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Objectives:To examine the feasibility of a home strengthening program in severe hip osteoarthritis [OA] patients. Methods: We randomized patients to progressive resistance exercise or control and measured the Western Ontario and MacMaster Osteoarthritis Index [WOMAC], timed 50-foot walk, and timed stair climb. Results: Several strength tests were too painful in the first few patients and, therefore, were not considered feasible and dropped. Although not statistically significant in the 15 subjects completing the pilot study, there was less deterioration in the strengthening group for WOMAC function subscale and stair climb test. Conclusions: A strength program is feasible in patients with severe hip osteoarthritis, but patients may be unable to perform some common strength exercises. Future studies may show that home resistance exercise programs improve function in these patients and should identify specific effective exercises that sedentary subjects can easily learn. [ABSTRACT FROM AUTHOR]

Objectives: In 2020, Canada spent 12.9 percent of its GDP on healthcare, of which 3 percent was on medical devices. Early adoption of innovative surgical devices is mostly driven by physicians and delaying adoption can deprive patients of important medical treatments. This study aimed to identify the criteria in Canada used to decide on the adoption of a surgical device and identify challenges and opportunities., Methods: This scoping review was guided by the Joanna Briggs Institute Manual for Evidence Synthesis and PRISMA-ScR reporting guidelines. The search strategy included Canada's provinces, different surgical fields, and adoption. Embase, Medline, and provincial databases were searched. Grey literature was also searched. Data were analyzed by reporting the criteria that were used for technology adoption. Finally, a thematic analysis by subthematic categorization was conducted to arrange the criteria found., Results: Overall, 155 studies were found. Seven were hospital-specific studies and 148 studies were from four provinces with publicly available Web sites for technology assessment committees (Alberta, British Columbia, Ontario, and Quebec). Seven main themes of criteria were identified: economic, hospital-specific, technology-specific, patients/public, clinical outcomes, policies and procedures, and physician specific. However, standardization and specific weighted criteria for decision making in the early adoption stage of novel technologies are lacking in Canada., Conclusions: Specific criteria for decision making in the early adoption stage of novel surgical technologies are lacking. These criteria need to be identified, standardized, and applied in order to provide innovative, and the most effective healthcare to Canadians.