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Issue 31 Synovium (Autumn 2010)
A prospective study that followed 150 patients receiving exercise therapy for symptoms of osteoarthritis of the hip and/or knee for 5 years1 has shown that better adherence to the home exercise programme, both during and after the therapy period, and being generally more physically active, was associated with reduced experience of pain, better physical functioning (self-reported) and better physical performance. The clear message is that exercise is good treatment if you do it, and do enough of it. This leads to the significant question of how we persuade people to be more physically active and to adhere diligently to exercise programmes so that they experience the benefit. More research to be done in this area please.