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2018-OACAO-Spring-Newsletter-Web

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TM<br />

How can I manage my hip or knee arthritis: GLA:D®<br />

Osteoarthritis (OA) in the hip and knee leads to pain and disability for people across the world with about 10% of<br />

men and 18% of women over 60 years having symptoms. Currently, in Canada, more than 4.6 million people are<br />

living with OA and this will rise to more than 10 million (or one in four) within 30 years. By limiting a person’s<br />

activity levels OA can reduce their productivity including their ability to work.<br />

OA is a chronic disease and once it has developed individuals will need to use self-management strategies within<br />

their everyday life to manage their symptoms. The research shows that one of the factors that can increase the<br />

disease is reduced movement. So as much as the knee or hip hurts it is important to remain as active as possible.<br />

This includes weight bearing activities which helps the fluid to move around the joint providing nutrition to the<br />

damaged cartilage. But how do you remain physically active when the joint is painful?<br />

GLAD® is an 8-week education and exercise program that has been developed specifically for people with hip and<br />

knee OA. It is made up of 2 education sessions and 12 exercise sessions. The exercises address the muscle changes<br />

that occur within the joint by increasing muscle activation and stability to prevent abnormal stresses. There are<br />

4 exercise stations, that when used together, improve muscle awareness and muscles patterning in everyday life<br />

– specifically going up and down steps, standing and sitting. After the program, the individual has the ability to<br />

activate the correct muscle groups when undertaking their<br />

normal daily activities. In a research program in Canada, this<br />

approach reduced pain and increased physical activity for<br />

individuals by 40% which was sustained at 3 months.<br />

GLAD® has been shown to benefit people who are<br />

experiencing symptoms through all stages of hip and knee<br />

OA, including helping those individuals who are waiting for<br />

joint replacement surgery. However, 85 – 90% of people<br />

with OA have symptoms and never see a surgeon. GLA:D®<br />

helps these individuals remain active therefore benefiting<br />

their overall health and reducing the risk of other chronic<br />

diseases such as diabetes and cardiovascular disease. The<br />

program is available in rehabilitation clinics and wellness<br />

centres and is designed as a group program so as to build<br />

camaraderie and to ensure that the program is affordable.<br />

C A N A D A<br />

The GLA:D Canada program has now been launched in many provinces across Canada. Locations can be found<br />

on the web site at www.gladcanada.ca.<br />

Questions about the GLA:DCanada program can be directed to gladcanada.info@gmail.com

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