None listed
Conditions
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Primary (idiopathic) osteoarthritis of hip &/or knee identified using standard criteria of the American College of Rheumatology for classification of clinical osteoarthritis (pain of the knee or hip on most days of the past month, morning stiffness by history; crepitus, bony enlargement of the knee, pain or limitation of motion on internal rotation of the hip on exam, or radiographic evidence of osteophytes or joint space narrowing from medical record review). pain of at least mild intensity (>25 on a 100mm visual analog scale). Community-dwelling (living independently) ambulatory without human assistance. Willingness to be randomised to experimental or control groupsAbility to attend scheduled exercise and testing sessions.
Exclusion criteria
Regular exercise of any kind over the past 6 months (1dpw). Secondary osteoarthritis (traumatic or post-surgical), rheumatic disease, gouty or septic arthritis, Paget's disease, pseudogout, major congenital abnormalities, hemachromatosis, Wilson's disease and other rare forms of arthritis Joint injury, injection or surgery within the past 6 months or joint replacement. Acute or terminal illness. Unstable systemic disease precluding exercise such asAcute myocardial infarction in the past 6 months. Unstable cardiovascular disease (angina, cardiac arrhythmias, hypertension). Uncontrolled diabetes or other metabolic disease.Disorders of the nervous system disrupting voluntary movement (cerebrovascular accident/stroke with residual paresis, Parkinson's disease, demyelination disorders - multiple sclerosis). Severe functional limitation (unable to walk unaided). Musculoskeletal disease/injury severely restricting voluntary movement. (severe arthritis/ankylosis, pain related to osteoporotic vertebral crush fractures, rotator cuff disease/injury). Cognitive impairment Other contra-indication to exercise as assessed during the screening history and physical examination by a study physician.