Skip to main content

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

Wainwright, T., Immins, T. and Middleton, R., 2015. Hip osteoarthritis: patients with complex comorbidities can make exceptional improvements following intensive exercise and education. BMJ Case Reports, 2015, bcr2014208529.

Full text available as:

[img]
Preview
PDF
Accepted CHAIN BMJ manuscript.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

92kB

DOI: 10.1136/bcr-2014-208529

Abstract

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.

Item Type:Article
ISSN:1757-790X
Group:Faculty of Health & Social Sciences
ID Code:23208
Deposited By: Symplectic RT2
Deposited On:16 May 2016 14:18
Last Modified:14 Mar 2022 13:55

Downloads

Downloads per month over past year

More statistics for this item...
Repository Staff Only -