read the full Health Technology Assessment report for more details.

Structured Education and Neuromuscular Exercise Program for Hip and/or Knee Osteoarthritis: A Health Technology Assessment (PDF)
November 2018

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The Ministry of Health and Long-Term Care is currently reviewing this recommendation.

The Ministry of Health and Long-Term Care has provided the following response: The Ministry has a standardized process in place to review Health Quality Ontario recommendations. This takes into consideration Ministry priorities, implementation options, the need for consultation with impacted stakeholders, and funding considerations.

Health Technology Assessment at Health Quality Ontario

As part of our core function to promote health care supported by the best available evidence, we use established scientific methods to analyze the evidence for a wide range of health interventions, including diagnostic tests, medical devices, interventional and surgical procedures, health care programs and models of care. These analyses are informed by input from a range of individuals, including patients and clinical experts. The Ontario Health Technology Advisory Committee — a committee of the Health Quality Ontario board of directors — reviews the evidence and makes recommendations about whether health care interventions should be publicly funded or not. Draft recommendations are posted on the Health Quality Ontario website for feedback. Final recommendations are approved by our board of directors and then shared with the Ministry of Health and Long-Term Care. For more detailed information, visit our Evidence to Improve Care pages.


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