Exercise and Manual Physiotherapy Arthritis Research Trial (EMPART) for Osteoarthritis of the Hip: A Multicenter Randomized Controlled Trial

French, Helen; Cusack, Tara; Brennan, Aisling; Caffrey, Aoife; Conroy, Ronán; Cuddy, Vanessa; FitzGerald, Oliver; Gilsenan, Clare; Kane, David; O’Connell, Paul; White, Breon; McCarthy, Géraldine

doi:10.1016/j.apmr.2012.09.030

Cited by 87 publications

(102 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…20 The programme delivered six to eight supervised 30-minute sessions over the period of eight weeks, which showcased low-load exercises, functional, and non-weight-bearing positions. A home-based exercise programme was incorporated into the intervention.…”

Section: Supervised Group Low-load Strength Training and Flexibility mentioning

confidence: 99%

See 1 more Smart Citation

Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercise in the management of hip osteoarthritis

et al. 2016

View full text Add to dashboard Cite

show abstract

Section: Supervised Group Low-load Strength Training and Flexibility mentioning

confidence: 99%

“…20,21 These studies were RCTs that included patients clinically diagnosed with hip osteoarthritis 20-23 and ⩾40 years old. One RCT investigated the effects of patient education with supervised therapeutic exercise compared with an education-only control group.…”

Section: Study Characteristicsmentioning

confidence: 99%

Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercise in the management of hip osteoarthritis

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Written guidelines for individual tailoring of activity and treatment prescription will be provided to supervising therapists. Designing a patient care plan that is individually tailored from a standardised menu of interventions ensures our methodology is consistent with the ‘ideal standard of clinical practice’ [35], and research designs of previous studies [5, 27, 29, 36, 37]. The IP outpatient intervention will be administered by a senior chartered physiotherapist.…”

Section: Methodsmentioning

confidence: 99%

A comparison of multidisciplinary team residential rehabilitation with conventional outpatient care for the treatment of non-arthritic intra-articular hip pain in UK Military personnel – a protocol for a randomised controlled trial

Coppack

Bilzon

Wills

et al. 2016

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundNon-arthritic hip disorders are defined as abnormalities of the articulating surfaces of the acetabulum and femur before the onset of osteoarthritis, including intra-articular structures such as the acetabular labrum and chondral surfaces. Abnormal femoroacetabular morphology is commonly seen in young men who constitute much of the UK military population. Residential multidisciplinary team (MDT) rehabilitation for patients with musculoskeletal injuries has a long tradition in the UK military, however, there are no studies presenting empirical data on the efficacy of a residential MDT approach compared with individualised conventional outpatient treatment. With no available data, the sustainability of this care pathway has been questioned. The purpose of this randomised controlled trial is to compare the effects of a residential multidisciplinary intervention, to usual outpatient care, on the clinical outcomes of young active adults undergoing treatment for non-arthritic intra-articular hip pain.Methods/designThe trial will be conducted at the Defence Medical Rehabilitation Centre, Headley Court, UK. One hundred military male participants with clinical indicators of non-arthritic intra-articular hip pain will be randomly allocated to either: (1) 7-day residential multidisciplinary team intervention, n = 50; (2) 6-week physiotherapist-led outpatient intervention (conventional care), n = 50. Measurements will be taken at baseline, post-treatment (1-week MDT group; 6-weeks physiotherapy group), and 12-weeks. The primary outcome measures are the function in daily living sub-scale of the Copenhagen Hip and Groin Outcome Score (HAGOS), the physical function subscale of the Non-arthritic Hip Score (NAHS), and VAS pain scale. Secondary outcomes include objective measures of physical capacity and general health. An intention-to-treat analysis will be performed using linear and mixed models.DiscussionThis study will be the first to assess the efficacy of intensive MDT rehabilitation, versus conventional outpatient care, for the management of non-arthritic hip pain. The results from this study will add to the evidence-base and inform clinical practice for the management of intra-articular non-arthritic hip pain and femoroacetabular impingement in young active adults.Trial registrationISRCTN Reference: ISRCTN 59255714 dated 11-Nov-2015Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-016-1309-z) contains supplementary material, which is available to authorized users.

show abstract

“…2009 yılında bu konu ile ilgili yapılan sistematik derlemelerde kalça OA için karada yapılan egzersizlerin ağrı üzerinde az bir etkisi olduğu ancak hastaların kendi bildirdiği fiziksel fonksiyon üzerine etkisi olmadığı (26); egzersiz tedavisinin tek başına ağrı fonksiyon ve hayat kalitesi açısından kısa dönem yaklaşımı olarak etkinliğine dair kanıt olmadığı bildirilmiştir (27). 2009 yılından sonra sadece kalça OA hastalarının çalışmaya dahil edildiği üç yüksek kaliteli, geniş bir hasta grubunu ele alan randomize çalış-mada ise egzersizler ağrı üzerinde etkili bulunmamış ancak fiziksel fonksiyon üzerine olumlu etkiler gösterilmiştir (28)(29)(30).…”

