Effect of Exercise as Non-surgical Treatments on Time to Total Hip Replacement Surgery (HipSPORT)

University of Southern Denmark (SDU)

Status: Completed

Conditions: Osteoarthritis

Treatments: Other: Supervised exercise; Other: Patient education

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT01697241

S-20120109

Details and patient eligibility

About

The aim of this trial is to test the hypothesis that patients with severe hip osteoarthritis postpone time to hip replacement surgery following participation in a patient education and supervised exercise program when compared to patients receiving patient education alone.

Full description

Hip replacements are performed at an increasing rate, also in younger and less disabled patients. Recent studies indicate non-surgical interventions being effective in reducing pain and disability also at later stages of disease when hip replacement is considered. Possible, non-surgical treatments can be used to postpone hip replacement. The effect of education and supervised exercise on time to hip replacement is largely unknown

Enrollment: 110 patients

Sex: All

Ages: 40+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 40 years and older
• Indication for total hip arthroplasty
• Residency within local municipal or willing to commute

Exclusion criteria

• Inflammatory joint disease
• Earlier ipsilateral proximal femur fracture
• Hip pain < 3 months
• Neuropathy or neuromuscular disease
• Malignant disease
• Diseases where a moderate level of physical exercise is contraindicated
• Unable to speak or read Danish
• Unable to participate for other reasons
• Refuse to participate

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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110 participants in 2 patient groups

Supervised exercise and patient education

Experimental group

Description:

The entire duration of the intervention is 12 weeks, and consists of 24 sessions each lasting 60-70 minutes. Patients will receive two types of exercises, delivered on separate days. One type of exercise is individualized, goal-based neuromuscular training (NEMEX) in groups with progression guided by the patient's neuromuscular function (12 sessions). The other type of exercise is individualized, intensive resistance training (RT) in groups with each exercise progression guided by load (12 sessions).

Treatment:

Other: Patient education

Other: Supervised exercise

Patient Education

Other group

Description:

The patient education program is designed to educate the patients about hip OA during 3 sessions of 90 min. duration

Treatment:

Other: Patient education