Article

The primary objective is to identify effective land-based therapeutic
exercise interventions and provide evidence-based recommendations for managing
hip osteoarthritis. A secondary objective is to develop an Ottawa Panel
evidence-based clinical practice guideline for hip osteoarthritis. METHODS: The
search strategy and modified selection criteria from a Cochrane review were used.
Studies included hip osteoarthritis patients in comparative controlled trials
with therapeutic exercise interventions. An Expert Panel arrived at a Delphi
survey consensus to endorse the recommendations. The Ottawa Panel hierarchical
alphabetical grading system
(A, B, C+, C, D, D+, or D-) considered the study
design (level I: randomized controlled trial and level II: controlled clinical
trial), statistical significance (p < 0.5), and clinical importance (15%
improvement). RESULTS: Four high-quality studies were included, which
demonstrated that variations of strength training, stretching, and flexibility
exercises are generally effective for improving the management of hip
osteoarthritis. Strength training exercises displayed the greatest improvements
for pain (Grade A), disability (Grades A and C+), physical function (Grade A),
stiffness (Grade A), and range of motion (Grade A) within a short time period
(8-24 weeks). Stretching also greatly improved physical function (Grade A), and
flexibility exercises improved pain (Grade A), range of motion (Grade A),
physical function (Grade A), and stiffness (Grade C+). CONCLUSION: The Ottawa
Panel recommends land-based therapeutic exercise, notably strength training, for
management of hip osteoarthritis in reducing pain, stiffness and self-reported
disability, and improving physical function and range of motion.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS