Exercise induced effects on muscle function and range of motion in patients with hip osteoarthritis

Bieler, Theresa; Siersma, Volkert; Magnusson, S. Peter; Kjær, Michael; Beyer, Nina

doi:10.1002/pri.1697

Cited by 21 publications

(21 citation statements)

References 46 publications

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“…Few studies have utilized the 6‐minute walk test as a measure of physical function in patients with hip OA. Compared to the baseline distances observed in our study, Bieler et al reported similar baseline distances walked in their trial comparing strength training, Nordic walking, and home‐based exercise protocols . Their investigation reported similar changes in 6‐minute walk test distances at 2 months in the Nordic walking group in their study when compared to the intervention group in our study …”

Section: Discussionsupporting

confidence: 82%

“…Compared to the baseline distances observed in our study, Bieler et al reported similar baseline distances walked in their trial comparing strength training, Nordic walking, and home-based exercise protocols. 10,11 Their investigation reported similar changes in 6-minute walk test distances at 2 months in the Nordic walking group in their study when compared to the intervention group in our study. 11 Current literature suggests positive effects of exercise therapy for improving self-reported physical function in patients with hip OA.…”

Section: Discussionsupporting

confidence: 79%

“…A limited number of original research studies have examined exercise regimens specifically for hip OA. A recent randomized controlled trial (RCT) compared the effects of supervised strength training, supervised Nordic walking, or unsupervised home‐based training programs in home‐dwelling adults older than 60 years old with hip OA . This study showed no between‐group differences in hip muscle function or hip range of motion but did demonstrate that Nordic walking was superior to strength training and home‐based exercise in improving objectively measured (ie, 6‐minute walk test) functional performance .…”

Section: Introductionmentioning

confidence: 99%

“…A recent randomized controlled trial (RCT) compared the effects of supervised strength training, supervised Nordic walking, or unsupervised home‐based training programs in home‐dwelling adults older than 60 years old with hip OA . This study showed no between‐group differences in hip muscle function or hip range of motion but did demonstrate that Nordic walking was superior to strength training and home‐based exercise in improving objectively measured (ie, 6‐minute walk test) functional performance . Two studies examined the addition of exercise therapy to general practitioner care in adults with hip OA, finding that the exercise regimen improved self‐reported physical function at 3 months and 6 months compared to controls.…”

Section: Introductionmentioning

confidence: 99%

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A Pilot Randomized Controlled Trial for Aerobic and Strengthening Exercises on Physical Function and Pain for Hip Osteoarthritis

Thompson

Christopherson

Marshall

et al. 2019

PM&R

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Background Hip osteoarthritis (OA) limits lower extremity physical function. Exercise therapy may improve physical function and reduce pain in patients with hip OA. Objective To evaluate the feasibility of a randomized controlled trial (RCT) to measure the effect of a structured hip‐specific resistance and aerobic exercise program on physical function and self‐reported pain in adults with hip OA. Design Pilot RCT. Setting Academic medical center. Participants Thirty one adults with radiographic hip OA. Interventions Participants were randomly allocated in a 2:1 ratio to a 3‐month structured exercise intervention (n = 21) or a 3‐month waitlist control (n = 10). Main Outcome Measures The 6‐minute walk test was the primary outcome measure. Self‐reported physical function was assessed with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical function subscale and pain visual analog scale (VAS). Measures of feasibility were assessed as secondary outcomes. Results From baseline to 3 months, the median change from baseline in distance covered during the 6‐minute walk test in the intervention group (49 m) was double that of the control group (22 m), but the difference was not statistically significant (P = .13). Likewise, the WOMAC physical function subscale score median changes in the intervention group (5 points) were double that of the controls (2 points), although the difference was not statistically significant (P = .06). Median change in pain scores was slightly reduced in each group but not significantly different between groups (P = .53). Conclusion Although no statistically significant between‐group differences were found in this pilot RCT, improvements were seen in measures of physical function compared to controls. A larger RCT of this structured exercise program may be warranted.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Pilot Randomized Controlled Trial for Aerobic and Strengthening Exercises on Physical Function and Pain for Hip Osteoarthritis

Thompson

Christopherson

Marshall

et al. 2019

PM&R

View full text Add to dashboard Cite

show abstract

“…In support of this, in the main study Bieler et al found that NW was superior in promoting functional outcome and mental health compared to ST and HBE. The improvement in functional outcome was not explained by improved muscle strength and power as such, and the effect of exercise might therefore be attributed to other factors …”

