GLA:D – Hip & Knee Osteoarthritis Rehabilitation

What is GLA:D?

  • GLA:DTM (Good Life osteoArthritis, Denmark) is an evidence based education and exercise program developed by researchers in Denmark for people with hip or knee osteoarthritis symptoms
  • GLA:DTM uses education and exercise to help with daily activities.  You will work on strengthening your body, as well as learning to move correctly and manage symptoms to improve pain
  • The program has been successfully run in Denmark and is currently being implemented in Canada, Australia and China.

What are the benefits of the program?

Outcomes from participants 12 months after they completed the GLA:D program in Denmark, Canada and Australia, showed that on average, the program results in:

  • Less pain
  • Reduced use of joint related pain killers
  • Improved joint related quality of life
  • Increased walking speed
  • Less sick leave
  • Increased physical activity

Osteoarthritis treatment in Australia

  • Osteoarthritis is the most common lifestyle disease in individuals 65 year of age and older, but can also affect individuals as young as 30 years of age.Current national and international clinical guidelines recommend patient education, exercise and weight loss as first line treatment for osteoarthritis.

    The GLA:D Australia program offers a safe,  evidence-based first line treatment plan as an alternative to early surgery.

  • Current clinical guidelines for lower limb osteoarthritis (e.g. hip and knee) unanimously recommend exercise therapy, education and weight loss as a first line non-pharmacological treatment.(1-4)
  • The Royal Australian College of General Practitioners recently published their guideline on the management of knee and hip osteoarthritis.(4) This guideline is an update of their previous 2009 guideline. This guideline strongly recommends regular exercise for relieving pain and improving function in people with hip and knee osteoarthritis. Weight management for those who are over weight (BMI >25) is also strongly recommended. There are several interventions that are strongly recommended against such as opioid use, stem cell therapy and arthroscopic surgical interventions such as debridement and meniscectomy.

What conditions can the program help with?

  • GLA:D Australia is a program for all individuals who experience any hip and/or knee osteoarthritis symptoms, regardless of severity.
  • GLA:D® Australia is a program for all individuals who experience any hip and/or knee osteoarthritis symptoms, regardless of severity or x-ray reports.
  • You may participate in the GLA:D Australia program if you have a hip or knee joint problem that resulted in visiting a healthcare provider.
  • GLA:DTM is also beneficial for those individuals who want to delay joint replacement surgery or those that want to slow the progression of symptoms of osteoarthritis.
  • You may not be able to participate in the GLA:D Australia program if:
    • You have other reasons for your hip and/or knee pain, including tumor, inflammatory joint disease, result of hip fracture, soft tissue or connective tissue problems
    • You have other symptoms that are more pronounced than the osteoarthritis problems (for example chronic generalised pain or fibromyalgia)
    • You are unable to understand and communicate in English

How do I register?

  • You do not need a referral from your Doctor to partake in the GLA:DTM program. However, you may be eligible for a rebate from Medicare for some of the cost of the program, if deemed appropriate by your GP.

What is the cost of the program?

  • The total cost of the program is $$$, however if you have private health insurance you may be covered for a percentage of the cost. We recommend you check with your private health provider to know exactly what are you are entitled for the program and the gap you may be expected to pay.

    You may also be eligible for a rebate from Medicare for some of the cost of the program, if deemed appropriate by your GP. A GP referral is not required to participate in the program.

  • A first appointment explaining the program and collecting data on your current functional ability
  • Two education sessions which teach you about osteoarthritis, how the GLA:D Australia exercises improve joint stability, and how to retain this improved joint stability outside of the program
  • Group neuromuscular training sessions twice a week for six weeks to improve muscle control of the joint which leads to reduction in symptoms and improved quality of life.

The GLA:D program is an eight week intervention and includes education and exercise, based on the latest evidence in osteoarthritis research. The program is supervised by a certified GLA:D physiotherapist, with the aim to help patients manage their OA symptoms.

GLA:D® Australia training consists of:

  • An initial appointment with a GLA:D certified physiotherapist explaining the program and collecting data on baseline functional ability
  • Two education sessions where you will learn about OA, how the GLA:D intervention improves joint stability and can reduce symptoms, and ongoing management following the program
  • Group neuromuscular training sessions which occur twice a week for six weeks to improve muscle control of the joint.

GLA:D® Australia is being unveiled in private and public hospitals and physiotherapy clinics.

How are classes run?

  • Research from Denmark shows outcomes of the program to include:
    • Less pain
    • Reduced use of joint related pain killers
    • Improved joint related quality of life
    • Improve walking speed
    • Less sick leave
    • Increased physical activity

    These results were maintained at 3 months and 12 months following completion of the program.

GLA:D Class Timetable

GLA:D Class Timetable
TimePhysiotherapist
Monday??Laura Anderson
Tuesday??Laura Anderson
Thursday??Laura Anderson