457 a Pilot Study on the Effects of Strength and Aerobic Conditioning in Patients With Hip Osteoarthritis

Carlson, Nels; Christopherson, Z.; Arnall, Elizabeth; Mohn, S. F.; Holton, Kathleen F.; Marshall, Lindsey; Carlson, Hans

doi:10.1016/s1063-4584(11)60484-6

Cited by 5 publications

(2 citation statements)

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“…All clinical trials to date include lower-limb strengthening [85,86,[94][95][96][97][98][99][100][101][102][103], which is unsurprising given that hip and knee muscle weakness is widely established in people with hip OA [104]. However, only a few clinical trials in people with hip OA include aerobic exercise [96,101,103]. People with hip OA often present with co-morbidities, such as poor cardiovascular fitness and low psychological wellbeing, and these are associated with greater hip OA symptom severity [105,106].…”

Section: Exercise Typementioning

confidence: 99%

Contemporary Non-Surgical Considerations in the Management of People with Extra- and Intra-Articular Hip Pathologies

Dobson¹,

Allison²,

Diamond³

et al. 2019

Hip Surgeries

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The hip joint can often be affected by extra-and intra-articular pathologies including gluteal tendinopathy, femoroacetabular impingement syndrome and hip osteoarthritis. Understanding alterations associated with these pathologies will provide greater insight into developing and optimising patient-specific treatments. A number of biomechanical and neuromuscular impairment are associated with Femoracetabular impingement (FAI), gluteal tendinopathy (GT) and hip osteoarthritis (OA) conditions including but not limited to muscle weakness, altered postural control, restricted range of motion and altered tendon/joint loading. These alterations can present differently in subgroups of patients and result directly from the pathological process and/or indirectly from pain and its consequences (e.g. reduced activity). These impairments are often targets for conservative interventions but there is currently little clinical trial evidence to show that treatments can modify these impairments. Clinical trial evidence does, however, support conservative treatment options for each of the pathologies reviewed. Clinical outcome tools used to evaluate the effects of treatment and track change over time are recommended.

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Section: Exercise Typementioning

confidence: 99%

Contemporary Non-Surgical Considerations in the Management of People with Extra- and Intra-Articular Hip Pathologies

Dobson¹,

Allison²,

Diamond³

et al. 2019

Hip Surgeries

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“…Despite current national and international guidelines for the use of exercise in patients with hip OA, very few clinical exercise trials have been conducted in patients with hip OA. A Cochrane review by Fransen et al included 10 exercise trials [6], and only 5 recruited solely patients with hip OA [7–10]; one of these was presented as an abstract only [11]. Five other included studies had mixed sample of hip and knee OA patients with the proportion of hip OA in these combined programs being always smaller than the proportion with knee OA [12–16].…”

Section: Introductionmentioning

confidence: 99%

Exercise Training in Treatment and Rehabilitation of Hip Osteoarthritis: A 12-Week Pilot Trial

Uusi‐Rasi

Patil

Karinkanta

et al. 2017

Journal of Osteoporosis

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Introduction. Osteoarthritis (OA) of the hip is one of the major causes of pain and disability in the older population. Although exercise is an effective treatment for knee OA, there is lack of evidence regarding hip OA. The aim of this trial was to test the safety and feasibility of a specifically designed exercise program in relieving hip pain and improving function in hip OA participants and to evaluate various methods to measure changes in their physical functioning. Materials and Methods. 13 women aged ≥ 65 years with hip OA were recruited in this 12-week pilot study. Results. Pain declined significantly over 30% from baseline, and joint function and health-related quality of life improved slightly. Objective assessment of physical functioning showed statistically significant improvement in the maximal isometric leg extensor strength by 20% and in the hip extension range of motion by 30%. Conclusions. The exercise program was found to be safe and feasible. The present evidence indicates that the exercise program is effective in the short term. However, adequate powered RCTs are needed to determine effects of long-term exercise therapy on pain and progression of hip OA.

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Exercise for osteoarthritis of the hip

Fransen

McConnell

Hernández-Molina

et al. 2014

Cochrane Database of Systematic Reviews

265

176

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A B S T R A C T BackgroundCurrent international treatment guidelines recommending therapeutic exercise for people with symptomatic hip osteoarthritis (OA) report are based on limited evidence. ObjectivesTo determine whether land-based therapeutic exercise is beneficial for people with hip OA in terms of reduced joint pain and improved physical function and quality of life. Search methodsWe searched five databases from inception up to February 2013. Selection criteriaAll randomised controlled trials (RCTs) recruiting people with hip OA and comparing some form of land-based therapeutic exercise (as opposed to exercises conducted in water) with a non-exercise group. Data collection and analysisFour review authors independently selected studies for inclusion. We resolved disagreements through consensus. Two review authors independently extracted data, assessed risk of bias and the quality of the body of evidence for each outcome using the GRADE approach. We conducted analyses on continuous outcomes (pain, physical function and quality of life) and dichotomous outcomes (proportion of study withdrawals). Main resultsWe considered that seven of the 10 included RCTs had a low risk of bias. However, the results may be vulnerable to performance and detection bias as none of the RCTs were able to blind participants to treatment allocation and, while most RCTs reported blinded outcome assessment, pain, physical function and quality of life were participant self reported. One of the 10 RCTs was only reported as a conference abstract and did not provide sufficient data for the evaluation of bias risk.High-quality evidence from nine trials (549 participants) indicated that exercise reduced pain (standardised mean difference (SMD) -0.38, 95% confidence interval (CI) -0.55 to -0.20) and improved physical function (SMD -0.38, 95% CI -0.54 to -0.05) immediately Exercise for osteoarthritis of the hip (Review) This summary of an update of a Cochrane review presents what we know from research about the effect of exercise for people with OA of the hip. After searching for all relevant studies up to February 2013, we included five new studies since the last version of the review, giving 10 studies (549 participants) with mostly mild-to-moderate symptomatic hip OA, alone or with knee OA. Except for one study where participants enrolled in a tai chi programme, all other participants underwent land-based exercise programmes consisting of traditional muscle strengthening, functional training and aerobic fitness programmes, either individually supervised or as part of a group, compared with people who did not exercise. Key results2 Exercise for osteoarthritis of the hip (Review)

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457 a Pilot Study on the Effects of Strength and Aerobic Conditioning in Patients With Hip Osteoarthritis

Cited by 5 publications

References 0 publications

Contemporary Non-Surgical Considerations in the Management of People with Extra- and Intra-Articular Hip Pathologies

Contemporary Non-Surgical Considerations in the Management of People with Extra- and Intra-Articular Hip Pathologies

Exercise Training in Treatment and Rehabilitation of Hip Osteoarthritis: A 12-Week Pilot Trial

Exercise for osteoarthritis of the hip

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