Obese, overweight, osteoarthritis of the hip, exercise, weight loss, lifestyle intervention, combination therapy, pain, functional abilities.
Conditions
Interventions
The physical exercise therapy will be divided in an individual phase (2 to 3
months) and a group phase (3 months) (total of 6 months). Additionally the patients will be stimulated to get active, or s
Sponsors
Department of Orthopaedic Surgery University Medical Center Groningen
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: Patients of 40 years and older with a calculated body mass index of 25 or more and radiographic and/or clinical evidence of hip osteoarthritis. The osteoarthritis presents with pain in combination with either (a) hip internal rotation equal or more than 15º, pain present on internal rotation of the hip, morning stiffness of the hip equal or less than 60 min or (b) hip internal rotation less than 15º, and hip flexion equal or less than 115º.
Exclusion criteria
Exclusion criteria: Patients with severe medical conditions that prevents safe participation in an exercise program (such as angina pectoris, peripheral vascular disease, stroke, congestive heart failure, chronic obstructive pulmonary disease, insulin-dependent diabetes, psychiatric disease, renal disease, renal disease, liver disease, active cancer other than skin cancer, anaemia); symptoms of feet or ankle which could interfere with exercise programs; in case of rheumatic arthritis; an inability to walk without a cane or other assistive device; participation in another research study; inability to finish the study or unlikely to be compliant to the opinion of the clinical staff, because of frailty, illness, co morbidity or other reasons. Additionally patients who are not able to fill in a questionnaire as a result of language problems or dementia will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-reported physical function as measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) (Roorda et al., 2004). | — |
Secondary
| Measure | Time frame |
|---|---|
| Body weight; height, objective functional abilities measured with use of a walking test of 20 meters, and the Timed Up and Go test (de Greef et al 2006); Pain measured by the WOMAC physical function scale and the health related Quality of Life measured by the SF-36 (Aaronson et al., 1998). The SQUASH (Wendel-Vos e.a. 2003) will be used to get an impression of the physical activity pattern. | — |
Contacts
Public ContactNienke Paans
Hanzeplein 1
Outcome results
None listed