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Exercise for osteoarthritis of the hipFransen M, McConnell S, Hernandez-Molina G, Reichenbach S SummaryExercise for osteoarthritis of the hipThis summary of a Cochrane review presents what we know from research about the effect of exercise for people with osteoarthritis (OA) of the hip. The review shows that in people with hip OA, exercise -May reduce pain slightly -May not improve physical function. What is OA of the hip and what is exercise? Osteoarthritis (OA) is a disease of the joints, such as your hip. When the joint loses cartilage, the bone grows to try and repair the damage. Instead of making things better, however, the bone grows abnormally and makes things worse. For example, the bone can become misshapen and make the joint painful and unstable. Doctors used to think that osteoarthritis simply resulted in thinning of the cartilage. However, it's now known that osteoarthritis is a disease of the whole joint. OA is one of the most common forms of arthritis and affects men and women equally. OA is one of the main causes of disability as people grow older. Exercise can be any activity that enhances or maintains muscle strength, physical fitness and overall health. People exercise for many different reasons including weight loss, strengthening muscles and to relieve the symptoms of OA.
This is a Cochrane review abstract and plain language summary, prepared and maintained by The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2010 Issue 1, Copyright © 2010 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. The full text of the review is available in The Cochrane Library (ISSN 1464-780X).
This version first published online:
July 08. 2009 AbstractBackgroundCurrent international treatment guidelines recommending therapeutic exercise for people with symptomatic hip OA report are based on expert opinion only. ObjectivesTo determine whether land-based therapeutic exercise is beneficial for people with hip OA in terms of reduced joint pain and/or improved physical function. Search strategyFive databases were searched from 1966 up until August 2008. Selection criteriaAll randomised controlled trials (RCTs) recruiting people with hip OA and comparing some form of land-based therapeutic exercise (as opposed to exercises conducted in the water) with a non-exercise group. Data collection and analysisThree reviewers independently extracted data and assessed methodological quality. All analyses were conducted on continuous outcomes. Main resultsCombining the results of the five included RCTs demonstrated a small treatment effect for pain, but no benefit in terms of improved self-reported physical function. Authors' conclusionsThe limited number and small sample size of the included RCTs restricts the confidence that can be attributed to these results. Adequately powered RCTs evaluating exercise programs specifically designed for people with symptomatic hip OA need to be conducted. |