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INTERPROFESSIONELE SAMENWERKING BINNEN DE PARAMEDISCHE (LEEFSTIJL)-ZORG: WAAROM IS DIT ZO MOEILIJK REALISEERBAAR EN HOE KUNNEN WE DIT VERBETEREN

J. Knoop; Marian de van der Schueren; J dekker; Anja de Kruif; Elke Naumann; RWJG van Ostelo; J Ratter; Emmelyne Vasse; S Wiertsema; SFE van Weely; Bart Staal

Voor veel cliëntgroepen is een behandeling vanuit meer dan één (para)medische zorgdiscipline vereist, met name als sprake is van een chronische aandoening of multimorbiditeit. Afstemming en samenwer king tussen deze disciplines (interprofessionele samenwerking) is dan noodzakelij k om goede zorg te …

2023GezondheidArtikel

No evidence for stratified exercise therapy being cost-effective compared to usual exercise therapy in patients with knee osteoarthritis: Economic evaluation alongside cluster randomized controlled trial.

J. Knoop; J. Esser; J Dekker; J.W. de Joode; R.W.J.G. Ostelo; J.M. van Dongen

BACKGROUND: A stratified approach to exercise therapy may yield superior clinical and economic outcomes, given the large heterogeneity of individuals with knee osteoarthritis (OA). OBJECTIVE: To evaluate the cost-effectiveness during a 12-month follow-up of a model of stratified exercise therapy compared …

2022AlgemeenArtikel

Stratified exercise therapy does not improve outcomes compared with usual exercise therapy in people with knee osteoarthritis (OCTOPuS study): a cluster randomised trial.

J. Knoop; J Dekker; J.M. van Dongen; M van der Leeden; M. de Rooij; W.F. Peter; W. de Joode; L. van Bodegom-Vos; N. Lopuhaä; K.L. Bennell; W.F. Lems; M. van der Esch; T.P. Vliet Vlieland; R.W.J.G. Ostelo

QUESTION: In people with knee osteoarthritis, how much more effective is stratified exercise therapy that distinguishes three subgroups (high muscle strength subgroup, low muscle strength subgroup, obesity subgroup) in reducing knee pain and improving physical function than usual exercise therapy? DESIGN: …

2022AlgemeenArtikel

Patients' and clinicians' experiences with stratified exercise therapy in knee osteoarthritis: a qualitative study.

J. Knoop; J.W. de Joode; H. Brandt; J Dekker; R.W.J.G. Ostelo

BACKGROUND: We have developed a model of stratified exercise therapy that distinguishes three knee osteoarthritis (OA) subgroups ('high muscle strength subgroup', 'low muscle strength subgroup', 'obesity subgroup'), which are provided subgroup-specific exercise therapy (supplemented by a dietary intervention …

2022AlgemeenArtikel

Clinical relevance of epidural steroid injections on lumbosacral radicular syndrome-related synptoms: systematic review and meta-analysis

T.M. de Bruijn; I.B. de Groot; H.S. Miedema; J. Haumann; R.W.J.G. Ostelo

Objectives: Epidural steroid injections (ESIs) can be used to reduce lumbosacral radicular syndrome (LRS) related pain. The clinical relevance of ESIs are currently unknown. This systematic review and meta-analyses aims to assess whether ESIs are clinically relevant for patients with LRS. Materials …

2021-03-30GezondheidArtikel

Stratified care integrated with eHealth versus usual primary care physiotherapy in patients with neck and/or shoulder complaints: protocol for a cluster randomized controlled trial.

M.L. van TIlburg; C.J.J. Kloek; M.F. Pisters; Bart Staal; J.M. van Dongen; M. de Weerd; R.W.J.G. Ostelo; N.E. Foster; C. Veenhof

BACKGROUND: Neck and shoulder complaints are common in primary care physiotherapy. These patients experience pain and disability, resulting in high societal costs due to, for example, healthcare use and work absence. Content and intensity of physiotherapy care can be matched to a patient's risk of persistent …

2021AlgemeenArtikel

Construct validity of the OCTOPuS stratification algorithm for allocating patients with knee osteoarthritis into subgroups.

J. Knoop; R.W.J.G. Ostelo; M. van der Esch; A. de Zwart; K.L. Bennell; M van der Leeden; J Dekker

BACKGROUND: We recently developed a model of stratified exercise therapy, consisting of (i) a stratification algorithm allocating patients with knee osteoarthritis (OA) into one of the three subgroups ('high muscle strength subgroup' representing a post-traumatic phenotype, 'low muscle strength subgroup' …

2021AlgemeenArtikel

Stratified exercise therapy compared with usual care by physical therapists in patients with knee osteoarthritis: A randomized controlled trial protocol (OCTOPuS study).

J. Knoop; J Dekker; M van der Leeden; M. de Rooij; W.F. Peter; L. van Bodegom-Vos; J.M. van Dongen; N. Lopuhäa; K.L. Bennell; W.F. Lems; M. van der Esch; T.P. Vliet Vlieland; R.W.J.G. Ostelo

OBJECTIVES: Knee osteoarthritis (OA) is characterized by its heterogeneity, with large differences in clinical characteristics between patients. Therefore, a stratified approach to exercise therapy, whereby patients are allocated to homogeneous subgroups and receive a stratified, subgroup-specific intervention, …

2020AlgemeenArtikel

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