Effectiveness of exercise therapy in hip osteoarthritis

Completed

Conditions: Coxarthrosis
Musculoskeletal Diseases
Osteoarthritis of the hip

Registration Number: ISRCTN05601287

Lead Sponsor: Mikkeli Central Hospital (Finland)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 120

Inclusion Criteria

1. Both males and females, aged from 55 to 80 years
2. Unilateral or bilateral radiographic hip OA (X-ray less than 3 years old)
3. Pain experience in the hip region within the preceding month as indicated in the clinical criteria of the American College of Rheumatology

Exclusion Criteria

1. Total hip replacement
2. Rheumatoid arthritis
3. Cognitive impairment
4. Major surgical operation within the preceding 6 months in the lower limb or lower back area
5. Acute or sub-acute lower back pain
6. Cardiovascular or pulmonary disease or some other chronic disease that would prevent full participation in the training programme

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Self-reported pain and disease specific physical function were assessed by using the pain and functioning subscales of the WOMAC <br>2. Self-reported generic physical function was assessed by using the physical function score of the Finnish-validated SF-36 (36-item) Health Survey<br>3. Economic effectiveness was assessed by evaluating the number of doctor visits (associated with hip OA) and physiotherapy (sum score of using physiotherapy including exercise programme and/or inpatient rehabilitation associated with hip OA). The need of surgery (total hip replacement) and drug use (non-opioid analgesic (paracetamol, non steroidal anti-inflammatory drugs [NSAIDs]) and weak opioid (tramadol, codeine) concerning hip OA were also assessed. <br><br>Assesssed at the following timepoints: 0, 3, 6, 12, 18, 24 and 36 months.

Secondary Outcome Measures

Name	Time	Method
Objective functional scores:<br>1. Passive internal rotation and flexion of the hip joint<br>2. Extensor power of lower limb<br>3. Six Minute Walk Test (6MWT) <br>4. Ten-Metre Walk Test<br>5. Timed Up & Go (TUG) test <br>6. Sock Test<br><br>Assessed at the following timepoints: 0, 3, 12, 24 and 36 months.