Resistance Training in Individuals With Hip and Knee Osteoarthritis: A Clinical Commentary With Practical Applications

Abstract

Osteoarthritis (OA) has been identified as 1 of the 4 most prevalent chronic musculoskeletal conditions, with both prevalence and health care spending rising as the population continues to age. The current US health care system incorporates a model that is driven by individualized one-on-one treatment, which has been successful in the management of certain medical diseases; however, chronic musculoskeletal diseases, such as OA, may be better managed from a population health perspective for more cost-efficient and effective utilization of resources. Although the benefits of resistance training are indisputable, a wide variety of factors (social determinants of health, access to quality care, contextual factors, and comorbidities) may hinder the successful implementation of resistance training programs in older individuals with OA. Considering the complexity and flaws of the health care system, health care professionals involved in movement and exercise should consider innovative models of care that incorporate population health, psychosocial factors, and social determinants of health, in conjunction with individualized treatment of disease, injuries, and pathologies to enhance independence and quality of life in individuals with OA. Therefore, this commentary will discuss innovative strategies to overcome the inherent challenges associated with the implementation of resistance training programs for individuals with hip and knee OA.