None listed
Conditions
Brief summary
The main purpose of the study is to investigate the effect a long term exercise program has on the hip joint structure and function in patients with hip osteoarthritis completing long-term land-based physiotherapy program. In addition the study aims to investigates the correlation between MRI data and functional evaluation of the hip joint.
Interventions
The intervention studied is a long-term physiotherapy program. The intervention is delivered by physiotherapist with minimum 5 years’ experience. The intervention is provided individually and all treatment sessions are therapist-supervised. The duration of the whole intervention is 12 months. The intervention is delivered in three 3-weeks cycles consisting of 5 therapeutic sessions per week. Each session lasts 140 minutes. The first and second cycle are followed by a 5-month interval. The exercise session consists of hip joint traction followed by hip suspension exercises, lower extremities muscle strengthening and proprioception training. Additionally, before each session, transcutaneous electrical nerve stimulation (TENS) is administered for 30 minutes. Electrical stimulation is delivered using two disposable, 60 x 60 mm, carbon electrodes. TENS setting is in a conventional mode, emitting a pulsed biphasic, symmetrical rectangular wave with a frequency of 100 Hz and a pulse duration of 100 µs. The intensity is set according to the participant’s tolerance then gradually increased and limited by the perception of strong but comfortable tingling. The intervention occurs at the rehabilitation outpatient clinic.
Sponsors
Study design
Eligibility
Inclusion criteria
Patients with hip osteoarthritis fulfilling American College of Rheumatology (ACR) classification criteria.
Exclusion criteria
Contraindications for MRI imaging, physiotherapeutic treatment or physical activity; systemic arthritic conditions or diseases that could significantly affect the condition of the hip joint and the patient's functional capabilities; prior hip surgery or lower extremity joint replacement; intra-articular corticosteroid injection or oral steroid or NSAID chronic use within six months; viscosupplementation within six months; prior cerebral vascular accident or other neurological disorders affected sensorimotor functions; history of myocardial infarction; history of cancer; general poor health status;