Section: Kalça Osteoartriti (Oa)unclassified

Exercise Prescription for Painful Hip Disorders

Atalay¹,

Güven²

2014

Turk J Phys Med Rehab

View full text Add to dashboard Cite

The hip is the joint that serves as a force transmitter for the upper and lower extremities and is vital for daily activities, such as walking. The hip joint has a deep socket and surrounding strong muscles; it relies on a balance of muscle flexibility and strength. For the prescription of exercises for the hip, the imbalance between muscle groups, muscles with signs of weakness, muscles under overload, and muscle shortness should be assessed. Strength progression usually advances as isometric, isotonic, isokinetic, and plyometrics; however, full strength can not be achieved until flexibility is restored. In this review, we aimed to summarize the exercises that can be used for the treatment of disorders, such as hip osteoarthritis, inflammatory conditions, osteoporosis, piriformis syndrome, great trochanteric pain syndrome, tendinopathies, labral tears, and femoroacetabular impingement, under the light of scientific evidence. Key Words: Exercise, hip, osteoarthritis, osteoporosis, strengthening ÖzetKalça; üst ve alt ekstremiteye kuvvet aktarımı sağlayan ve yürüme gibi günlük aktiviteler açısından temel olan bir eklemdir. Derin bir soketi ve etrafında güçlü kasları olan bu eklemde diğer eklemler gibi kasların esneklik ve güçleri arasındaki denge önem kazanır. Kalçaya yönelik egzersiz reçetelenirken mevcut kas dengesizliklerinin saptanması, zayıf kas gruplarının belirlenmesi, aşırı yüklenmeye maruz kalan veya kısalık belirtileri gösteren kasların saptanması reçeteleme açısından önemlidir. Egzersiz tipi olarak güçlendirme programı izometrik, izotonik, izokinetik ve pliometrik olarak ilerlemektedir ancak esneklik tam olarak kazanılmadan tam güce ulaşmak mümkün olmamaktadır. Bu derlemede kalça osteoartrit, inflamatuvar patolojiler, osteoporoz, piriformis sendromu, büyük trokanter ağrı sendromu, tendinopatiler, labral yırtıklar ve femoroasetabular sıkışma gibi hastalıklar ve bunların tedavisinde kullanılabilecek egzersiz önerileri bilimsel kanıtlar ışığında sunulmaya çalışılmıştır. S58Kalça bölgesinin insanlara özgü olan yapısı; insanların hayvanlarla karşılaştırıldığında bipedal olması ve dikey postür ile ilişki-lidir. Pelvis gövdenin yer çekimi nedeni ile oluşan yükü ve yer tepkime kuvvetinin femurun başı aracılığı ile iletimi arasında bir pivot olarak görev yapmaktadır (1). Üst ve alt ekstremiteye kuvvet aktarımı sağlayan; derin bir soketi olan bu derin eklemin etrafındaki güçlü kasların esneklikleri ve güçleri arasındaki denge önemlidir. Egzersizlerin etkin uygulanabilmesi, hedeflenen kas grubuna yöneltilebilmesi için bu bölgenin anatomik özel-likleri bilinmelidir. Kalça Çevresi Kasların Fonksiyonel AnatomisiKalça çevresi kaslarının anatomik özelliklerinin bilinmesi, egzersiz sırasında hedeflenen kas gruplarına yönelik egzersize olanak sağlar. Örneğin; ayakta kalça fleksör germe egzersizi sırasında (Şekil 1) dizin fleksiyonda tutularak kalçanın ekstansiyona getirilmesi ile hem rektus femoris hem iliopsoas kasına germe uygulanırken, diz ekstansiyonda iken kalçanın ekstansiyona getirilmesi ise sadece iliops...

show abstract

Exercise and Manual Physiotherapy Arthritis Research Trial (EMPART) for Osteoarthritis of the Hip: A Multicenter Randomized Controlled Trial

Cited by 87 publications

References 40 publications

Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercise in the management of hip osteoarthritis

Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercise in the management of hip osteoarthritis

A comparison of multidisciplinary team residential rehabilitation with conventional outpatient care for the treatment of non-arthritic intra-articular hip pain in UK Military personnel – a protocol for a randomised controlled trial

Exercise Prescription for Painful Hip Disorders

Contact Info

Product

Resources

About