Exercise in Patients With Osteoarthritis of the Hip

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

152 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2014-01-31

Brief Summary

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According to Danish and international guidelines the recommended first-line of management for people with osteoarthritis consist of exercise, education, analgesic medication, and, if necessary, weight reduction. It is well documented that exercise has a positive effect on pain and physical function in patients with knee OA, but the effect of exercise on hip OA is sparsely investigated.

Aim of the study: To investigate the effects of 1) strength training, and 2) Nordic Walking, and 3) unsupervised home based exercise on muscle function, endurance, pain level, physical activity, and health related quality of life in patients with osteoarthritis of the hip.

The effects of exercise on muscle mass and the mechanisms behind the osteoarthritis, i.e., disease activity, inflammation, and cartilage degradation, are investigated in a subgroup (n=45) of the participants.

Study hypotheses: Strength training will have a greater effect on physical function and muscle strength than Nordic Walking and home based exercise; 2) Nordic Walking will have a greater effect on endurance than strength training and unsupervised home based exercise; 3) Strength training and Nordic Walking will have a greater effect on pain level and health related quality of life than unsupervised home based exercise.

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Detailed Description

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Conditions

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Hip Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Strength training

Strength training three times weekly, i.e.supervised strength training twice weekly and un-supervised strength training once weekly for 4 months.

Group Type EXPERIMENTAL

Strength training

Intervention Type PROCEDURE

Supervised strength training in groups 2 x 1 hour weekly and un-supervised strength training 1 hour weekly for 4 months

Nordic Walking

Nordic walking three times weekly, i.e.Nordic walking twice weekly and un-supervised Nordic walking once weekly for 4 months.

Group Type EXPERIMENTAL

Nordic Walking

Intervention Type PROCEDURE

Supervised Nordic Walking in groups 2 x 1 hour weekly and un-supervised Nordic Walking 1 hour weekly for 4 months

Unsupervised home based exercise

The home based unsupervised exercise comprised exercises recommended by the Danish Arthritis Association.

Group Type ACTIVE_COMPARATOR

Unsupervised home based exercise

Intervention Type PROCEDURE

Unsupervised home based exercise as recommended by the Danish Arthritis Association 1 hour 3 x weekly for 4 months

Interventions

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Strength training

Supervised strength training in groups 2 x 1 hour weekly and un-supervised strength training 1 hour weekly for 4 months

Intervention Type PROCEDURE

Nordic Walking

Supervised Nordic Walking in groups 2 x 1 hour weekly and un-supervised Nordic Walking 1 hour weekly for 4 months

Intervention Type PROCEDURE

Unsupervised home based exercise

Unsupervised home based exercise as recommended by the Danish Arthritis Association 1 hour 3 x weekly for 4 months

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1)Home-dwelling 60+ year old persons with primary, symptomatic hip OA who meet the clinical criteria of hip OA according to American College of Rheumatology (ACR), and who are not on a waiting list for hip joint replacement.

Exclusion Criteria

1. symptomatic OA in the knee or the big toe,
2. joint replacement of the knee or the hip,
3. other types of arthritis, e.g., rheumatoid arthritis,
4. previous hip fracture,
5. limitation in physical function to the extent that using public transportation is impossible,
6. co-morbidity that prevents exercising,
7. physiotherapy related to hip problems within the last 3 months,
8. steroid injections in the hip joint within the last 3 months,
9. performing exercise/sports 2+ times weekly, and
10. inability to cooperate.

Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No