Investigation of the Effectiveness of Clinical Pilates in Hip Osteoarthritis: A Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Lumbopelvic Stabilization
研究概览
简要总结
The aim of this study is to investigate the effect of a clinical Pilates exercise program on reducing symptoms in individuals with hip osteoarthritis. The main questions it aims to answer are:
- Does a clinical Pilates exercise program have an effect on pain, range of motion, physical function, performance, spinal mobility, postural control, disability, self-efficacy, and quality of life in individuals with hip osteoarthritis?
- Does a conventional therapeutic exercise program have an effect on pain, range of motion, physical function, performance, spinal mobility, postural control, disability, self-efficacy, and quality of life in individuals with hip osteoarthritis? Researchers will compare clinical pilates program to conventional therapeutic exercise program to see if exercise works to reducing hip osteoarthritis symptoms.
Participants will:
- Take clinical pilates or Conventional Therapeutic Exercise twice a week for 12 weeks
- The patients will be assessed by a blind evaluator both before and after the treatment.
详细描述
The clinical Pilates group will perform 45-minute exercise sessions under the supervision of a physiotherapist twice a week for 12 weeks, focusing on fundamental spinal alignments and Pilates principles. The program will include exercises that engage all body segments and combine movement with breathing. Participants will progress to more advanced levels as long as they can maintain proper alignment. Clinical Pilates exercises are structured into three levels of difficulty, and participants who complete the current level without compromising alignment will advance to the next level. The Conventional Therapeutic Exercise group will participate in an exercise program under the supervision of a physiotherapist twice a week for 12 weeks. The program, consisting of stretching and strengthening exercises, will last approximately 45 minutes. Resistance bands will be used to facilitate progression. Based on the individual's perceived difficulty level, resistance bands will be introduced or adjusted by changing their color to increase or decrease resistance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age above 18 years
- •Diagnosis of hip osteoarthritis (OA) according to the American College of Rheumatology
- •Not on the waiting list for hip replacement surgery
- •Willingness to participate in the exercise program
排除标准
- •Symptomatic OA in the knee or big toe
- •Presence of other types of arthritis
- •History of hip and/or knee prosthesis or fracture
- •Use of walking aids
- •Regular exercise habit of two or more sessions per week
- •Corticosteroid injection into the hip within the past 12 months
- •Participation in a physical therapy program for hip pain within the past 3 months
- •Severe cardiovascular disorders or other comorbidities that significantly limit daily physical capacity or contraindicate physical exertion
研究组 & 干预措施
Clinical Pilates Group
The patients participated in a Clinical Pilates program under the supervision of a physiotherapist twice a week for a duration of 12 weeks.
干预措施: Exercise (Other)
Conventional Therapeutic Exercise Program
The patients participated in a Conventional Therapeutic Exercise program under the supervision of a physiotherapist twice a week for a duration of 12 weeks.
干预措施: Exercise (Other)
结局指标
主要结局
Lumbopelvic Stabilization
时间窗: From enrollment to the end of treatment at 12 weeks
Lumbopelvic stabilization will be assessed using the "Stabilizer Pressure Biofeedback Unit". Prior to the measurement, each participant will be instructed in the corset technique for contracting the Transversus Abdominis muscle while lying in a supine position. Participants will be asked to lie on their back with their knees bent (hook-lying position), maintaining a neutral and relaxed spinal alignment. A pressure cell, inflated with air and connected to a stabilizer, will be placed under the lumbar spine. The manometer's baseline pressure will be inflated to 40 mmHg. Participants will then be instructed to contract their Transversus Abdominis muscle using the abdominal corset technique without moving the spine or pelvis and without holding their breath. They will be required to maintain this contraction for 5 seconds. After three practice trials to ensure learning, participants will rest for 30 seconds. The actual measurement will consist of three repetitions of 10 seconds each.
Pain Intensity
时间窗: From enrollment to the end of treatment at 12 weeks
Pain intensity will be evaluated using the Visual Analog Scale (VAS). During the assessment, patients will be asked to mark the degree of pain they feel on a 100-mm horizontal line. The distance from the starting point to the marked point will be measured with a ruler, and the pain intensity will be recorded in millimeters. The VAS, developed by Vas Price et al. (1983), is a validated and reliable tool for determining the perceived intensity of pain. It is simple to administer and widely used in clinical practice.
Lumbopelvic Stabilization
时间窗: From enrollment to the end of treatment at 12 weeks
Lumbopelvic stabilization will be assessed using the "Stabilizer Pressure Biofeedback Unit". Prior to the measurement, each participant will be instructed in the corset technique for contracting the Transversus Abdominis muscle while lying in a supine position. Participants will be asked to lie on their back with their knees bent (hook-lying position), maintaining a neutral and relaxed spinal alignment. A pressure cell, inflated with air and connected to a stabilizer, will be placed under the lumbar spine. The manometer's baseline pressure will be inflated to 40 mmHg. Participants will then be instructed to contract their Transversus Abdominis muscle using the abdominal corset technique without moving the spine or pelvis and without holding their breath. They will be required to maintain this contraction for 5 seconds. After three practice trials to ensure learning, participants will rest for 30 seconds. The actual measurement will consist of three repetitions of 10 seconds each.
次要结局
- 30-Second Chair Stand Test(From enrollment to the end of treatment at 12 weeks)
- 40-Meter Fast Walk Test(From enrollment to the end of treatment at 12 weeks)
- Stair Climbing Test(From enrollment to the end of treatment at 12 weeks)
- Timed Up and Go Test(From enrollment to the end of treatment at 12 weeks)
- Postural Control:(From enrollment to the end of treatment at 12 weeks)
- The Active Normal Range of Motion(From enrollment to the end of treatment at 12 weeks)
- Physical Function(From enrollment to the end of treatment at 12 weeks)
- Disability(From enrollment to the end of treatment at 12 weeks)
- Self-Efficacy(From enrollment to the end of treatment at 12 weeks)
- Postural Control:(From enrollment to the end of treatment at 12 weeks)
- The Active Normal Range of Motion(From enrollment to the end of treatment at 12 weeks)
- Physical Function(From enrollment to the end of treatment at 12 weeks)
- Disability(From enrollment to the end of treatment at 12 weeks)
- Self-Efficacy(From enrollment to the end of treatment at 12 weeks)
- Quality of Life Index(From enrollment to the end of treatment at 12 weeks)
- 30-Second Chair Stand Test(From enrollment to the end of treatment at 12 weeks)
- 40-Meter Fast Walk Test(From enrollment to the end of treatment at 12 weeks)
- Stair Climbing Test(From enrollment to the end of treatment at 12 weeks)
- Timed Up and Go Test(From enrollment to the end of treatment at 12 weeks)
研究者
Sevtap Günay
associate professor
Izmir Katip Celebi University