Osteoarthritis of the Hip
Conditions
Interventions
Patient education and PSTR exercise
Sponsors
Arthritis Center,Fukuoka Wajiro Hospital
Department of Orthopaedics, Asama General Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1)Patients who wish to prevent surgery 2)Patients with 18-85 years at consent 3)Patients with hip pain for more than 3 months 4)Patients eligible for more than 2 of the following 1-3 criteria(ACR : American College of Rheumatology criteria) or 4. 1:ESR<20mm/h i) 2:osteophytes(femoral or acetabular) 3:joint space narrowing 4:hip pain due to acetabular dysplasia 5)Patients in which the difference in the height of the tip of the greater trochanter was 2.0 cm or less on standing full-length radiographs of the lower extremities 6)Patients with an HHS below 60 points 7)Patients with consent by documents for the participation in this study i)Patients who are not eligible for 4 item and eligible for only one item of 2 or 3 in 4) should be confirmed about
Exclusion criteria
Exclusion criteria: 1)Patients who undergo the treatment of cardiovascular diseases 2)Patients who undergo the treatment of cancer 3) Patients who have severe osteoporosis/dysfunction in the lower extremities due to an accident or disease besides OA of the hip(e.g. osteoarthritis with the knee above K/L grade 2) 4)Patients with pregnancy 5) All kinds of surgeries of the lower extremities 6) Patients who undergo the instruction of PSTR exercises by therapists within one year (patients who performed exercises by themselves according to the instruction of the book are not excluded.) 7)Patients with dementia who seem to be not eligible for exercises(Doctor's judgement ; e.g. patients who have difficulty with writing the diary or understanding exercises) 8)Patients with osteonecrosis of the femoral head 9)Patients with a subchondral insufficiency fracture (SIF) of the femoral head 10) Patients with Perthes disease 11)Patients with rheumatoid arthritis 12) Patients with infection 13)Patients in which malignant diseases are suspected at the hip joints or around the hip 14) Other patients in which doctor considered that they were not eligible
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HHS(Harris Hip Score) | — |
Secondary
| Measure | Time frame |
|---|---|
| SF-36v2,JOA Score,NRS,ROM,the opening angle of the hip according to a modified Patrick's test,the maximum strength of hip abductors,TUG test,One Leg Standing Time,K/L grade,MJS,OA questionnaire check list,the ratio of cases in which exercises can be continued after 3 months from the baseline,the ratio of cases in which PSTR exercises were done for 6 months from the baseline,the ratio of cases with improvement of HHS above 10 points | — |
Countries
Japan
Contacts
Public ContactKazuo Hayashi
Fukuoka Wajiro Hospital Arthritis Center
Outcome results
None listed