The Feasibility of a Randomized Trial Using a Progressive Exercise Program in Patients with Severe Hip Osteoarthritis

Objectives: To examine the feasibility of a home strengthening program in severe hip osteoarthritis [OA] patients. Methods: We randomized patients to progressive resistance exercise or control and measured the Western Ontario and MacMaster Osteoarthritis Index [WOMAC], timed 50-foot walk, and timed...

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Bibliographic Details
Published in:Journal of musculoskeletal pain 2008-01, Vol.16 (4), p.309-317
Main Authors: Shrier, Ian, Zukor, David, Boivin, Jean-François, Collet, Jean-Paul, Tanzer, Michael, Feldman, Debbie, Naimi, Ashley, Rossignol, Michel, Prince, François
Format: Article
Language:English
Subjects:
Arthritis
Exercise
Feasibility studies
functional testing
hip
Hip joint
Home health care
Osteoarthritis
WOMAC
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Summary:Objectives: To examine the feasibility of a home strengthening program in severe hip osteoarthritis [OA] patients. Methods: We randomized patients to progressive resistance exercise or control and measured the Western Ontario and MacMaster Osteoarthritis Index [WOMAC], timed 50-foot walk, and timed stair climb. Results: Several strength tests were too painful in the first few patients and, therefore, were not considered feasible and dropped. Although not statistically significant in the 15 subjects completing the pilot study, there was less deterioration in the strengthening group for WOMAC function subscale and stair climb test. Conclusions: A strength program is feasible in patients with severe hip osteoarthritis, but patients may be unable to perform some common strength exercises. Future studies may show that home resistance exercise programs improve function in these patients and should identify specific effective exercises that sedentary subjects can easily learn.
ISSN:1058-2452
2470-8593
1540-7012
2470-8607
DOI:10.1080/10582450802479883