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Abstract：
Knee and hip osteoarthritis are common disabling conditions globally. Although numerous international clinical practice guidelines exist to guide physiotherapy management, not all recommendations issued from these guidelines can be translated to other contexts without considering the cultural acceptability and clinical implementability of targeted countries. Because the ADAPTE framework provides a robust methodology to adapt guidelines to the local context, this study used its methodology to adapt high-quality guideline recommendations to promote optimal physiotherapy care for knee and hip osteoarthritis in Hong Kong. The ADAPTE framework was used and modified to complete the adaptation process. International clinical practice guidelines were identified from eight guideline clearinghouses and six electronic databases. Two independent reviewers critically appraised the eligible guidelines using the AGREE II tool. We extracted and tabulated recommendations from high-quality guidelines. A voting-based consensus among interdisciplinary experts was conducted to decide on suitable recommendations for the Hong Kong context and whether there was a need to modify them. Pertinent recommendations were then translated into the traditional Chinese language. Our team members suggested modifying four tools and adding one to explore the patient\'s feedback on the recommendations, to the ADAPTE framework. The adaptation was performed on three high-quality guidelines. We adapted 28 and 20 recommendations for treating knee and hip osteoarthritis, respectively. We recommend a multimodal treatment for managing knee and hip osteoarthritis. Land- and aquatic-based exercises, patient education, and self-management were strongly recommended for patients with knee osteoarthritis. Land- and aquatic-based exercises were strongly recommended for patients with hip osteoarthritis. This is the first adaptation study in Hong Kong. It provides guidance to local physiotherapists on managing patients with knee and hip osteoarthritis. Future studies should test the effectiveness of implementing this adapted guideline to improve local physiotherapy care in Hong Kong.
摘要：
膝关节和髋关节骨关节炎是全球常见的致残疾病。尽管存在许多国际临床实践指南来指导物理治疗管理，在不考虑目标国家的文化可接受性和临床可实施性的情况下，并非所有从这些指南发布的建议都可以转化为其他背景。由于ADAPTE框架提供了一种强大的方法来使指南适应本地环境，这项研究使用其方法来调整高质量的指南建议，以促进香港膝关节和髋关节骨关节炎的最佳物理治疗。使用并修改了ADAPTE框架以完成适应过程。从八个指南交换所和六个电子数据库中确定了国际临床实践指南。两名独立审查员使用AGREEII工具对符合条件的指南进行了严格评估。我们从高质量的指南中提取并列出了建议。跨学科专家之间进行了基于投票的共识，以决定适合香港情况的建议以及是否需要修改这些建议。然后将相关建议翻译成传统的中文。我们的团队成员建议修改四个工具，并添加一个工具来探索患者对建议的反馈，ADAPTE框架。适应是在三个高质量的指南上进行的。我们调整了28和20条治疗膝关节和髋关节骨关节炎的建议，分别。我们建议多模式治疗膝关节和髋关节骨关节炎。基于陆地和水生的运动，患者教育,并强烈建议对膝骨关节炎患者进行自我管理。强烈建议髋关节骨关节炎患者进行基于陆地和水生的运动。这是香港的第一个适应研究。它为当地物理治疗师提供有关治疗膝关节和髋关节骨关节炎患者的指导。未来的研究应测试实施此适应指南以改善香港本地物理治疗的有效性。
