Hip osteoarthritis: Patients with complex comorbidities can make exceptional improvements following intensive exercise and education

Authors: Wainwright, T.W., Immins, T. and Middleton, R.G.

Journal: BMJ Case Reports

Volume: 2015

eISSN: 1757-790X

DOI: 10.1136/bcr-2014-208529

Abstract:

A 71-year-old man presenting with hip osteoarthritis, with a complex range of comorbidities was referred by his general practitioner to CHAIN (Cycling against Hip PAIN), a 6 week programme developed to aid self-management of hip osteoarthritis through exercise, education and advice, as defined by the National Institute for Health and Care Excellence (NICE) guidelines. Significant improvements were seen in Oxford hip score, the Hip disability and Osteoarthritis Outcome Score (HOOS) - function score, sit-to-stand test, timed up and go test, pain scores and hip flexion. There was also a weight loss of 2.1 kg. The man reported 'an amazing difference' in his affected hip and leg, and improved fitness. Many clinicians would have questioned the man's suitability for the programme due to his coexisting medical conditions. This case study shows that patients may be much more able than we think to achieve significant improvement with exercise.

https://eprints.bournemouth.ac.uk/23208/

Source: Scopus

Preferred by: Tom Wainwright

Hip osteoarthritis: patients with complex comorbidities can make exceptional improvements following intensive exercise and education.

Authors: Wainwright, T.W., Immins, T. and Middleton, R.G.

Journal: BMJ Case Rep

Volume: 2015

eISSN: 1757-790X

DOI: 10.1136/bcr-2014-208529

Abstract:

A 71-year-old man presenting with hip osteoarthritis, with a complex range of comorbidities was referred by his general practitioner to CHAIN (Cycling against Hip PAIN), a 6 week programme developed to aid self-management of hip osteoarthritis through exercise, education and advice, as defined by the National Institute for Health and Care Excellence (NICE) guidelines. Significant improvements were seen in Oxford hip score, the Hip disability and Osteoarthritis Outcome Score (HOOS) - function score, sit-to-stand test, timed up and go test, pain scores and hip flexion. There was also a weight loss of 2.1 kg. The man reported 'an amazing difference' in his affected hip and leg, and improved fitness. Many clinicians would have questioned the man's suitability for the programme due to his coexisting medical conditions. This case study shows that patients may be much more able than we think to achieve significant improvement with exercise.

https://eprints.bournemouth.ac.uk/23208/

Source: PubMed

Hip osteoarthritis: patients with complex comorbidities can make exceptional improvements following intensive exercise and education.

Authors: Wainwright, T.W., Immins, T. and Middleton, R.G.

Journal: BMJ case reports

Volume: 2015

Pages: bcr2014208529

eISSN: 1757-790X

ISSN: 1757-790X

DOI: 10.1136/bcr-2014-208529

Abstract:

A 71-year-old man presenting with hip osteoarthritis, with a complex range of comorbidities was referred by his general practitioner to CHAIN (Cycling against Hip PAIN), a 6 week programme developed to aid self-management of hip osteoarthritis through exercise, education and advice, as defined by the National Institute for Health and Care Excellence (NICE) guidelines. Significant improvements were seen in Oxford hip score, the Hip disability and Osteoarthritis Outcome Score (HOOS) - function score, sit-to-stand test, timed up and go test, pain scores and hip flexion. There was also a weight loss of 2.1 kg. The man reported 'an amazing difference' in his affected hip and leg, and improved fitness. Many clinicians would have questioned the man's suitability for the programme due to his coexisting medical conditions. This case study shows that patients may be much more able than we think to achieve significant improvement with exercise.

https://eprints.bournemouth.ac.uk/23208/

Source: Europe PubMed Central

Hip osteoarthritis: patients with complex comorbidities can make exceptional improvements following intensive exercise and education.

Authors: Wainwright, T., Immins, T. and Middleton, R.

Journal: BMJ Case Reports

Volume: 2015

Pages: bcr2014208529

ISSN: 1757-790X

Abstract:

A 71-year-old man presenting with hip osteoarthritis, with a complex range of comorbidities was referred by his general practitioner to CHAIN (Cycling against Hip PAIN), a 6 week programme developed to aid self-management of hip osteoarthritis through exercise, education and advice, as defined by the National Institute for Health and Care Excellence (NICE) guidelines. Significant improvements were seen in Oxford hip score, the Hip disability and Osteoarthritis Outcome Score (HOOS) - function score, sit-to-stand test, timed up and go test, pain scores and hip flexion. There was also a weight loss of 2.1 kg. The man reported 'an amazing difference' in his affected hip and leg, and improved fitness. Many clinicians would have questioned the man's suitability for the programme due to his coexisting medical conditions. This case study shows that patients may be much more able than we think to achieve significant improvement with exercise.

https://eprints.bournemouth.ac.uk/23208/

Source: BURO EPrints