Hip osteoarthritis: patients with complex comorbidities can make exceptional improvements following intensive exercise and education.

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Wainwright, Tom ; Immins, Tikki ; Middleton, Robert (2015)

A 71-year-old man presenting with hip osteoarthritis, with a complex range of comorbidities was referred by his general practitioner to CHAIN (Cycling against Hip PAIN), a 6 week programme developed to aid self-management of hip osteoarthritis through exercise, education and advice, as defined by the National Institute for Health and Care Excellence (NICE) guidelines. Significant improvements were seen in Oxford hip score, the Hip disability and Osteoarthritis Outcome Score (HOOS) – function score, sit-to-stand test, timed up and go test, pain scores and hip flexion. There was also a weight loss of 2.1 kg. The man reported ‘an amazing difference’ in his affected hip and leg, and improved fitness. Many clinicians would have questioned the man's suitability for the programme due to his coexisting medical conditions. This case study shows that patients may be much more able than we think to achieve significant improvement with exercise.
  • References (5)

    1. Arthritis Research UK. Osteoarthritis in General Practice. Data and perspectives. Chesterfield: Arthritis Research UK; 2013

    2. National Institute for Health and Care Excellence (NICE). Osteoarthritis. Care and management in adults. NICE Clinical Guideline 177: http://www.nice.org.uk/guidance/CG177 (accessed 26 June 2014).

    3. Fransen M, McConnell S, Hernandez-Molina G, Reichenbach S. Exercise for osteoarthritis of the hip. Cochrane Database of Systematic Reviews 2014, Issue 4. Art. No.: CD007912. DOI: 10.1002/14651858.CD007912.pub2.

    4. De Rooij P, Steultjens M, Avezaat E, Hakkinen A, Klaver R, van der Leeden M, Maas T, Roorda LD, van der Velde H, Lems W, Dekker J. Restrictions and contraindications for exercise therapy in patients with hip and knee osteoarthritis and comorbidity. Physical Therapy Reviews 2013; 18(2); 101-111

    5. Reeuwijk K, de Rooji M, van Dijk GM, Veenhof C, Steultjens MP, Dekker J. Osteoarthritis of the hip or knee: which co-existing disorders are disabling? Clin Rheumatol 2010; 29; 739-747

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