Rheumatologists’ Knowledge of Physical Activity in Knee Osteoarthritis: Findings From a Nationwide Survey

Introduction Regular physical activity (PA) serves as a potent intervention for mitigating pain and optimizing functional capacity and life quality. This study aims to evaluate Moroccan rheumatologists’ knowledge, attitudes, and self-reported practices regarding PA in the management of knee OA. Methodology A nationwide cross-sectional survey was conducted among rheumatologist members of the Moroccan Society of Rheumatology. Participants completed a structured questionnaire designed to assess their knowledge, attitudes, and beliefs regarding PA in patients with knee OA. Results A total of 180 rheumatologists participated, representing 40% of the society’s membership. Their mean medical practice duration was 12.7 ± 10.7 years, and only 37 (20.5%) had received specific training on PA. The majority of rheumatologists assessed PA levels (164, 91.1%), and 169 (93.9%) reported recommending PA most of the time. However, participants demonstrated significant knowledge gaps. Only 42 (23.3%) knew the World Health Organization (WHO) cut-off point for physical inactivity, and 114 (63.3%) were aware of the recommended frequency of muscle resistance exercises according to the European Alliance of Associations for Rheumatology (EULAR) 2018 guidelines. Additionally, 144 (80%) confused the definitions of physical exercise (PE) and PA, and only 20 (11.1%) correctly defined sedentariness. In this study, most rheumatologists were aware of high-level recommendations for PE (159, 88.3%) and for individualized exercise programs (156, 86.7%). Moreover, 150 (83.6%) of physicians recognized the widespread recommendation of aquatic exercises by knee OA scientific societies. While the majority recognized other interventions, only 46 (25.6%) recognized the use of a cane as a high-level recommendation for knee OA management. Finally, 146 (81%) of participants expressed a need for further training on PA in knee OA. Conclusions Rheumatologists express a strong interest in promoting PA in knee OA, but significant knowledge gaps were identified. These findings suggest the need to incorporate PA in rheumatologist training programs.