title: The effectiveness of physiotherapist-delivered group education and exercise interventions to promote self-management for people with osteoarthritis and chronic low back pain: a rapid review part I.
abstract: BACKGROUND
  Osteoarthritis (OA) and chronic low back pain (CLBP) are two of the most common and costly musculoskeletal conditions globally. Healthcare service demands mean that multiple condition group-based interventions are of increasing clinical interest, but no reviews have evaluated the effectiveness of group-based physiotherapy-led self-management interventions (GPSMI) for both conditions.
  
  
  OBJECTIVE
  This rapid review aimed to evaluate the effectiveness of GPSMI for OA and CLBP.
  
  
  METHODS
  Rapid reviews are an increasingly valid means of expediting knowledge dissemination and are particularly useful for addressing focused research questions.
  
  
  METHODS
  The electronic databases MEDLINE, EMBASE, CINAHL, Cochrane Database of Systematic Reviews and Cochrane Register of Controlled Trials were searched. Structured group-based interventions that aimed to promote self-management delivered by health-care professionals (including at least one physiotherapist) involving adults' with OA and/or CLBP were included. The screening and selection of studies, data extraction and risk of bias assessment were conducted independently by two reviewers.
  
  
  RESULTS
  22 Studies were found (10 OA, 12 CLBP). No significant difference was found between the effectiveness of GPSMI and individual physiotherapy or usual medical management for any outcome.
  
  
  CONCLUSIONS
  GPSMI is as clinically effective as individual physiotherapy or usual medical management, but the best methods of measuring clinical effectiveness warrant further investigation. Further research is also needed to determine the cost-effectiveness of GPSMI and its implications.
authors.affiliation: School of Public Health, Physiotherapy and Population Science, Health Science Centre, University College Dublin, Belfield, Dublin 4, Ireland. Electronic address: elaine.toomey@ucdconnect.ie.
authors.forename: Elaine
authors.initials: E
authors.lastname: Toomey
authors.affiliation: School of Public Health, Physiotherapy and Population Science, Health Science Centre, University College Dublin, Belfield, Dublin 4, Ireland.
authors.forename: Laura
authors.initials: L
authors.lastname: Currie-Murphy
authors.affiliation: School of Public Health, Physiotherapy and Population Science, Health Science Centre, University College Dublin, Belfield, Dublin 4, Ireland.
authors.forename: James
authors.initials: J
authors.lastname: Matthews
authors.affiliation: School of Public Health, Physiotherapy and Population Science, Health Science Centre, University College Dublin, Belfield, Dublin 4, Ireland.
authors.forename: Deirdre A
authors.initials: DA
authors.lastname: Hurley
mesh_terms: D005081:Exercise Therapy / Q000193:education*; D005260:Female; D006293:Health Promotion / Q000379:methods; D006801:Humans; D007494:Ireland; D017116:Low Back Pain / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D010003:Osteoarthritis / Q000175:diagnosis / Q000628:therapy*; D010353:Patient Education as Topic / Q000458:organization & administration*; D059825:Physical Therapists; D015397:Program Evaluation; D016032:Randomized Controlled Trials as Topic; D012648:Self Care / Q000379:methods*; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Low back pain; Osteoarthritis; Physiotherapy; Rapid review; Self-management