Exercise and weight loss for hip osteoarthritis: a clinical trial

Not Applicable

Recruiting

Conditions: Hip osteoarthritis
Obesity
Musculoskeletal - Osteoarthritis
Physical Medicine / Rehabilitation - Physiotherapy
Diet and Nutrition - Obesity

Registration Number: ACTRN12622000461796

Lead Sponsor: The University of Melbourne

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 212

Inclusion Criteria

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.

Exclusion Criteria

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.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Self-reported severity of hip pain while walking, scored on an 11-point numeric rating scale (NRS) [ Baseline, 6 months (primary timepoint) and 12 months post randomisation<br><br>Tertiary timepoint: participants will also be contacted at two-years post randomisation for collection of primary and secondary outcomes via an online survey. These results will be reported separately to the main trial results and will occur after analysis of the main trial data and unblinding of the data set.];Self-reported physical function assessed by Western Ontario & McMaster Osteoarthritis Index (WOMAC) physical function sub-scale.[ Baseline, 6 months (primary timepoint) and 12 months post randomisation<br><br>Tertiary timepoint: participants will also be contacted at two-years post randomisation for collection of primary and secondary outcomes via an online survey. These results will be reported separately to the main trial results and will occur after analysis of the main trial data and unblinding of data set.]

Secondary Outcome Measures