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GLA:D

The "Good Life with osteoArthritis in Denmark" (GLA:D) program is an evidence-based initiative that combines education and exercise to help individuals manage and reduce the symptoms of hip and knee osteoarthritis.

What Is Osteoarthritisand how can Gla:D Help?

Osteoarthritis (OA) is a degenerative joint disease characterized by the gradual breakdown of cartilage, the tissue that cushions the ends of bones in your joints. This cartilage plays a crucial role in ensuring smooth and frictionless joint movement. Over time, as the cartilage wears down, the bones in the joint begin to rub against each other, leading to pain, stiffness, and decreased mobility. While osteoarthritis is often referred to as a "wear and tear" disease, it is now understood that the condition involves more than just the erosion of cartilage. OA affects the entire joint structure, including changes in the bone, the deterioration of connective tissues like ligaments and tendons that hold the joint together, and inflammation in the synovium, which is the lining of the joint.

This complex condition can develop in any joint but is most commonly seen in weight-bearing joints like the knees, hips, and spine, as well as in the hands. The progression of osteoarthritis varies from person to person, and the severity of symptoms can differ widely. While some people may experience only mild discomfort, others may face chronic pain, significant stiffness, and even loss of joint function.

Osteoarthritis is the most common joint disease, particularly in people over the age of 65. However, it can affect younger individuals, especially those with risk factors such as joint injuries, obesity, and a history of repetitive stress on certain joints due to physical activity or work. Age, genetics, and lifestyle factors also play a role in the development of the condition.

One of the most important aspects of managing osteoarthritis is exercise. Regular physical activity has been shown to help maintain joint function, reduce pain, and improve overall quality of life. In fact, exercise is considered a cornerstone of OA treatment, despite some people being hesitant to move more because of joint pain. Studies consistently show that exercise strengthens the muscles around the joints, increases flexibility, and enhances blood flow to the cartilage, which can help slow the progression of the disease.

Although numerous studies demonstrate the effectiveness of exercise in managing osteoarthritis, the research often involves relatively small groups of participants and varying exercise protocols, which can make it difficult to establish a one-size-fits-all recommendation. That said, supervised exercise programs, where individuals work with professionals to ensure proper form and progression, are particularly effective. Compliance with these programs is critical, as consistent participation yields the best outcomes for pain reduction and improved joint function.

In addition to exercise, weight management plays a crucial role in managing OA symptoms, especially for those with osteoarthritis in weight-bearing joints. Research indicates that losing as little as 15% of body weight can lead to significant improvements in both pain and function. This is because excess weight puts additional stress on joints, particularly in the knees, hips, and lower back. By reducing this load, the joint experiences less strain, which can alleviate some of the discomfort associated with OA.

The most effective approach to managing osteoarthritis is often a combination of interventions, including exercise, weight management, and in some cases, physical therapy or medication. While there is currently no cure for osteoarthritis, these strategies can greatly improve quality of life, slow disease progression, and help individuals maintain independence. As with all chronic conditions, early intervention and consistent management are key to keeping symptoms under control. 

Ultimately, a proactive approach that includes regular physical activity, a healthy diet, and appropriate medical care can help people with osteoarthritis manage their symptoms and continue leading active, fulfilling lives.

Founders

Who is a good Candidate?

Aim

What happens in a session?

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The GLA:D program was developed by Professor Ewa Roos and Dr. Soren Skou at the University of Southern Denmark.  It tested it on nearly 10,000 participants. Their 2017 findings showed increased physical activity at 3 and 12 months, reduced sick leave at 12 months, and decreased use of pain medication by 3 months, highlighting the program’s effectiveness in managing hip and knee osteoarthritis.

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If you are someone who has hip or knee osteoarthritis symptoms and consulted a healthcare provider about your joint issues, the GLA:D program could be beneficial for you. This education and exercise program is designed to help people with osteoarthritis manage their symptoms, potentially slowing the progression of the condition and delaying the need for joint replacement surgery.

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The program aims to improve your neuromuscular strength, enhancing your ability to handle daily activities. As your strength increases, you can lead a more active lifestyle while reducing the risk of osteoarthritis flare-ups. Additionally, regular exercise lowers the risk of other chronic conditions like heart disease, diabetes, and mental health issues.

 

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The GLA:D exercises are a set of 10 exercises, plus warm-up and cool-down, aimed at improving the strength and function around your hips and knees.  Sessions are run in small groups. The exercises are done by each person at the level appropriate for them.  The physiotherapists who run programs have been trained to customise the program to suit the

 patient.

What the Program Consists of:

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An Initial Appointment 

TO EXPLAIN THE PROGRAM AND MEAUSRE YOUR CURRENT FUCTIONAL ABILITY

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2 education sessions

WHITCH TEACH YOU ABOUT OA, ITS RISK FACTORS, TREATMENT OPTIONS, AND SELF-MANAGMENT STRATEGIES

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exercise SESSIONS

TWICE A WEEK FOR 6 WEEKS TO IMPROVE YOUR CONTROL OF THE JOINT, YOUR CONFIDENCE IN THE JOINT AND YOUR STRENGH

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A 3 MONTH REVIEW

WITH YOUR CLINICIAN TO DISCUSS PROGRESS AND GOALS AND RE-MEASURE YOUR FUCTIONAL ABILITY

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COMPLETION OF QUESTIONNAIRES

ON REGISTRATION WITH THE PROGRAM, AND THEN AGAIN AT 3 AND 12 MONTHS TO MEAUSRE CHANGES IN AREAS SUCH AS PAIN, FUCTION, QUALITY OF LIFE AND MEDICATION USE

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