Osteoarthritis

Progressive Resistance Training or Neuromuscular Exercise for Hip Osteoarthritis : A Multicenter Cluster Randomized Controlled Trial

Ann Intern MedPublished Randomised controlled trial

Primary result · 30s-CST, mean change from baselineResult — go to the resultDifference 0.0 chair stands CI −0.8 to 0.8

Authors' conclusion

In patients with hip OA, PRT is not superior to NEMEX for improving functional performance, hip pain, or hip-related QoL.

Study context

Population
Participants with clinically diagnosed hip osteoarthritis (OA), hospitals and physiotherapy clinics
Participants
160 participants
Comparison
Progressive resistance training (PRT) vs neuromuscular exercise (NEMEX), 12 weeks, 2 supervised 60-minute group sessions weekly
  • PRTn = 82
  • NEMEXn = 78reference
Primary endpoint
Change in the 30-second chair stand test (30s-CST)
Follow-up
12 weeks
Methodological detailsmulticentre, cluster-randomised, parallel-group, assessor-blinded, superiority, Participants and physiotherapists were not blinded
  • Multicentre
  • Cluster-randomised
  • Parallel-group
  • Assessor-blinded
  • Superiority
  • Participants and physiotherapists were not blinded

Primary result

30s-CST, mean change from baseline

Difference

0.0 chair stands

CI −0.8 to 0.8

Change by group

PRT

1.5

mean · 95% CI 0.9–2.1 · chair stands

NEMEX

1.5

mean · CI 0.9–2.1 · chair stands

PRTvs NEMEX
difference 0.0 chair stands (CI −0.8 to 0.8)

As reported in the abstract

Secondary outcomes

Mean, points

OutcomePRTNEMEXDifference (points) (CI)
Key secondary: HOOS pain subscale, mean change · 12 weeks8.6 (CI 5.3–11.8)9.3 (CI 5.9–12.6)−0.7 (−5.3 to 4.0)
Key secondary: HOOS hip-related QoL subscale, mean change · 12 weeks8.0 (CI 4.3–11.7)5.7 (CI 1.9–9.5)2.3 (−3.0 to 7.6)

Original publication

Progressive Resistance Training or Neuromuscular Exercise for Hip Osteoarthritis : A Multicenter Cluster Randomized Controlled Trial. Ann Intern Med. Published 9 April 2024. doi:10.7326/m23-3225

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