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Ip F K, J Ko , Ban CM, Wong WK, Cheng A Department of Orthopaedics & Traumatology

Ip F K, J Ko , Ban CM, Wong WK, Cheng A Department of Orthopaedics & Traumatology Pamela Youde Nethersole Eastern Hospital. Healthy Bone Project -experience sharing for community health programme. Introduction. Promote musculoskeletal health Introduce health Ambassador

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Ip F K, J Ko , Ban CM, Wong WK, Cheng A Department of Orthopaedics & Traumatology

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  1. Ip F K, J Ko, Ban CM, Wong WK, Cheng A Department of Orthopaedics & Traumatology Pamela Youde Nethersole Eastern Hospital Healthy Bone Project -experience sharing for community health programme

  2. Introduction • Promote musculoskeletal health • Introduce health Ambassador • Experience of pilot study- health bone project • Introduce current health bone project

  3. Reconstruction or Prevention

  4. Exercise • Effective treatment for OA knee • Cochrane Database of Systematic Reviews. 3, 2006 • Tai chi effective treatment rheumatoid arthritis. • Cochrane Database of Systematic Reviews. 3, 2006 • Effective treatment for shoulder pain • Cochrane Database of Systematic Reviews. 3, 2006. • Effective treatment of chronic back pain • Cochrane Database of Systematic Reviews. 3, 2006.

  5. How to prescribe exercise Home Exercise??? Whole life Clinic 10min Therapist 1 week Time

  6. Barriers of exercise education • Health knowledge information • Exercise demonstration • Convenient location • Social support or peer support • Sense of Participation • Question and answer opportunities

  7. Healthy Bone Ambassador 2000Pilot Orthopaedic department Pamelar Youde Nethersole Eastern Hospital Patients Resource Center, Pamelar Youde Nethersole Eastern Hospital Hong Kong Young Women’s Christian Association Tung Wah Group Hospital FSC Hong Kong Society for the Aged

  8. Objective: Health Ambassador • Promotion musculoskeletal health knowledge • Target • Volunteer– Health Ambassador training program • Participant from NGO • Series of education talks & exercise demonstration

  9. Methods + Ambassador training program Ambassador Support the participants Ambassador training program

  10. Workshop, Q&A and Evaluation Sessions

  11. Method FSC Ambassador and participants

  12. Results 89 Ambassador from NGO • 89 Ambassador from NGO were trained • 501 participants

  13. 688 participants from NGOs Results

  14. Physiotherapist in Workshop

  15. Maintenance1 Ambassador to 7 participants

  16. Results • > 90 % welcome to the program • > 70 % participants attended full course • > 50 % continue to join the exercise program • > 75 % reported continued exercise one month after the course • Improvement of knowledge: > 90 % of participants • Improvement in symptoms: > 70%

  17. Barriers of education Solved

  18. Health information • Education talks in series • Pathology of diseases • Importance of exercise

  19. Exercise demonstration • Video • Allied staff • Ambassador ( pre-trained ) as demonstrators • Ambassador continue maintain exercise classes and home visits

  20. The Elderly Day Care Centre nearby for the talks and exercise classes • YWCA in Sai Wan Ho • SAGE in North Point • SAGE in Chai Wan • TWGH in Shau Ki Wan

  21. Support • Peer support • Group exercise • Maintenance exercise

  22. Question & answer • Friendly medical consultation • Clarification of concerns • Reassurance • Encouragement • Triage

  23. Healthy Bone Project 2006 FSC

  24. Musculoskeletal Health Promotion Program • Therapists available in NGO • More mature volunteer programme in NGO • Support from HAHO & Social Welfare Department • More volunteer medical staff

  25. Musculoskeletal Health Promotion Program Better educational tools

  26. Special designed exercise

  27. Tai Chi

  28. Acknowledgement • Tung Wah Group Hospital FSC • Hong Kong Young Women’s Christian Association • Hong Kong Society for the Aged • Community & Patient Resource Centre , Pamelar Youde Nethersole Eastern Hospital • Ruttonjee Hospital • Tang Shiu Kin Hospital

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