GLA:D® is an evidence-based education and exercise program developed by researchers in Denmark for people with osteoarthritis symptoms of the hip and/or knee.
GLA:D® is an evidence-based education and exercise program developed by researchers in Denmark for people with osteoarthritis symptoms of the hip and/or knee. The program was introduced to Australia in 2017, with Wakefield Sports and Exercise Medicine Clinic becoming the first clinic in South Australia to begin running the program that same year. We continue to be one of the biggest providers of the program in Australia.
Current national and international guidelines recommend patient education, exercise and weight loss as the most effective first-line treatments for osteoarthritis. The GLA:D® program addresses all three of these components to effectively manage the condition and is individually tailored to suit your level of function. Suitable GLA:D® program participants may include:
People whose hip or knee pain is impacting their ability to perform their daily activities such as work, house duties, gardening, shopping, babysitting etc.
People who want to increase or maintain their activity levels but aren't sure how to due to their hip and/or knee pain.
Active individuals wanting to better manage their hip and/or knee pain with activities such as sport, running, walking, hiking, gym, dancing etc.
People who have a specific goal such as an upcoming hike or travel.
People who are considering surgery or are unfit for surgery.
People who have had surgery and may benefit program as part of their post-operative strengthening regime.
People who are awaiting joint replacement surgery. Anecdotally, we have found that those who have attended GLA:D pre-operatively recover quicker due to improved coordination and strength.
What to expect
Research from Denmark shows the GLA:D® program reduces osteoarthritis symptom progression 32%. At the Wakefield Sports and Exercise Medicine Clinic, we have achieved:
a 45% improvement in average pain levels
a 39% improvement in worst pain levels
a 30% improvement in quality of life score
Other outcomes include less use of pain relief, less sick leave, and increase confidence in joint function. GLA:D participants report high levels of satisfaction with the program and increased activity levels within 12 months.
The GLA:D® program at Wakefield Sports and Exercise Medicine Clinic involves:
An initial 40-minute assessment with one of our GLA:D trained physiotherapists to assess your suitability for treatment, explain the program and collect information about your current functional ability. You may need to attend a second appointment to grade your exercises and teach you exercise technique one-on-one before joining a class.
Two, one-hour long education sessions, which teach you about osteoarthritis and the available treatments, why exercise is important, how to exercise and be active with osteoarthritis, how the GLA:D® program works to improve pain and function, and how to maintain this after you have completed the program.
12, one-hour long physiotherapist-led group neuromuscular exercises sessions (ideally twice a week for six weeks) to improve muscle control, strength, joint alignment and function.
A review with your assessing physiotherapist to discuss how you can continue building on gains from the program once you have finished classes.
A three-month review to reassess your functional abilities.
At the end of the program you will have:
an ongoing program you can continue with at home to maintain and improve on strength and stability of the joint;
the equipment you need to continue this program at home; and
the knowledge you need to continue exercising and being active with osteoarthritis.
If home-based exercise is not suitable for your circumstances, we have the following physiotherapist led-options as well:
Ongoing attendance at GLA:D® classes
Developing an exercise rehabilitation program (using Pilates equipment) that you can attend in a class.
Developing a suitable gym program.
We offer a flexible timetable at our Next Generation and city clinics, with classes during the day, in the evenings, early mornings and Saturday mornings (link to timetable). If you cannot attend the clinic for any reason, we do offer some telehealth sessions where you can participate in GLA:D from the comfort of your home.
Wakefield Sports + Exercise Medicine Clinic: COVID-19 Protocols
At Wakefield Sports + Exercise Medicine Clinic, our priority is the safety and wellbeing of our staff, patients and community as South Australia opens the borders to interstate and international arrivals with the expectation of Covid-19 living in the community.
In accordance with the recommendations issued by Calvary Adelaide Hospital, Wakefield Sports + Exercise Medicine Clinic will require patients and visitors, to be Covid-19 double vaccinated before entering our 3 clinics, unless issued with a vaccination exemption.
These changes will come into effect, Monday 29th
Attending appointments at our clinics
Calvary Adelaide Hospital
Patients and visitors to be Covid-19 Double Vaccinated. We will require proof of the Covid-19 double vaccination certificate before or on entry to our clinic.
*All patients and visitors are to report to Calvary Adelaide Hospital COVID-19 screening desks, either in the main foyer or tenancy building prior to entering the clinic*.
Patients and visitors will be required to wear surgical masks when in the hospital precinct with additional masks available at the screening desks.
Please ensure you check-in using the QR code and present the green tick to the screening desk or by completing the manual form. Please check in again when you arrive in clinic.
Patients attending from interstate must have completed the Entry Check SA application and have their risk level assessed to determine entry conditions. These patients will require evidence of their double Covid-19 vaccination certificate on arrival.
Patients will be asked to attend their appointment alone unless a companion is necessary
Adhere to the social distancing measures in place and practice good hand hygiene.
We recommend all patients to arrive on time (and not early) to their appointment and refrain from standing close to our reception desks when organising appointment follow up.
Next Generation and Dulwich Family Practice
Patients and visitors to be Covid-19 Double Vaccinated and provide proof of vaccination status at the time of your appointment.
Please ensure you check-in using the QR code and present the green tick to the reception team or by completing the manual form.
Surgical masks will be required to be worn inside the clinic, adhere to social distancing measures and practice good hand hygiene.
Patients to arrive on time (and not early) to their appointment and attend alone unless a companion is necessary.
Please refrain from standing close our reception desk.
Please do not attend our clinics if you are;
Not double vaccinated for Covid-19 (unless issued with a Vaccination exemption)
Unwell or presenting with Covid-19 symptoms
Quarantining or awaiting test results for Covid-19
Categorised as being unable to attend a high risk health care setting
Have been in close contact with a confirmed case of Covid-19
Have visited the contact tracing locations as listed on the SA Health website
Should you meet or have any concerns regarding the above criteria, please call the Medical reception on 8232 5833 or Physiotherapy reception team on 8232 5566
Unvaccinated or compromised patients may have the opportunity to attend a telehealth appointment at the discretion of our practitioners. This will be determined on a case by case basis as necessary.
At the present time, all unvaccinated patients will be unable to attend a face to face appointments until after receiving the double covid-19 vaccination and will be asked to present evidence of this prior to making an appointment.
For more information, please call the Medical reception on 8232 5833 or Physiotherapy reception team on 8232 5566