Time to Total Hip Replacement After Supervised Exercise and Patient Education
NCT ID: NCT01338532
Last Updated: 2012-08-20
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
109 participants
INTERVENTIONAL
2005-03-31
2013-05-31
Brief Summary
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The null hypothesis is: There are no differences in time to total hip replacement between patients with hip osteoarthritis who went through a 12 week supervised exercise program and patient education compared to patients who went through patient education only.
Material and methods:
109 patients with both symptomatically and radiographically verified hip osteoarthritis were included in this randomized controlled trial between april 2005 and october 2007. They were randomized to either a 12 week supervised exercise program and patient education (n=55) or patient education only (n=54).
Information on if and when total hip replacement is performed will be collected between April 1st and May 1st. Time since inclusion to follow-up will range from 3.5 to 6 years. Data will be collected directly from the study participants by telephone.
The main outcome is time to total hip replacement.
Status:
This study is a prolongation of an on-going RCT (3a-2005-NAR) using clinical outcomes to evaluate the effect of supervised exercise and patient education.
The study will be carried out: NAR-Department of Orthopedics, Ullevaal University Hospital.
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Supervised exercise + patient education
A 12 week supervised exercise program and patient education
The exercise protocol included exercises from former studies on comparable patient populations. The intensity of the strength- and flexibility exercises meets the American College of Sports Medicine's (ACSM) recommendations for developing and maintaining muscular fitness in adults. Patients was required to exercise for approximately 60 minutes, to-three days a week for 12 weeks. Patient's attendance to the exercise program (compliance) was registered.
All patients included in the study participated in a patient education program which included two individual and three small-group sessions lasting one hour each time.
Patient education
Patient education
All patients included in the study participated in a patient education program which included two individual and three small-group sessions lasting one hour each time.
Interventions
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A 12 week supervised exercise program and patient education
The exercise protocol included exercises from former studies on comparable patient populations. The intensity of the strength- and flexibility exercises meets the American College of Sports Medicine's (ACSM) recommendations for developing and maintaining muscular fitness in adults. Patients was required to exercise for approximately 60 minutes, to-three days a week for 12 weeks. Patient's attendance to the exercise program (compliance) was registered.
All patients included in the study participated in a patient education program which included two individual and three small-group sessions lasting one hour each time.
Patient education
All patients included in the study participated in a patient education program which included two individual and three small-group sessions lasting one hour each time.
Eligibility Criteria
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Inclusion Criteria
* Hip pain for more then 3 months.
* Harris Hip Score between 60 and 95. Harris Hip score (0-100 points) is widely used as an assessment of hip function in patients with hip OA. Harris Hip Score of 60 or below are used regularly at our institution as one of the criteria for total hip replacement surgery.
* Radiographic verified hip OA (Danielsson's criteria for radiographic OA: Danielsson's criteria for minimal joint space: \< 4 mm \< 70 years, \< 3 mm ≥ 70 years, or 1 mm difference between hips).
Exclusion Criteria
* Patients with co-morbidities not tolerating physical activities
40 Years
80 Years
ALL
No
Sponsors
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Oslo University Hospital
OTHER
Responsible Party
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Principal Investigators
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May Arna Risberg, PT, PhD
Role: PRINCIPAL_INVESTIGATOR
NAR- Department of Orthopedics, Oslo University Hospital
Locations
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NAR-Orthopedic Department, Oslo University Hospital & Hjelp24 NIMI
Oslo, , Norway
Countries
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References
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Svege I, Nordsletten L, Fernandes L, Risberg MA. Exercise therapy may postpone total hip replacement surgery in patients with hip osteoarthritis: a long-term follow-up of a randomised trial. Ann Rheum Dis. 2015 Jan;74(1):164-9. doi: 10.1136/annrheumdis-2013-203628. Epub 2013 Nov 19.
Related Links
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Homepage NAR
Other Identifiers
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03c-2011-NAR
Identifier Type: -
Identifier Source: org_study_id