Effect of exercise therapy in patients with hip osteoarthritis: A systematic review and cumulative meta-analysis

Teirlinck, Carolien H; Verhagen, Arianne P.; Ravesteyn, Leontien M. van; Vendel, Elja A.E. Reijneveld-van de; Runhaar, Jos; Middelkoop, Marienke van; Ferreira, Manuela L; Bierma-Zeinstra, Sita M A

doi:10.1016/j.ocarto.2023.100338

Cited by 12 publications

(6 citation statements)

References 38 publications

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“…For the clinical interpretation of those mentioned above, a clinical example follows. Based on a recent systematic review and metaanalysis, exercise therapy in hip OA patients produces actionable results after 5-16 weeks [28]. Assuming a patient with Grade 2 hip OA is following a six-week exercise program.…”

Section: Discussionmentioning

confidence: 99%

Stair Climbing Ability and Identification of the Nine Stairs Ascent and Descent Test Cut-Off Points in Hip Osteoarthritis Patients: A Retrospective Study

Stasi¹,

Papathanasiou²,

Evaggelou-Sossidis³

et al. 2023

Cureus

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As the prevalence and incidence of hip osteoarthritis (hip OA) continue to rise, measuring the impact of hip OA severity on a patient's functionality is essential. Stair walking is a particularly relevant task to assess hip OA patients, as difficulty with stair ascent is one of the driving factors in deciding to undergo a total hip arthroplasty. Although stairs tests often arise in post-arthroplasty measures, there is a lack of reported stairs performance time in hip OA patients. Therefore, this retrospective study aimed to report the stair performance time of hip OA patients categorized by disease severity and determine cut-off points that differentiate between severity grades. Materials and methodsThe patient selection was based on the review of de-identified data from our research laboratory database. 254 hip OA patients (aged ≥ 50 years) were divided according to the Kellgren-Lawrence classification system into three groups: Grade 2 (n=68), Grade 3 (n=109), and Grade 4 (n= 68). The stair-walking ability was evaluated using the 9S-A/D test. The time taken to ascend and descend the stairs was measured separately, and the total time (9S-A/D) was also recorded.The one-way ANOVA model, Welch test, Games-Howell posthoc test, Chi-Square tests, and Two-Way ANOVA model were used for the statistical analysis of the data. The cut-off points were obtained by receiver operating curve (ROC) analysis. The statistical significance was set at p<0.05. ResultsHomogeneity was found between the three groups regarding demographic and clinical characteristics, except age and gender (p<0.001). The comparison of the variables (9S-ascent, 9S-descent, and 9S-A/D) between groups, adjusted for gender and age, showed significant differences: Grade 2 individuals had shorter performance times compared to those in Grade 3 and Grade 4 (p<0.005). Simultaneously, patients with Grade 3 hip OA have a shorter performance time than those with Grade 4 hip OA (p<0.005). Regarding ROC analysis of Grade 2 versus Grade 3: The AUCs of 9S-ascend, 9S-descent, and 9S-A/D were 0.742 (95%CI 0.67-0.81), 0.734 (95%CI 0.66-0.81), and 0.745 (95%CI 0.54-0.90), respectively (all p values <0.005). The cutoff points of 9S-ascend, 9S-descent, and 9S-A/D were 8.

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Section: Discussionmentioning

confidence: 99%

Stair Climbing Ability and Identification of the Nine Stairs Ascent and Descent Test Cut-Off Points in Hip Osteoarthritis Patients: A Retrospective Study

Stasi¹,

Papathanasiou²,

Evaggelou-Sossidis³

et al. 2023

Cureus

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“…Details of the standard of reporting for each of the 16 criteria is provided in Figure 2. We also repeated the analysis after dichotomizing by CERT score (low [0-9] versus high [10][11][12][13][14][15][16][17][18][19] CERT score). Results of this exploratory analysis were similar to the original analysis.…”