Section: Discussionmentioning

confidence: 90%

The effect of 4 months exercise training on systemic biomarkers of cartilage and bone turnover in hip osteoarthritis patients

et al. 2019

Self Cite

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Exercise is recommended as first‐line treatment to reduce pain and improve physical function in patients with hip osteoarthritis, but the mechanism behind the effect remains unknown. Blood and urine were collected at baseline and after 4 months of exercise from 60+‐year‐old persons (n = 39) with hip osteoarthritis included in a randomized controlled trial comparing the effects of strength training (ST), Nordic Walking (NW), and unsupervised home‐based exercise (control). We measured biomarkers of bone (N‐terminal propeptide of type I collagen, C‐telopeptide of type I collagen, sclerostin, receptor activator of nuclear factor kappa‐B ligand, and osteoprotegerin) and cartilage (C‐telopeptide of type II collagen (CTX‐II), cartilage oligomeric matrix protein, and N‐terminal propeptide of type III collagen). Sclerostin levels decreased independent of the type of training. There was significant interaction between type of training and change in CTX‐II level. When combining the supervised groups (NW and ST), both CTX‐II and sclerostin level were decreased in the supervised training group, while CTX‐II and sclerostin were unchanged in the control group. In conclusion, CTX‐II and sclerostin level were reduced by 4 months of supervised training, suggesting that certain types of exercise affect cartilage and bone, potentially contributing to beneficial effects of exercise in patients.

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Comparison of Maitland Passive Joint Mobilization and Self‐Rehabilitation on Function, Activity, and Quality of Life in Beninese Patients With Hip Osteoarthritis: A Pragmatic Randomized Trial

Assogba,

Zounon,

Niama Natta

et al. 2024

Physiotherapy Res Intl

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BackgroundOrthopedic manual therapy is currently considered as an alternative approach for treating hip osteoarthritis. However, studies assessing its efficacy in low‐income countries in Sub‐Saharan Africa are scarce.ObjectivesInvestigating the effectiveness of Maitland passive joint mobilization (Maitland PJM) compared to self‐rehabilitation in patients with hip osteoarthritis in Benin, a low‐income country, in Sub‐Saharan Africa.MethodsThis was a pragmatic, single‐blind, two‐arm randomized trial involving 66 participants randomly assigned into two groups (Maitland PJM group, n = 33, and self‐rehabilitation group, n = 33). Both interventions took 5 weeks. The primary outcome (pain) was evaluated using numerical rating scale. Secondary outcomes (passive hip range of motion, muscles strength, walking, and quality of life) were assessed using goniometry, medical research council, 10 m walk test, and short‐form 36. Participants were assessed at baseline, after interventions and 3‐month follow‐up.ResultsForty‐nine patients (Maitland PJM group, n = 22, self‐rehabilitation, n = 27) completed the sessions. Within‐group analyses showed a significant improvement in body function, walking speed, and quality of life (p < 0.05) after interventions and at 3‐month follow‐up within both groups. No significant differences in any outcomes were observed between the Maitland PJM and self‐rehabilitation groups, after interventions and at the 3‐month follow‐up (p > 0.05).ConclusionMaitland passive joint mobilization and self‐rehabilitation similarly improved function, walking speed, and quality of life in Beninese patients with hip osteoarthritis.Trial RegistrationPACTR201911553990405

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Exercise induced effects on muscle function and range of motion in patients with hip osteoarthritis

Abstract: Background and purpose: Patients with hip osteoarthritis have impairments in muscle

Cited by 21 publications

References 46 publications

A Pilot Randomized Controlled Trial for Aerobic and Strengthening Exercises on Physical Function and Pain for Hip Osteoarthritis

A Pilot Randomized Controlled Trial for Aerobic and Strengthening Exercises on Physical Function and Pain for Hip Osteoarthritis

The effect of 4 months exercise training on systemic biomarkers of cartilage and bone turnover in hip osteoarthritis patients

Comparison of Maitland Passive Joint Mobilization and Self‐Rehabilitation on Function, Activity, and Quality of Life in Beninese Patients With Hip Osteoarthritis: A Pragmatic Randomized Trial

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