Enabling Self-management
and Coping with Arthritic Pain
using Exercise

Evidence

Rigorous evaluation and independent review show ESCAPE-pain is:

  • safe and produces better clinical outcomes [Hurley et al 2007a, Hurley et al 2012]
    • reduces pain
    • improves physical function, general well-being and quality of life
    • reduces depression
  • has lower healthcare utilisation and cost savings
    • compared with usual outpatient physiotherapy
    • lower overall healthcare costs through reduced use of A&E services, medical consultations, referrals, investigations (i.e. X-rays and MRI scans)
    • reduced use of analgesia and gastro-protective agents, side effects of medication
  • is more cost-effective than usual care [Hurley et al 2007b, Hurley et al 2009]
  • may help delay or avoid surgery
  • promotes physical activity, reducing the risk of acquiring or exacerbating comorbidities such as diabetes and cardiovascular conditions
  • patients describe how first-hand, positive experience of the programme [Hurley et al 2010]
    • alters beliefs about the importance of exercise in managing their knee pain
    • allays fears that exercise might exacerbate joint pain and damage
    • helps them appreciate the benefits of exercise
    • become more confidence in their ability to use exercise as a self-management strategy
    • are less reliant on other people
  • clinicians adopt it as the intervention of choice for chronic joint pain [Hurley et al 2009]

Research Presentations

Clinical Outcomes (Hurley et al 2007a)

Clinical Outcomes (Hurley et al 2007a)

Long Term Outcomes (Hurley et al 2012)

Long Term Outcomes (Hurley et al 2012)

NICE QIPP Report

NICE QIPP Report

Patients Perspectives (Hurley et al 2010)

Patients Perspectives (Hurley et al 2010)

Economic Evaluation (Hurley et al 2007b)

Economic Evaluation (Hurley et al 2007b)

Exercise - Psychological Benefits (Hurley et al 2002)

Exercise - Psychological Benefits (Hurley et al 2002)

Hip Feasbility Trial (Hurley et al 2011)

Hip Feasbility Trial (Hurley et al 2011)