GLA:D Canada

What is GLA:D™?

At Denise Semple and Associates Healthcare Clinic, we are proud to offer a 7 week education and exercise program for those with osteoarthritis in their hip(s) and/or knee(s). Researchers from GLA:D®, Denmark have shown that participants have reported less pain, reduced used of pain killer and begin to be more physically active after completing the GLA:D program.

Osteoarthritis is the most common lifestyle disease in individuals 65 year of age and older. It is also prevalent in individuals between the ages of 30 and 45. Current national and international clinical guidelines recommend patient education, exercise and weight loss are necessary as treatment for osteoarthritis.

If you or someone you know have been diagnosed with Osteoarthritis and would like a GLA:D™ assessment by our Physiotherapist please contact  Denise Semple and Associates Healthcare Clinic for more information about the GLA:D™Canada Program or to book an appointment.

The GLA:D™ program consist of:

Two Education Classes:

In these classes, our Physiotherapist will teach GLA:D™ participants:

  • What is osteoarthritis, risk factors and symptoms
  • Current available treatment
  • How to self-manage their symptoms
  • Why and how exercise can help
  • How to cope with the difficulties of daily activities

Exercise Sessions:

In these 12 exercise sessions GLA:D participants will learn:

  • How to control their movements
  • Build muscle strength through functional activity
  • Learn how to apply these exercises in everyday activity


  • OA is the most common condition affecting the joints in individuals 65+, but it is also highly prevalent in individuals 30- 45years of age.

  • OA is the 11th highest contributor to global disability In Canada, there are currently more than 4.6 million people living with OA and this will rise to more than 10 million (or 1 in 4 Canadians) in 30 years

  • OA also impacts the health – related quality of life and productivity of the affected individual. This leads to time off work, thereby creating an economic burden

  • OA is no longer considered a degenerative disease treated by rest, but as a condition treatable by exercise and physical activity

  • Canada’s current health care system does not follow best practice

  • Good Life with osteoarthritis in Denmark (GLA:D®), developed in Denmark, is an education and tailored neuromuscular exercise program designed for individuals with hip or knee osteoarthritis

  • The program is unique because it provides education and targeted exercise that can be applied to movement in everyday activities

  • The program is suitable for individuals with early to late stages of OA

  • Results from the GLA:D® program in Denmark have shown: 27% reduction in pain intensity at one year post program, over 30% increase in self – reported physical activity levels, reduced use of joint related pain killers at one year and reduced number of individuals on sick leave at one year post program

GLA:D™ Canada is licensed to Canada through the Canadian Orthopaedic Foundation, and will be implemented by their knowledge translation branch, Bone and Joint Canada

Tel: 905-639-7113



Welcome Derrin Kluth, PT

Derrin received his Bachelor’s Degree in Kinesiology with an emphasis in Exercise Science from the University of Wisconsin-Eau Claire, and his Clinical Doctorate in Physical Therapy from the University of Wisconsin-Madison. In Canada he obtained his Associates Degree in Massage Therapy from the Royal Canadian College of Massage Therapy and a completed the Ontario Internationally Educated Physical Therapy Bridging Program at the University of Toronto.

Derrin’s treatments focus on the cutting edge science of the human fascial system. This offers him an expanded view of how to treat each client’s musculo-skeletal-neurological problems with an awareness of how every part of the body is connected through the web-like fascial system and how that connection influences pain and dysfunction.

Although in different countries he answers to different titles, what he does remains the same. It has helped him heal more patients more effectively than any other method of treatment he’s utilized.

Nicole Gleason, PT

Nicole comes to us with a great deal of experience in a wide variety of areas – sports injuries, orthopedics, gerontology and aquatic therapy.  After working as a Certified Kinesiologist and Athletic Therapist for many years she continued her education and graduated with an MScPT from McMaster University in 2012.

Nicole is a life-long learner and she has taken an extensive number of post-graduate courses, including: manual therapy, aquatic therapy, taping, acupuncture, tissue mobilization, and mobilization with movement. She is a certified in Sports Physiotherapy, Strength and Conditioning, Acupuncture and Mobility.

Nicole believes in empowering her patients to take an active role in preventing injuries. Her treatment philosophy is MOVEMENT MATTERS! With this focus, Nicole has become certified as a GLA:D™ Canada. Click Here for more information on this incredible program.

Nadia Colontonio, PT

Making a difference in people’s recovery and function is the most rewarding and gratifying part of Nadia’s job! Her goal is to treat every patient like they are a member of her own family.

Nadia is an advanced manual Physiotherapist and has been practising for over 25 years since graduating from McGill University in 1991. Nadia has worked in both multidisciplinary environments (hospital and rehabilitation centres) as well as in private practice. 

Nadia is a Certified Vestibular Rehabilitation Therapist and has practiced this form of therapy since 2005. People with vestibular disorders can experience problems with vertigo, dizziness, visual disturbances and/or imbalance. Vestibular Rehabilitation is a proven therapy effective in improving symptoms related to many vestibular (inner ear/balance centre) disorders, such as BPPV, vestibular neuritis or labyrinthitis.

Yes we are Open!

In order to aid with social distancing we will not have a receptionist in clinic.

Naturopathic Medicine
Massage Therapy
Manual Osteopathy

Please click the link below to book a Virtual or In-Clinic appointment.