| Development of a therapeutic exercise program for patients with osteoarthritis of the hip. | |
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MedLine Citation:
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PMID: 20185613 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: 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. CASE DESCRIPTION: 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. OUTCOMES: 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). DISCUSSION: 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. |
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Authors:
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Linda Fernandes; Kjersti Storheim; Lars Nordsletten; May Arna Risberg |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't Date: 2010-02-25 |
Journal Detail:
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Title: Physical therapy Volume: 90 ISSN: 1538-6724 ISO Abbreviation: Phys Ther Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-02 Completed Date: 2010-05-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0022623 Medline TA: Phys Ther Country: United States |
Other Details:
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Languages: eng Pagination: 592-601 Citation Subset: AIM; IM |
Affiliation:
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Norwegian Research Center for Active Rehabilitation, Orthopedic Centre, Oslo University Hospital, Ullevaal and Hjelp24NIMI, Oslo, Norway. linda.fernandes@medisin.uio.no |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Exercise Therapy
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methods* Female Hip Joint / physiopathology Humans Middle Aged Movement / physiology Muscle Strength / physiology Osteoarthritis, Hip / rehabilitation* Pain Measurement Range of Motion, Articular / physiology Walking / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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