In adults with osteoarthritis of the hip or knee, does exercise therapy and/or manual physiotherapy in addition to usual care reduce pain or disability?

niversity of Otago0 个研究点目标入组 224 人开始时间: 2008年3月13日最近更新: 2020年1月13日

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•Patients referred for an orthopaedic consultation for hip or knee osteoarthritis and consideration for joint replacement surgery and who meet clinical criteria for diagnosis of osteoarthritis of the hip or knee according to American College of Rheumatology criteria

•- Previous knee or hip joint surgery;
•- any other surgical procedure of the lower limbs in the prior 6 months;
•- initiation of opioid analgesia or cortico-steroid or analgesic injection intervention for hip or knee pain within prior 30 days;
•- rheumatoid arthritis of the hip or knee;
•- physical impairments preventing safe participation in exercise, manual therapy, walking or stationary cycling, such as: uncontrolled hypertension or AHA risk-rating of A3B or higher; vision problems that affect mobility, neurogenic disorder, primary or debilitating back pain, advanced osteoporosis, body mass >155kg, unable to ambulate 10m without an assistive device;
•- insufficient communication ability to comprehend or comply with assessment interventions;
•- stated inability to complete the proposed course of intervention and follow-up.

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