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Managing symptoms while waiting for hip or knee replacement surgery

Hip and knee osteoarthritis results in muscle weakness which for many people has become worse over the last few months as they have been socially isolated, with reduced physical activity levels related to COVID-19. With surgeries cancelled individuals who are on a wait list have been told their surgery will be delayed – and for many people this might be for months. Reduced physical activity levels can result in poorer outcomes following the surgery. The GLA:D program increases muscle strength and improves movement patterns and has been shown to reduce symptoms for individuals with severe disease including those who are waiting for surgery. By increasing muscle power, the program also prepares people for their post-surgical rehabilitation so that they can get back to their daily activities quicker once they have had their surgery. If you are on a wait list for surgery and are struggling with your symptoms, then consider taking the GLA:D program so that you can stay active as you wait and you can achieve the best outcomes following the surgery.

GLA:D provided remotely

During this time of managing COVID-19, rehabilitation clinics across Canada are limited in their ability to provide face to face treatment to their patients. With the requirement to socially isolate, many people are restricted in their ability to be physically active and are suffering from their symptoms related to their hip and knee osteoarthritis.

The GLA:D® program is an education and exercise program which promotes independence in physical activity. For many people the program can be completed independently at home with supervision and direction from a qualified therapist. As such many of the GLA:D trained clinicians are now providing the program remotely through visual technology, working with their patients through smart phones, tablets or laptops.

For anyone who is interested in participating in a remote program we have provided some information here to help you decide if it is for you. If you decide you want to participate you should contact your local clinic to see if they are providing the program remotely, or contact the GLA:D™ Canada national team at and we will help you to identify a suitable clinic location.

2019 GLA:D report released

GLA:D Canada are pleased to announce the release of  GLA:D Annual Report for 2019. The report “Implementation and outcomes” provides the data analysed from participants who went through the program up to the end of 2019.

2019 Full report available here

2019 Supplementary Report

Key Findings:


  • 25 courses have been provided to train health care professionals
  • 1080 clinicians have been trained of which 74% are physiotherapists
  • 209 sites have launched in 9 provinces

Key Results:

  • a mean 15-29% improvement in pain
  • over 30% of individuals experiencing a marked improvement in activities of daily living and sports and recreation
  • over 45% of individuals experiencing a marked improvement in quality of life



GLA:D® is an evidence-based program for treatment and management of osteoarthritic symptoms. GLA:D™ Canada is licensed to the Canadian Orthopaedic Foundation. It is currently being implemented by Bone and Joint Canada, a knowledge translation division of the Canadian Orthopaedic Foundation.