Dan Med J. 2020 Jun 1;67(6):A08190424.
The overall effectiveness of supervised progressive resistance training among patients with hip osteoarthritis is only scarcely investigated. The objective of this study was to estimate the effectiveness of supervised progressive resistance training compared with common treatment for patients with hip osteoarthritis, focusing on patient-reported function, pain, health-related quality of life, performance-based function at end of treatment and patient-reported function at 6-12 months.
This was a systematic review and meta-analysis. A systematic search was performed on 30 January 2019 in eight electronic databases (Medline, Embase, Cochrane, Pedro, AMED, Scopus, SPORTDiscus and Cinahl). The methodology of the included studies and the overall quality of evidence was assessed using the Cochrane Risk of Bias tool and the Grading of Recommendations Assessment, Development and Evaluation approach.
A total of 189 participants with hip osteoarthritis > 50 years of age were included in the three studies. A significant difference in favour of the supervised progressive resistance groups was found in patient-reported function (weighted mean difference (MD) = 9.13 (95% confidence interval (CI): 4.45-13.80)), hip-related pain (weighted MD = 7.83 (95% CI: 2.64-13.02)) and health-related quality of life (weighted MD = 6.80 (95% CI: 1.96-11.63)) at end of treatment. The overall quality of evidence was downgraded to low due to a lack of blinding in the included studies and due to imprecision.
Supervised progressive resistance training might be of clinical relevance for patients with hip osteoarthritis and was effective in improving patient-reported function, hip-related pain and health-related quality of life. The level of evidence is low and future studies may therefore affect the findings reported herein.
监督性渐进抗阻训练对髋关节炎患者的整体疗效的研究甚少。本研究旨在评估监督性渐进抗阻训练与髋关节炎患者常规治疗相比的效果，重点关注治疗结束时患者报告的功能、疼痛、健康相关生活质量、基于表现的功能以及治疗结束后 6-12 个月时患者报告的功能。
这是一项系统评价和荟萃分析。我们于 2019 年 1 月 30 日在 8 个电子数据库（Medline、Embase、Cochrane、PEDro、AMED、Scopus、SPORTDiscus 和 Cinahl）中进行了系统检索。使用 Cochrane 偏倚风险工具和推荐评估、制定与评价方法评估纳入研究的方法学和总体证据质量。
共有 3 项研究纳入了 189 名年龄＞50 岁的髋关节炎患者。与监督性渐进抗阻组相比，监督性渐进抗阻组在患者报告的功能（加权均数差（MD）=9.13，95%置信区间（CI）：4.45-13.80）、髋关节相关疼痛（MD=7.83，95%CI：2.64-13.02）和健康相关生活质量（MD=6.80，95%CI：1.96-11.63）方面具有显著优势。由于纳入研究存在无法进行盲法以及存在不精确性，整体证据质量被降级为低质量。
监督性渐进抗阻训练可能对髋关节炎患者具有临床意义，并且有效改善了患者报告的功能、髋关节相关疼痛和健康相关生活质量。证据水平较低，因此未来的研究可能会影响本研究报告的结果。
