Effectiveness of a telehealth-delivered clinician-supported exercise and weight loss program (Better Hip) for hip osteoarthritis: a randomised controlled trial

The University of Melbourne0 个研究点目标入组 212 人开始时间: 2022年3月24日最近更新: 2024年9月2日

适应症

试验速览

暂无简介。

•Participants will be eligible for the study if they meet the following inclusion criteria:
•i)National Institute for Health and Care Excellence clinical criteria for OA
•i.age 45 years or older;
•ii.activity-related hip joint pain;
•iii.no morning hip stiffness, or morning hip stiffness less than 30 mins
•ii)report hip pain on most days for 3 months or more;
•iii)report overall average hip pain while walking in the past week more than or equal to 4 on an 11-point numerical rating scale (NRS; 0 = no pain, 10 = worst pain possible);
•iv)access to a computer/laptop/tablet with internet connection and a webcam for videoconferencing consultations;
•v)own a smartphone (for pairing with activity tracker);
•vi)willing and able to participate in video consultations for physiotherapy and dietitian appointments;
•vii)member of Medibank private with a level of cover that includes arthroplasty surgery; and
•viii)able to give informed consent and to participate in the interventions and assessment procedures.

•i)inability to speak or read English;
•ii)on waiting list for/planning knee/hip surgery in next 6 months;
•iii)previous arthroplasty on affected hip;
•iv)recent hip surgery (past 6 months);
•v)doing regular leg strengthening exercise (at least once per week) each week for the past 6 weeks;
•vi)weight loss of >2 kg over the previous 3 months;
•vii)current active weight loss intervention
•viii)planned bariatric surgery in next 6 months;
•ix)pregnancy or planned pregnancy;
•x)self-reported inflammatory arthritis (e.g. rheumatoid arthritis);
•xi)any neurological condition affecting lower limbs;
•xii)any unstable/uncontrolled cardiovascular condition;
•xiii)history of fall/s (past 12 months) and no GP clearance to participate;
•xiv)house-bound due to immobility and no GP clearance to participate; and/or
•xv)fail the Exercise and Sports Science Australia stage 1 pre-exercise screening questions and no GP clearance to participate.

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