The role of exercise for knee pain: What do older adults in the community think?

Abstract

Objective:

Older adults with knee pain report low levels of exercise and physical activity. One explanation for this might be they believe exercise is unhelpful or even harmful for knee pain. We therefore explored the attitudes and beliefs of older adults in the community about the role of exercise for knee pain, using mixed methods.

Methods:

A survey was mailed to 2234 older adults registered with one General Practice within the UK. This included 23 attitude statements derived from published exercise recommendations. Semi-structured interviews were completed with a purposeful sample of questionnaire responders (n=22) and were recorded and analysed thematically.

Results:

The questionnaire response rate was 59% (n=1276) and 611 respondents reported knee pain in the last 12 months. There was considerable uncertainty about the benefits of exercise: less than 50% largely or totally agreed on any attitude statement relating to the benefit of exercise for knee pain. Interviews revealed that attitudes and beliefs about exercise for knee pain were linked to individual's perceptions about their knee problem and that many different barriers and facilitators to exercise and physical activity existed. These could be grouped as those relating to the person, the knee problem itself, and social or environmental factors. Barriers and facilitators varied between different individuals and over time.

Conclusion:

The overall uncertainty within the community about the role of exercise for knee pain highlights the challenges faced by those living with knee pain in completing physical activity and for health care professional prescribing exercise for this patient group. © 2012 by the American College of Rheumatology