Management of hip and knee osteoarthritis: an adapted clinical practice guideline for Hong Kong physiotherapists

Fadi Mohammad Qassim Al Zoubi, Yu Lok Wong, Lai Ying Gladys Cheing, Jason Pui Yin Cheung, Siu Ngor Fu, Helen Tsang, Ka Yee Rainbow Law, Chun Lung So, Raymond Tsang, Man Ha Tsang, Chunyi Wen, Chi Ki Michael Wong, Yim Ching Yau, André Bussières

Research output: Unpublished conference presentation (presented paper, abstract, poster)Conference presentation (not published in journal/proceeding/book)Academic researchpeer-review


Background: Knee osteoarthritis (KOA) and hip osteoarthritis (HOA) are prevalent and disabling disorders globally. Several international evidence-based clinical practice guidelines (CPGs) are available to guide physiotherapy care. However, developing CPGs can be expensive, research-repetitive, as well as resources and time consuming. Where appropriate, experts recommend adapting CPGs, instead of developing new ones, by considering the cultural and clinical acceptability in other geographical regions and contexts.

Purpose: To adapt high quality CPG recommendations to promote optimal physiotherapy care for KOA and HOA in Hong Kong (HK).

Methods: The ADAPTE framework guided the adaptation process. We searched six electronic databases and eight guideline clearinghouses. Two independent reviewers critically appraised eligible guidelines using the AGREE II tool. Recommendations from high-quality CPGs were extracted using matrices tables. A voting-based consensus among 11 relevant interdisciplinary experts was used to include recommendations with or without modifications to suit their applicability in HK.

Results: Of 6,068 citations, three out of 13 eligible CPGs were deemed high-quality, yielding 99 recommendations for KOA and 78 for HOA. In total, 32 and 25 recommendations were adapted for KOA and HOA, respectively. Of them, exercises were strongly recommended for both conditions.

Conclusion: This is the first study to use internationally recognized standardized procedure to adapt CPGs to local context in rehabilitation.

Implications: This study considered health systems, cultural, and contextual determinants to enhance the implementability and acceptability of these recommendations in HK. Future studies should evaluate the effectiveness of implementing this adapted CPG to improve physiotherapy care for people with KOA/HOA.
Original languageEnglish
Publication statusPublished - Jun 2022
EventWorld Physiotherapy Asia Western Pacific Regional Congress 2022 - , Hong Kong
Duration: 18 Jun 202220 Jun 2022


CongressWorld Physiotherapy Asia Western Pacific Regional Congress 2022
Country/TerritoryHong Kong


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