Norwegian Research Center for Active Rehabilitation, Orthopedic Centre, Oslo University Hospital, Ullevaal and Hjelp24NIMI, Oslo, Norway.
Phys Ther. 2010 Apr;90(4):592-601. doi: 10.2522/ptj.20090083. Epub 2010 Feb 25.
No detailed exercise programs specifically for patients with hip osteoarthritis (OA) have been described in the literature. This lack of data creates a gap between the recommendation that people with OA should exercise and the type and dose of exercises that they should perform. The purpose of this case report is to describe and demonstrate the use of a therapeutic exercise program for a patient with hip OA.
A 58-year-old woman with hip OA completed a 12-week therapeutic exercise program (TEP) with a 6-month follow-up. The patient reported hip pain, joint stiffness, and limited physical function, and she had decreased hip range of motion (ROM) at baseline.
The patient performed 19 sessions during the TEP, with a mean of 19.5 exercises per session. She increased the resistance in 3 of 5 strength (force-generating capacity) training exercises and achieved the highest degree of difficulty in all functional exercises. During the TEP and follow-up, the patient reported improvements in pain, joint stiffness, and physical function. Performance improved on the following physical tests: isokinetic peak torque strength (60 degrees /s) in hip extension (40%), hip flexion (27%), knee extension (17%), and knee flexion (42%); hip ROM extension (8 degrees ); and 6-minute walk distance (83 m).
The patient experienced less pain and improved physical function and physical test outcomes after intervention and at the 6-month follow-up. The main challenges when prescribing an exercise program for a patient with hip OA are monitoring the exercises to provide improvements without provoking persistent pain and motivating the patient to achieve long-term adherence to exercising. Randomized clinical trials are needed to evaluate the efficacy of this TEP in patients with hip OA.
目前文献中尚无针对髋骨关节炎（OA）患者的详细运动方案。这一数据的缺乏导致了推荐 OA 患者运动与他们应进行的运动类型和运动量之间的脱节。本病例报告的目的是描述和展示针对髋 OA 患者的治疗性运动方案的使用。
一名 58 岁的髋 OA 女性患者完成了为期 12 周的治疗性运动方案（TEP）并进行了 6 个月的随访。患者报告髋部疼痛、关节僵硬和身体功能受限，且基线时髋部活动度（ROM）降低。
患者在 TEP 中完成了 19 次治疗，每次治疗平均进行 19.5 个练习。她在 5 项力量（产生力量的能力）训练练习中的 3 项中增加了阻力，并在所有功能练习中达到了最高难度。在 TEP 和随访期间，患者报告疼痛、关节僵硬和身体功能得到改善。以下身体测试的表现有所提高：髋关节伸展（60 度/秒）的等速峰值扭矩强度（40%）、髋关节屈曲（27%）、膝关节伸展（17%）和膝关节屈曲（42%）；髋关节 ROM 伸展（8 度）；以及 6 分钟步行距离（83 米）。
患者在干预后和 6 个月随访时经历了较少的疼痛，身体功能和身体测试结果得到了改善。为髋 OA 患者制定运动方案的主要挑战是监测运动以提供改善而不会引起持续疼痛，并激励患者长期坚持运动。需要进行随机临床试验来评估这种 TEP 在髋 OA 患者中的疗效。
