THU0558 Role of Physical Exercise in Patients with Hip Osteoarthritis

Abstract

Background Hip osteoarthritis evolution is slow, but progressive, with increasing degradation of the joint, worsening instability, with permanent pain and reduced walk perimeter. Objectives The purpose of this study was to examine the effects of a 3 weeks kinetic program on pain and the functional status of patients with hip osteoarthritis. Methods We conducted an observational, prospective, randomized study on a sample of 80 patients previously diagnosed with hip osteoarthritis. The patients were randomly assigned to a control group (40 patients) who received electrotherapy, physical therapy and massage (group 1) and a study group (40 patients) whose therapeutic program included electrotherapy, physical therapy, massage and daily physical exercise (group 2). Rehabilitation program of patients had the following general objectives: increase the function or maintenance of the existing function and prevent failures and disability by reducing pain and inflammation, maintaining or increasing muscular strength and joint mobility. Evaluation of patients was done on day1 and after 3 weeks of rehabilitation treatment. The clinical and functional parameters assessed were: pain on a visual analogue scale (100 mmVAS), physical impairments (muscular strength, static disorders and mobility of hip joint), and disabilities (Tinetti Gait Scale, ADL 24, D’Aubigné Scale and movement capacity). Results After the 3 weeks rehabilitation program, the scores for functional parameters improved as follows: pain- 43.5% (group 2) and 32.9% (group 1) and the results were high statistic significant (p=0.000054); physical impairments : muscular strength- 9.7% (group 2), without improving by group 1, static disorders- 24.6% (group 2) and 13.6% (group 1), mobility of hip joint: 34.8% (group2) and 23.2% (group 1); disabilities: Tinetti Gait Scale- 36.3% (group 2) and 22.1% (group 1), ADL- 53.6% (group 2) and 40.2% (group 1), D’Aubigné Scale- 34.7% (group 2) and 25.9% (group 1), movement capacity- 45.7% (group2) and 32.7% (group 1). The results were also statistic significant (p<0.05). The compliance of the study participants was very good: only three patients did not complete the 3 weeks rehabilitation program. Conclusions Improvement of pain, physical impairments and disabilities for the study group certifies the efficacy of the rehabilitation program including physical exercise for the patients suffering from hip osteoarthritis and motivates the continuation of the study on a longer period of time and on a larger number of patients. Disclosure of Interest None Declared

Comparisons of Interventions for Preventing Falls in Older Adults

“…Across all outcomes, 283 RCTs and 20 companion reports were included (citations in eReferences in the Supplement), with a total of 159 910 participants (mean age 78.1 years; 74% women). Two included studies were available only as conference abstracts, and 14 other studies were identified by scanning reference lists of included studies and relevant reviews …”