Health and Rehabilitation Research Centre, Auckland University of Technology, Private Bag 92006, Auckland 1020, New Zealand.
Arthritis Res Ther. 2009;11(3):R98. doi: 10.1186/ar2743. Epub 2009 Jun 25.
Recent guidelines pertaining to exercise for individuals with osteoarthritis have been released. These guidelines have been based primarily on studies of knee-joint osteoarthritis. The current study was focused on the hip joint, which has different biomechanical features and risk factors for osteoarthritis and has received much less attention in the literature. The purpose was to conduct a systematic review of the literature to evaluate the exercise programs used in intervention studies focused solely on hip-joint osteoarthritis, to decide whether their exercise regimens met the new guidelines, and to determine the level of support for exercise-therapy interventions in the management of hip-joint osteoarthritis.
A systematic literature search of 14 electronic databases was undertaken to identify interventions that used exercise therapy as a treatment modality for hip osteoarthritis. The quality of each article was critically appraised and graded according to standardized methodologic approaches. A 'pattern-of-evidence' approach was used to determine the overall level of evidence in support of exercise-therapy interventions for treating hip osteoarthritis.
More than 4,000 articles were identified, of which 338 were considered suitable for abstract review. Of these, only 6 intervention studies met the inclusion criteria. Few well-designed studies specifically investigated the use of exercise-therapy management on hip-joint osteoarthritis. Insufficient evidence was found to suggest that exercise therapy can be an effective short-term management approach for reducing pain levels, improving joint function and the quality of life.
Limited information was available on which conclusions regarding the efficacy of exercise could be clearly based. No studies met the level of exercise recommended for individuals with osteoarthritis. High-quality trials are needed, and further consideration should be given to establishing the optimal exercises and exposure levels necessary for achieving long-term gains in the management of osteoarthritis of the hip.
最近发布了与骨关节炎患者运动相关的指南。这些指南主要基于膝关节骨关节炎的研究。本研究侧重于髋关节，髋关节具有不同的生物力学特征和骨关节炎的危险因素，并且在文献中受到的关注较少。目的是对专门针对髋关节骨关节炎的干预研究中使用的运动方案进行系统评价，以确定其运动方案是否符合新指南，并确定运动疗法干预在髋关节骨关节炎管理中的支持程度。
对 14 个电子数据库进行了系统的文献检索，以确定将运动疗法作为髋关节骨关节炎治疗方法的干预措施。根据标准化方法学方法对每篇文章的质量进行了批判性评估和分级。使用“证据模式”方法确定支持运动疗法干预治疗髋关节骨关节炎的总体证据水平。
共检索到 4000 多篇文章，其中 338 篇被认为适合摘要审查。其中，只有 6 项干预研究符合纳入标准。很少有精心设计的研究专门研究运动疗法管理对髋关节骨关节炎的使用。没有足够的证据表明运动疗法可以作为一种有效的短期管理方法，可降低疼痛水平、改善关节功能和生活质量。
关于运动疗效的信息有限，无法明确得出结论。没有研究符合推荐给骨关节炎患者的运动水平。需要高质量的试验，并且应进一步考虑确定在髋关节骨关节炎管理中实现长期获益所需的最佳运动和暴露水平。
