Self-management the answer to knee pain

A programme demonstrating that group physiotherapy can be as effective as single-patient sessions in equipping patients to self-manage chronic knee pain has been selected by the National Institute for Health and Care Excellence (NICE) as a case study.

The work, led by Mike Hurley, professor of rehabilitation at St George’s, University of London, has been chosen as part of NICE’s Quality, Innovation, Productivity and Prevention (QUIPP) programme, which highlights initiatives that improve quality and productivity across the health service.

The programme uses patient education, coping strategies and a challenging exercise regime that shows patients how exercise is a safe and effective way of helping them self-manage their condition.

The group programme costs around half of what it would cost to provide one-to-one physiotherapy treatment.

CSP professional adviser Ruth ten Hove said all musculoskeletal physios should consider how they can implement Professor Hurley’s work as part of their service. ‘Everyone should be using it,’ she said.

‘It is really encouraging to see models of physiotherapy practice and service delivery being published through the rigorous quality assurance process of QIPP.

The detailed costings outlined in this example strengthen the case for implementation.’

The full case study can be seen at: by searching for ‘knee pain’.

Graham Clews

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