Effectiveness of exercise therapy added to general practitioner care in patients with hip osteoarthritis: a pragmatic randomized controlled trial
| Autor: | Arthur M. Bohnen, Joost Dekker, Marc A. Koopmanschap, Pim A J Luijsterburg, Jan A N Verhaar, C.H. Teirlinck, P.P. van Es, S.M.A. Bierma-Zeinstra, Bart W. Koes |
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| Přispěvatelé: | General Practice, Orthopedics and Sports Medicine, Health Technology Assessment (HTA), EMGO - Musculoskeletal health, Rehabilitation medicine |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Blinding Activities of daily living General Practice Exercise therapy HOOS Biomedical Engineering Pain Osteoarthritis Hip law.invention 03 medical and health sciences 0302 clinical medicine Rheumatology Randomized controlled trial law Surveys and Questionnaires Activities of Daily Living Hip osteoarthritis Humans Medicine Orthopedics and Sports Medicine Hip pain In patient 030212 general & internal medicine Adverse effect Physiotherapy Aged Netherlands Pain Measurement 030203 arthritis & rheumatology Disability business.industry Middle Aged 3. Good health Treatment Outcome Physical therapy Female business |
| Zdroj: | Osteoarthritis and Cartilage, 24(1), 82-90. W.B. Saunders Teirlinck, C H, Luijsterburg, P A J, Dekker, J, Bohnen, A M, Verhaar, J A N, Koopmanschap, M A, van Es, P P, Koes, B W & Bierma-Zeinstra, S M A 2016, ' Effectiveness of exercise therapy added to general practitioner care in patients with hip osteoarthritis: a pragmatic randomized controlled trial ', Osteoarthritis and Cartilage, vol. 24, no. 1, pp. 82-90 . https://doi.org/10.1016/j.joca.2015.07.023 Osteoarthritis and Cartilage, 24(1), 82-90. W.B. Saunders Ltd |
| ISSN: | 1063-4584 |
| DOI: | 10.1016/j.joca.2015.07.023 |
| Popis: | Objective: To assess the effectiveness of exercise therapy added to general practitioner (GP) care compared with GP care alone, in patients with hip osteoarthritis (OA) during 12 months follow-up. Methods: We performed a multi-center parallel pragmatic randomized controlled trial in 120 general practices in the Netherlands. 203 patients, aged >= 45 years, with a new episode of hip complaints, complying with the ACR criteria for hip OA were randomized to the intervention group (n = 101; GP care with additional exercise therapy) or the control group (n = 102; GP care only). GP care was given by patient's own GP. The intervention group received, in addition, a maximum of 12 exercise therapy sessions in the first 3 months and hereafter three booster sessions. Blinding was not possible. Primary outcomes were hip pain and hip-related function measured with the HOOS questionnaire (score 0-100). Results: The overall estimates on hip pain and function during the 12-month follow-up showed no between-group difference (intention-to-treat). At 3-months follow-up there was a statistically significant between-group difference for HOOS pain -3.7 (95% CI: -7.3; -0.2), effect size -0.23 and HOOS function -5.3 (95% CI: -8.9; -1.6), effect size -0.31. No adverse events were reported. Conclusions: No differences were found during 12-months follow-up on pain and function. At 3-months follow-up, pain and function scores differed in favor of patients allocated to the additional exercise therapy compared with GP care alone. (C) 2015 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
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