Section: Grade Tablementioning

confidence: 99%

“…[6][7][8] Factors that likely contribute to the exercise response include the affected joint, parameters of prescription (eg, type, duration, volume) and adherence. [9][10][11][12][13] Due to the variable response to exercise, there is a substantial gap in guiding exercise for knee and/or hip OA.…”

Section: Introductionmentioning

confidence: 99%

“…Indirect evidence from systematic reviews on exercise for knee OA 10,14,15 and hip OA 10,11,14 suggests that the benefits may be lower in hip OA than knee OA. Thus, the effects of exercise should be assessed according to the affected joint.…”

Section: Introductionmentioning

confidence: 99%

“…However, the clinical relevance of improvements in pain and function with exercise in people with knee and/or hip OA has recently been questioned 6–8 . Factors that likely contribute to the exercise response include the affected joint, parameters of prescription (eg, type, duration, volume) and adherence 9–13 . Due to the variable response to exercise, there is a substantial gap in guiding exercise for knee and/or hip OA.

Improvements in pain and physical function in knee and hip osteoarthritis (OA) do not depend on exercise volume or participant adherence. Resistance exercise interventions 3 to 6 months duration improve pain and physical function in both knee and hip OA. These findings highlight the flexibility available for clinicians in the prescription of resistance exercise for knee and hip OA without compromising improvements in pain and physical function. …”

Section: Introductionmentioning

confidence: 99%

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Are the Effects of Resistance Exercise on Pain and Function in Knee and Hip Osteoarthritis Dependent on Exercise Volume, Duration, and Adherence? A Systematic Review and Meta‐Analysis

Marriott,

Hall,

Maciukiewicz

et al. 2024

Arthritis Care & Research

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ObjectiveThe purpose of this study was to determine dose parameters for resistance exercise associated with improvements in pain and physical function in knee and hip osteoarthritis (OA); and whether these improvements were related to adherence.MethodsWe searched 6 databases, from inception to January 28 2023, for randomized controlled trials (RCTs) comparing land‐based, resistance exercise‐only interventions with no intervention or any other intervention. There were four subgroups of intervention duration: 0 to <3 months, 3‐6 months, >6 to <12 months, ≥12 months. The between‐group effect was calculated for immediate post‐intervention pain and physical function (activities of daily living (ADL) and sports/recreation (SPORT)).ResultsFor both knee and hip, data from 280 studies showed moderate benefit for pain, physical function ADL and physical function SPORT in favour of interventions 3‐6 months. For the knee, there was also a moderate benefit for physical function ADL in favour of interventions >6 to <12 months. From 151 knee and hip studies that provided total exercise volume data (frequency, time, duration), there was no association between volume with the effect size for pain and physical function. 74 studies (69 knee, 5 hip) reported usable adherence data. There was no association between adherence with the effect size for pain and physical function.ConclusionIn knee and hip OA, resistance exercise interventions 3 to 6 months (and for the knee >6 to <12 months) duration improve pain and physical function. Improvements do not depend on exercise volume or adherence, suggesting exercise does not require rigid adherence to a specific dose.image

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Dropout From Exercise Interventions in Adults With Knee or Hip Osteoarthritis: A Systematic Review and Meta-analysis

Vancampfort,

Van Damme,

McGrath

et al. 2024

Archives of Physical Medicine and Rehabilitation

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Effect of exercise therapy in patients with hip osteoarthritis: A systematic review and cumulative meta-analysis

Cited by 12 publications

References 38 publications

Stair Climbing Ability and Identification of the Nine Stairs Ascent and Descent Test Cut-Off Points in Hip Osteoarthritis Patients: A Retrospective Study

Stair Climbing Ability and Identification of the Nine Stairs Ascent and Descent Test Cut-Off Points in Hip Osteoarthritis Patients: A Retrospective Study

Are the Effects of Resistance Exercise on Pain and Function in Knee and Hip Osteoarthritis Dependent on Exercise Volume, Duration, and Adherence? A Systematic Review and Meta‐Analysis

Dropout From Exercise Interventions in Adults With Knee or Hip Osteoarthritis: A Systematic Review and Meta-analysis

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