Osteoarthritis (OA) is one of the diseases with highest rates of comorbidity; rates between 68% to 85% have been reported. Comorbidity in patients with OA is associated with even more pain, greater limitations in daily activities, and worth functional prognosis in these activities. Highly prevalent comorbidities in knee OA are coronary diseases, heart failure, hypertension, type 2 diabetic, obesity, chronic obstructive pulmonary disease, chronic pain, non-specific low back pain, depression, and visual and hearing impairments.
Exercise therapy is one of the key recommendations in current guidelines for the management of knee OA, being an effective intervention in pain relief and improvement of daily activities. Unfortunately, these guidelines do not offer guidance concerning comorbidity-associated adaptations. Therefore, there is a need to develop exercise therapy protocols for patients with knee OA and at least one highly prevalent comorbidity.
We have developed comorbidity-adapted protocols for comorbidities that are common in OA and have impact on pain and/or affect daily functioning. These protocols provides guidance in clinical reasoning to direct diagnose and treatment phase of these patients.
In this inter active session we will discuss the adaptations that have been made in the diagnostic and intervention phase in a patient with OA of the knee and comorbidities (diabetic type 2, hypertension and obesity).
Disclosure of Interest None Declared
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