Efficacy of patient education and supervised exercise vs patient education alone in patients with hip osteoarthritis: a single blind randomized clinical trial

Osteoarthritis and Cartilage
Linda FernandesMay Arna Risberg

Abstract

To compare the efficacy of patient education and supervised exercise with that of patient education alone for the management of pain in patients with hip osteoarthritis (OA). Single blind randomized clinical trial. Recruitment of patients from hospitals, primary health care and advertisement, Oslo, Norway. 109 patients with radiographic and symptomatic hip OA with mild to moderate symptoms. Patient education (PE). Patient education and supervised exercise (PE+SE). The pain subscale of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC pain). No significant between group differences were found for WOMAC pain over the 16-month follow-up. Significant improvements were found for the secondary outcome WOMAC physical function (P=0.011) in the group receiving PE+SE compared to the group receiving PE only. No significant differences were found for WOMAC stiffness, the SF-36 subscales or the activity scale. The effect sizes (95% confidence interval) for WOMAC pain were -0.26 (0.11, -0.64), -0.35 (0.07, -0.77), and -0.30 (0.15, -0.75), and for WOMAC physical function -0.29 (0.09, -0.67), -0.48 (-0.06, -0.91), and -0.47 (-0.02, -0.93) at 4, 10 and 16 months, respectively, in favor of the group receiving both PE and ...Continue Reading

References

Feb 1, 1993·Journal of Clinical Epidemiology·R A WashburnC A Janney
Sep 10, 1999·BMJ : British Medical Journal·S Hollis, F Campbell
Dec 22, 2000·Spine·J E Ware
Jun 10, 2003·Arthritis and Rheumatism·Maria KlässboKarin Harms-Ringdahl
Jul 29, 2003·Exercise and Sport Sciences Reviews·Michael V HurleyNicki Walsh
Jan 1, 1964·Acta Orthopaedica Scandinavica. Supplementum·L G DANIELSSON
May 5, 2004·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Olivier SeynnesPierre L Bernard
Mar 14, 2007·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·G R NormanDonald L Patrick
Dec 1, 2007·Arthritis and Rheumatism·Annet M LievenseSita M A Bierma-Zeinstra
Sep 2, 2008·Arthritis and Rheumatism·Gabriela Hernández-MolinaDavid T Felson
May 5, 2009·Osteoarthritis and Cartilage·K D AllenF J Keefe
Feb 27, 2010·Physical Therapy·Linda FernandesMay Arna Risberg

❮ Previous
Next ❯

Citations

Apr 19, 2013·Annals of the Rheumatic Diseases·Linda FernandesUNKNOWN European League Against Rheumatism (EULAR)
Nov 15, 2011·BMC Musculoskeletal Disorders·Rikke H MoeTill Uhlig
May 6, 2014·Best Practice & Research. Clinical Rheumatology·Kim L BennellRana S Hinman
Jun 24, 2014·Pain Management·Jari Arokoski
Oct 23, 2012·Archives of Physical Medicine and Rehabilitation·Helen P FrenchGeraldine M McCarthy
May 23, 2015·The Journal of Orthopaedic and Sports Physical Therapy·Ingrid EitzenMay Arna Risberg
Jul 31, 2013·Journal of Physiotherapy·Kim Bennell
Jul 1, 2016·Orthopedics·Jorge ChahlaCecilia Pascual-Garrido
Jun 2, 2017·The Journal of Orthopaedic and Sports Physical Therapy·Michael T CibulkaChristine M McDonough
Apr 18, 2018·The Cochrane Database of Systematic Reviews·Michael HurleySandy Oliver
Jan 16, 2014·The Cochrane Database of Systematic Reviews·Féline P B KroonVeronica Pitt
Apr 24, 2014·The Cochrane Database of Systematic Reviews·Marlene FransenStephan Reichenbach
Oct 4, 2017·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Theresa BielerNina Beyer
Jul 13, 2018·Annals of the Rheumatic Diseases·Anne-Kathrin Rausch OsthoffTheodora P M Vliet Vlieland
Nov 3, 2016·Physical Therapy·Nolwenn PoquetKim L Bennell
Oct 11, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Austin R ThompsonNels L Carlson
May 1, 2016·Scandinavian Journal of Medicine & Science in Sports·T BielerN Beyer
May 5, 2020·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Paula Gabriel SilvaJamil Natour
Jan 25, 2017·Journal of Osteoporosis·Kirsti Uusi-RasiHarri Sievänen
Sep 18, 2020·Journal of Occupational and Environmental Medicine·Divya K MadhusudhanDena M Bravata
Aug 28, 2021·International Journal of Environmental Research and Public Health·Inka RoeselInga Krauss

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.