Table 3

Responses to GP attitude statements derived from the MOVE consensus recommendations21

MOVE consensus propositionAttitude statement(Strongly) disagreeNeither disagree or agree(Strongly) agree
Items relating to the benefits of exercise (number of respondents)
 Prescription of both general (aerobic fitness training) and local (strengthening) exercises is an essential, core aspect of management for every patient with hip or knee OAGPs should prescribe quadriceps strengthening exercises to every patient with CKP (n=822)8%22%69%
GPs should prescribe general exercise, for example, walking or swimming, for every patient with CKP (n=824)3%8%89%
 Both strengthening and aerobic exercise can reduce pain and improve function and health status in patients with knee and hip OAKnee problems are improved by quadriceps strengthening exercises (n=824)<1%11%88%
Knee problems are improved by general exercise, for example, walking or swimming (n=824)1%7%93%
 There are few contraindications to the prescription of strengthening or aerobic exercise in patients with hip or knee OAQuadriceps strengthening exercises for the knee are safe for everybody to do (n=821)15%30%56%
General exercise, for example, walking or swimming, is safe for everybody to do (n=820)13%16%71%
Exercise works just as well for everybody, regardless of the amount of pain they have (n=823)49%29%22%
 The effectiveness of exercise is independent of the presence or severity of radiographic findingsExercise is effective for patients if an X-ray shows severe knee osteoarthritis (n=822)16%32%52%
 Improvements in muscle strength and proprioception gained from exercise programmes may reduce the progression of knee and hip OAIncreasing the strength of the muscles around the knee stops the knee problem getting worse (n=824)16%29%55%
Increasing the overall activity levels stops the knee problem getting worse (n=822)19%38%43%
Items relating to the delivery of, and adherence to, exercise (number of respondents)
 Exercise therapy for OA of the hip or knee should be individualised and patient-centred taking into account factors such as age, comorbidity and overall mobilityExercise for CKP is most beneficial when it is tailored to meet individual patient needs (n=823)1%9%90%
A standard set of exercises is sufficient for every patient with chronic knee problems (n=821)51%36%13%
 To be effective, exercise programmes should include…advice and education to promote a positive lifestyle change with an increase in physical activityGPs should educate patients with CKP about how to change their lifestyle for the better (n=823)1%6%93%
It is important that people with CKP increase their overall activity levels (n=824)1%10%89%
 Adherence is the principal predictor of long-term outcome from exercise in patients with knee or hip OAHow well a patient complies with their exercise programme determines how effective it will be (n=825)3%11%86%
 Strategies to improve and maintain adherence should be adopted, for example, long-term monitoring/review and inclusion of spouse/family in exerciseGPs should follow-up patients to monitor extent of continuation of exercises (n=823)30%37%34%
It is the patient’s own responsibility to continue doing their exercise programme (n=826)1%6%93%
  • Consensus categorised according to: unanimity=100%, consensus=75%–99%, majority view=51–74%, no consensus=0%–50% (19,27).

  • Maximum missing data for any item were 2%.

  • CKP, chronic knee pain; GP, general practitioner, OA, osteoarthritis.