ArticlePrimary health care research & development2020
Rehabilitation needs in individuals with knee OA in rural Western Cape, South Africa: an exploratory qualitative study.
Article in Primary health care research & development, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Patient and healthcare professional perceptions of weight reduction in the treatment of knee osteoarthritis: A systematic literature review.Osteoarthritis and cartilage open · 2026Review
- Assessing the knowledge, practices and collaborative readiness of community pharmacists' management of progressive joint disorders in South Africa.Health SA = SA Gesondheid · 2026Article
- Implementation of best-evidence rehabilitation for hip, knee and hand osteoarthritis in Africa: A cause for concern.Osteoarthritis and cartilage open · 2025Article
- 'Pain free if I ever will be': lived experience of workers seeking care for pain attributed to musculoskeletal disorders.BMC musculoskeletal disorders · 2024Article
- A synthesis of qualitative research to understand the complexity behind treatment decision-making for osteoarthritis.Osteoarthritis and cartilage open · 2023Article
- Virtual Tools to Enable Management of Knee Osteoarthritis.Current treatment options in rheumatology · 2023Review
- Team approach to osteoarthritis management: Viewpoints of biokineticists and physiotherapists in South Africa.South African journal of sports medicine · 2023Article
- Knee Osteoarthritis in Relation to the Risk Factors of the Metabolic Syndrome Components and Environment of Origin.Journal of clinical medicine · 2022Article
- Rehabilitation and primary care treatment guidelines, South Africa.Bulletin of the World Health Organization · 2022Article
- Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries.Frontiers in rehabilitation sciences · 2021Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrent clinical practice guidelines have suggested that each individual with knee osteoarthritis (OA) should receive three core treatments from their health care provider. These core treatments comprise of exercise, education and weight loss. Identification of the health care and rehabilitation needs of individuals with knee OA in rural areas are imperative for focusing service delivery in a specific context in order to empower the individual. The aim of this study was to explore the rehabilitation needs of individuals with knee OA living in rural Western Cape in order to identify the gaps in services offered and inform rehabilitation programmes in these settings.
methodsSemi-structured in-depth individual interviews were performed on 16 individuals with knee OA living in rural settings of the Western Cape, South Africa. A deductive data analysis approach was used and the needs of the individuals were identified and categorised for interpretation and comparison with the reported services received.
findingsThe three major themes identified were 'I would like to know more', 'There's not much support from the clinic' and 'I don't feel myself anymore'. These themes relate to the lack of disease-specific education, barriers in the health systems and service delivery resulting in individuals lack of self-worth and poor mental wellbeing. The results revealed the integral relationship between health care systems, service delivery and the effect on patient wellbeing.
conclusionThe rehabilitation needs of individuals with knee OA in rural areas advocates for addressing barriers in rural primary health care system such as adequate human resources, referral systems and continuity of care. This will allow for a comprehensive, person-centred and context-specific multidisciplinary approach focused on empowering individuals with knee OA through disease-specific education, improving functional participation and symptom management strategies. This could improve the social inclusion and mental wellbeing of individuals living with knee OA.
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