Uusi-Rasi Kirsti, Patil Radhika, Karinkanta Saija, Tokola Kari, Kannus Pekka, Sievänen Harri
The UKK Institute for Health Promotion Research, Tampere, Finland.
The UKK Institute for Health Promotion Research, Tampere, Finland; Department of Orthopaedics and Trauma Surgery, Tampere University Hospital and Medical School, University of Tampere, Tampere, Finland.
J Osteoporos. 2017;2017:3905492. doi: 10.1155/2017/3905492. Epub 2017 Jan 1.
Osteoarthritis (OA) of the hip is one of the major causes of pain and disability in the older population. Although exercise is an effective treatment for knee OA, there is lack of evidence regarding hip OA. The aim of this trial was to test the safety and feasibility of a specifically designed exercise program in relieving hip pain and improving function in hip OA participants and to evaluate various methods to measure changes in their physical functioning. . 13 women aged ≥ 65 years with hip OA were recruited in this 12-week pilot study. . Pain declined significantly over 30% from baseline, and joint function and health-related quality of life improved slightly. Objective assessment of physical functioning showed statistically significant improvement in the maximal isometric leg extensor strength by 20% and in the hip extension range of motion by 30%. . The exercise program was found to be safe and feasible. The present evidence indicates that the exercise program is effective in the short term. However, adequate powered RCTs are needed to determine effects of long-term exercise therapy on pain and progression of hip OA.
髋骨关节炎（OA）是老年人群疼痛和残疾的主要原因之一。尽管运动是治疗膝关节OA的有效方法，但关于髋关节OA的证据却很缺乏。本试验的目的是测试一项专门设计的运动计划在缓解髋关节OA患者的髋部疼痛和改善功能方面的安全性和可行性，并评估测量其身体功能变化的各种方法。在这项为期12周的试点研究中，招募了13名年龄≥65岁的髋骨关节炎女性患者。疼痛从基线水平显著下降了30%以上，关节功能和与健康相关的生活质量略有改善。身体功能的客观评估显示，最大等长腿部伸肌力量在统计学上有显著改善，提高了20%，髋关节伸展活动范围提高了30%。该运动计划被证明是安全可行的。目前的证据表明，该运动计划在短期内是有效的。然而，需要进行足够样本量的随机对照试验来确定长期运动疗法对髋骨关节炎疼痛和病情进展的影响。
