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

Abstract

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.

The effects of gluteal squeezes compared to bilateral bridges on gluteal strength, power, endurance, and girth

“…Studies implementing a training program for hip muscles typically include multiple exercises during an intervention period, making it difficult to determine the effects of a single exercise (Bennell et al, 2010; French, Gilsenan & Cusack, 2008). For example, one 12-week study of progressive hip strengthening and other exercises performed during three 60-min sessions per week by subjects with hip osteoarthritis demonstrated a 20% increase in subjects’ isometric leg extension strength, but the independent effects of the squat, sit-to-stand, step board, knee flexion, balance, and other exercises employed are unknown (Uusi-Rasi et al, 2017). Nevertheless, strengthening targeting the gluteus maximus appears beneficial for the rehabilitation of several pathologies, including hip, knee, and low back pain (Ferber et al, 2015; Jeong et al, 2015; Uusi-Rasi et al, 2017).…”

“…For example, one 12-week study of progressive hip strengthening and other exercises performed during three 60-min sessions per week by subjects with hip osteoarthritis demonstrated a 20% increase in subjects’ isometric leg extension strength, but the independent effects of the squat, sit-to-stand, step board, knee flexion, balance, and other exercises employed are unknown (Uusi-Rasi et al, 2017). Nevertheless, strengthening targeting the gluteus maximus appears beneficial for the rehabilitation of several pathologies, including hip, knee, and low back pain (Ferber et al, 2015; Jeong et al, 2015; Uusi-Rasi et al, 2017). So, the supine bilateral bridge and seated gluteal squeeze used in this study may aid in the rehabilitation of these conditions.…”

“Pain Neuroscience Education as an Adjunct to Physiotherapy Protocol in Knee Osteoartritis”- A Case Report

“…1, In osteoarthritis, the ground material of cartilage is lost, causing stress and strain of knee joint resulting to rupture and muscle imbalance. 2 Knee OA affects the entire joint, causing synovial in ammation, cartilage injury, bone remodeling, and the development of osteophytes.…”

Combined therapies with exercise, ozone and mesenchymal stem cells improve the expression of HIF1 and SOX9 in the cartilage tissue of rats with knee osteoarthritis

“…Although MSCs have strong immunosuppressive activity, their therapeutic advantage in OA primarily lies in stimulating the differentiation ability of chondrocytes, and hence building up new cartilage [15]. Interestingly, mild to moderate exercise training has been implicated for the treatment of knee OA by many researchers [16]. Clinical trials studies showed that regular and mild exercises can reduce pain severity and improve quality of life, walking disability, stair climbing, and sit-up speed in patients with knee OA [17].…”