Publications by authors named "Joanne Kemp"

Article Synopsis
  • GPs possess strong knowledge of osteoarthritis management, recognizing exercise as the primary treatment and surgery as a last resort.
  • Despite this knowledge, they encounter various challenges in providing effective care, including patient beliefs, access to services, and systemic issues.
  • Addressing the barriers faced by GPs and improving patient engagement in physiotherapy is essential for enhancing osteoarthritis management outcomes.
View Article and Find Full Text PDF

Purpose: To determine the prevalence of metabolic syndrome and explore its association with clinical outcomes (pain, quality of life, and physical function) in adults participating in an education and exercise program (GLA:D).

Methods: An observational study of adults with hip and/or knee osteoarthritis who participated in GLA:D between 2019 and 2022. Metabolic syndrome status was determined through self-report.

View Article and Find Full Text PDF

Background: The relationship between hip/groin pain and hip range of motion (ROM) is unclear.

Purpose: To explore the relationship between hip/groin pain and hip joint ROM and examine the influence of sex and cam morphology on this relationship.

Study Design: Cross-sectional study; Level of evidence, 3.

View Article and Find Full Text PDF

Background: The 17-item Tampa Scale for Kinesiophobia (TSK) is a commonly used patient-reported outcome measure (PROM) to assess kinesiophobia, but the measurement properties of the TSK in people with femoroacetabular impingement syndrome (FAIS) are unknown.

Objectives: 1) Revise the existing TSK by removing items, as needed, with inadequate functioning to optimise the TSK for people with FAIS, and 2) evaluate construct validity (both structural validity and hypothesis testing), internal consistency, and minimal important change.

Methods: Cross-sectional cohort study including 153 young adults with FAIS.

View Article and Find Full Text PDF

Background: Hip-related pain (HRP) affects young to middle-aged active adults and impacts physical activity, finances and quality of life. HRP includes conditions like femoroacetabular impingement syndrome and labral tears. Lateral hip muscle dysfunction and atrophy in HRP are more pronounced in advanced hip pathology, with limited evidence in younger populations.

View Article and Find Full Text PDF
Article Synopsis
  • A mixed methods study evaluated the effects of the Good Life with osteoArthritis Denmark (GLA:D®) program on physical activity levels among people with knee osteoarthritis over 3 and 12 months.
  • It involved 44 participants, with interviews revealing four main themes related to fear of knee joint damage, varying participation in physical activities, and the influence of facilitators and ongoing barriers to exercise.
  • Although the proportion of more active participants did not significantly change from baseline to follow-up, fear of damage decreased markedly, and participants reported high motivation and confidence for exercise after the program.
View Article and Find Full Text PDF

Background: Hip osteoarthritis (OA) is a prevalent and burdensome condition that leads to impaired quality of life and a substantial economic burden. Encouraging physical activity, particularly walking, is crucial for OA management, but many individuals with hip OA fail to meet recommended activity levels. Prefabricated contoured foot orthoses have shown promise in improving hip muscle efficiency during walking in laboratory settings, but their real-world feasibility and efficacy remain uncertain.

View Article and Find Full Text PDF

1) describe intra-articular features (prevalence and severity) and bony hip morphology (prevalence and size) in elite male Australia Football League (AFL) draftees; 2) examine the relationship between bony hip morphology (cam and pincer morphology) and intra-articular features (cartilage defects and labral tears); and 3) examine the relationship between intra-articular features, bony hip morphology, and the Copenhagen Hip and Groin Outcome Score (HAGOS). Cross-sectional study. 58 male AFL draftees underwent 3-tesla hip MRI.

View Article and Find Full Text PDF

Objective: The objective is to determine the association and absolute risk of femoroacetabular impingement syndrome (FAIS) for the development of radiographic hip osteoarthritis (RHOA).

Methods: This is a nationwide, multicentre prospective cohort study (Cohort Hip and Cohort Knee) with 1002 individuals aged between 45 and 65 years. Hips without definitive RHOA (Kellgren-Lawrence (KL) grade≤1) at baseline and with anteroposterior pelvic radiographs at baseline and 10-year follow-up available (n=1386 hips) were included.

View Article and Find Full Text PDF

Introduction: Guidelines have been proposed for post-operative rehabilitation following periacetabular osteotomy (PAO). However, the perspectives of individuals undergoing PAO have not been considered.

Aim: The present study aimed to explore the perceived challenges of everyday life and hopes for and expectations of post-PAO rehabilitation from the perspective of individuals with acetabular dysplasia living in Denmark and Australia.

View Article and Find Full Text PDF

Introduction: Femoroacetabular impingement syndrome (FAIS) is a motion-related and position-related clinical condition of the hip associated with pain, reduced physical function and hip-related quality of life (QoL). Interestingly, higher maximal muscle strength is associated with less pain, better physical function and improved QoL in people with FAIS. Furthermore, preliminary evidence suggests that a proportion of patients with FAIS respond positively to strength exercise as first-line treatment.

