Exercise Training in Treatment and Rehabilitation of Hip Osteoarthritis: A 12-Week Pilot Trial.
Kirsti Uusi-RasiRadhika PatilSaija KarinkantaKari TokolaPekka KannusHarri SievänenPublished in: Journal of osteoporosis (2017)
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.
Keyphrases
- knee osteoarthritis
- total hip arthroplasty
- physical activity
- high intensity
- chronic pain
- resistance training
- pain management
- quality improvement
- neuropathic pain
- mental health
- rheumatoid arthritis
- stem cells
- multiple sclerosis
- study protocol
- mass spectrometry
- blood pressure
- clinical trial
- mesenchymal stem cells
- skeletal muscle
- phase iii
- metabolic syndrome
- open label
- combination therapy