A cycling and education programme for the treatment of hip osteoarthritis: a quality improvement study.

Wainwright, T., Immins, T. and Middleton, R., 2016. A cycling and education programme for the treatment of hip osteoarthritis: a quality improvement study. International Journal of Orthopaedic and Trauma Nursing. (In Press)

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DOI: 10.1016/j.ijotn.2016.02.004

Abstract

Osteoarthritis of the hip is associated with pain, stiffness and limitations to activities of daily living. The aims of this quality improvement project were to introduce a service developed to promote the self-management of hip osteoarthritis through exercise and education, and to assess the impact of the programme on pain, function and quality of life. The service was a six-week cycling and education programme.119 participants took part. Statistically significant improvements were found for Oxford Hip Score (Mean (SD) change 4.14 (95% CI (3.02, 5.25 ), p<0.001); Sit-to-stand score (mean change 3.06s 95% CI (2.33, 3.79), p<0.001); EQ5D-5L Utility (mean change 0.06 (95% CI 0.03,0.09), p<0.001); EQ5D VAS (mean change 7.05 (95% CI 4.72,9.39) p<0.001); pain on weight-bearing (WB) (mean change 1.56 (95% CI 0.77,2.36), p<0.001), HOOS function (median change (IQR) 7.35 (1.84 to 19.12), p<0.001) and TUG test (median change 1.11s (0.31 to 2.43), p<0.001). Participants reported improvements in pain and function; increased confidence in managing hip pain; and an increase in motivation to exercise. These findings were supported by a Patient and Public Involvement Forum who suggested extending the programme to eight weeks. These results suggest that the service has potential in the management of hip osteoarthritis.

Item Type:Article
ISSN:1873-4839
Uncontrolled Keywords:hip osteoarthritis; exercise therapy; patient education as topic; self-care; group exercise, cycling
Subjects:UNSPECIFIED
Group:Faculty of Health & Social Sciences
ID Code:24602
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:26 Aug 2016 14:03
Last Modified:31 Aug 2016 15:24

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