View Article and Find Full Text PDF

To (i) investigate the goals and expectations of participants enrolled in a clinical trial of physiotherapist-led treatment for femoroacetabular impingement (FAI) syndrome and (ii) explore associations between their expectations and self-reported hip burden and kinesiophobia. Data from 150 participants with FAI syndrome who participated in a clinical trial were analysed. Participants described their most important treatment goal and the expectation of achieving this goal throughout physiotherapy treatment.

View Article and Find Full Text PDF
Article Synopsis
  • Patients with femoroacetabular impingement (FAI) syndrome have concerns about their hip pain being linked to structural damage, which affects their willingness to engage in exercise.
  • The study identified key themes related to barriers and facilitators for accessing physical therapy, as well as participants' beliefs about the role of additional treatments and the overall impact of FAI on their physical activity.
  • There is a clear need for improved education for individuals with FAI regarding exercise, imaging, and what to expect in terms of costs and treatment duration to enhance participation in rehabilitation programs.
View Article and Find Full Text PDF

Background: Literature reporting positive outcomes from the Good Life with osteoArthritis in Denmark (GLA:D®) program in Australia mainly involves patients attending private physiotherapy services.

Objective: Evaluate the feasibility of implementing GLA:D® in Australian public hospitals.

Design: Implementation study in three metropolitan tertiary public hospitals over six months.

View Article and Find Full Text PDF

Background: Previous literature has reported the successful implementation of the Good Life with osteoArthritis in Denmark (GLA:D®) program into predominantly private practice settings. There may be unique challenges present within the public hospital setting that influence GLA:D® implementation in public health.

Objective: Explore the attitudes and experiences of service providers directly involved in implementing GLA:D® in Australian public tertiary hospitals.

View Article and Find Full Text PDF

Introduction: Chronic inflammation plays a key role in knee osteoarthritis pathophysiology and increases risk of comorbidities, yet most interventions do not typically target inflammation. Our study will investigate if an anti-inflammatory dietary programme is superior to a standard care low-fat dietary programme for improving knee pain, function and quality-of-life in people with knee osteoarthritis.

Methods And Analysis: The eFEct of an Anti-inflammatory diet for knee oSTeoarthritis study is a parallel-group, assessor-blinded, superiority randomised controlled trial.

View Article and Find Full Text PDF

Objective: To define the reporting of Scoring Hip Osteoarthritis with MRI (SHOMRI) feature prevalence and severity, and to develop criteria to monitor feature change in longitudinal investigations.

Methods: Twenty-five participants (50 hips) of the femoroacetabular impingement and hip osteoarthritis cohort study underwent baseline and 2-year follow-up 3 T hip MRIs. Eight hip OA features were assessed using the SHOMRI.

View Article and Find Full Text PDF

Objectives: To investigate associations between lateral hip muscle size/intramuscular fat infiltration (MFI) and hip strength in active young adults with longstanding hip/groin pain.

Design: Cross-sectional study.

Setting: University/Clinical.

View Article and Find Full Text PDF

Introduction: In-person physiotherapy services are not readily available to all individuals with musculoskeletal conditions, especially those in rural regions or with time-intensive responsibilities. The COVID-19 pandemic highlighted that telehealth may facilitate access to, and continuity of care, yet many physiotherapists lack telehealth confidence and training. This project co-developed and evaluated a web-based professional development toolkit supporting physiotherapists to provide telehealth services for musculoskeletal conditions.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to analyze differences in characteristics and outcomes between 'more' and 'less' physically active participants with knee osteoarthritis over 3 and 12 months following an education and exercise-therapy program.
  • It included 1,059 participants and found that at baseline, the 'more' active group had significantly lower rates of obesity, comorbidities, and medication use, along with better pain and quality of life scores compared to the 'less' active group.
  • Despite initial differences, improvements in knee-related issues and quality of life were similar for both groups over time, but a higher proportion of the 'more' active participants remained off medication at both follow-up points.
View Article and Find Full Text PDF

Context: Hip and groin injuries are common in field sports such as football, with measurement of hip strength and range of motion (ROM) recommended for assessment of these conditions. We aimed to report hip strength, hip ROM, and functional task performance in young elite Australian football athletes.

Design: Cross-sectional study.

View Article and Find Full Text PDF

In symptomatic football players with hip dysplasia, we aimed to explore the relationships between self-reported sport and recreation ability and (1) hip muscle strength, (2) functional performance, and investigate if these relationships were modified by sex or cartilage defects. In this cross-sectional study, football players (n = 50) with longstanding (>6 months) hip and/or groin pain, a positive flexion/adduction/internal rotation test, and a lateral-center-edge angle <25° were included. Hip muscle strength and functional performance were assessed.

View Article and Find Full Text PDF

Objective: To compare hip muscle strength and functional performance in football players with and without hip dysplasia and investigate if the relationships were modified by sex.

Design: Cross-sectional study.

Methods: This study compared football players with hip dysplasia (HD group) and without hip dysplasia (control group).

View Article and Find Full Text PDF