Patients’ perspectives and experiences on physiotherapy care for knee osteoarthritis: A qualitative study

Abstract

Objective

To explore the perspectives and experiences of patients with knee osteoarthritis regarding physiotherapy care management in Hong Kong.

Design

Qualitative study using semi-structured, individual interviews.

Setting

Community.

Participants

Patients age 50 years or older with knee osteoarthritis, purposively recruited.

Intervention

Face-to-face semi-structured interviews were conducted with patients who had completed a physiotherapy rehabilitation programme in the past six months.

Main Measures

A 21-question interview guide encouraged participants to discuss their physiotherapy management, experiences, and recommended interventions, covering all non-pharmacological treatments outlined in local clinical guidelines. Questions also explored factors influencing adherence to care during and after physiotherapy. Interviews were audio-recorded, transcribed verbatim, and analysed thematically.

Results

Fourteen patients participated. Five key themes emerged: (a) navigating pain and management strategies; (b) adapting daily life and the impact of knee osteoarthritis on activities; (c) complexities of treatment and the need for personalised care; (d) the role of exercise and mobility; and (e) barriers to access and resources. While patients reported receiving various physiotherapy interventions, gaps were noted in aquatic therapy, neuromuscular training, weight management, and assistive devices. Barriers included limited access, financial constraints, and lack of home exercise equipment. Although participants valued physical activity, maintaining an exercise routine was challenging.

Conclusions

A comprehensive, patient-centred approach is essential for effective physiotherapy care for knee osteoarthritis in Hong Kong. Addressing practical barriers and integrating patient feedback can enhance the accessibility and impact of evidence-based interventions.