A cycling and education programme for the treatment of hip osteoarthritis: a quality improvement study

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

Journal: International Journal of Orthopaedic and Trauma Nursing

Volume: 23

Pages: 14-24

ISSN: 1878-1241

DOI: 10.1016/j.ijotn.2016.02.004

Abstract:

Osteoarthritis of the hip is associated with pain, stiffness and limitations to activities of daily living. The aims of this quality improvement project were to introduce a service developed to promote the self-management of hip osteoarthritis through exercise and education and to assess the impact of the programme on pain, function and quality of life. The service was a six-week cycling and education programme and 119 participants took part. Statistically significant improvements were found for Oxford Hip Scores (Mean (SD) change 4.14, 95%, CI 3.02, 5.25, p < 0.001); Sit-to-stand scores (mean change 3.06, 95%, CI 2.33, 3.79, p < 0.001); EQ5D-5L Utility (mean change 0.06, 95%, CI 0.03, 0.09, p < 0.001); EQ5D VAS (mean change 7.05, 95%, CI 4.72, 9.39, p < 0.001); pain on weight-bearing (WB) (mean change 1.56, 95%, CI 0.77, 2.36, p < 0.001), HOOS function (median change (IQR) 7.35, 1.84 to 19.12, p < 0.001) and TUG test (median change 1.11, 0.31 to 2.43, p < 0.001). Participants reported improvements in pain and function; increased confidence in managing hip pain and an increase in motivation to exercise. These findings were supported by a patient and public involvement forum who suggested extending the programme to eight weeks. These results suggest that the service has potential in the management of hip osteoarthritis.

https://eprints.bournemouth.ac.uk/24890/

Source: Scopus

A cycling and education programme for the treatment of hip osteoarthritis: a quality improvement study.

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

Journal: Int J Orthop Trauma Nurs

Volume: 23

Pages: 14-24

eISSN: 1878-1292

DOI: 10.1016/j.ijotn.2016.02.004

Abstract:

Osteoarthritis of the hip is associated with pain, stiffness and limitations to activities of daily living. The aims of this quality improvement project were to introduce a service developed to promote the self-management of hip osteoarthritis through exercise and education and to assess the impact of the programme on pain, function and quality of life. The service was a six-week cycling and education programme and 119 participants took part. Statistically significant improvements were found for Oxford Hip Scores (Mean (SD) change 4.14, 95%, CI 3.02, 5.25, p < 0.001); Sit-to-stand scores (mean change 3.06, 95%, CI 2.33, 3.79, p < 0.001); EQ5D-5L Utility (mean change 0.06, 95%, CI 0.03, 0.09, p < 0.001); EQ5D VAS (mean change 7.05, 95%, CI 4.72, 9.39, p < 0.001); pain on weight-bearing (WB) (mean change 1.56, 95%, CI 0.77, 2.36, p < 0.001), HOOS function (median change (IQR) 7.35, 1.84 to 19.12, p < 0.001) and TUG test (median change 1.11, 0.31 to 2.43, p < 0.001). Participants reported improvements in pain and function; increased confidence in managing hip pain and an increase in motivation to exercise. These findings were supported by a patient and public involvement forum who suggested extending the programme to eight weeks. These results suggest that the service has potential in the management of hip osteoarthritis.

https://eprints.bournemouth.ac.uk/24890/

Source: PubMed

A cycling and education programme for the treatment of hip osteoarthritis: a quality improvement study

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

Journal: INTERNATIONAL JOURNAL OF ORTHOPAEDIC AND TRAUMA NURSING

Volume: 23

Pages: 14-24

eISSN: 1878-1292

ISSN: 1878-1241

DOI: 10.1016/j.ijotn.2016.02.004

https://eprints.bournemouth.ac.uk/24890/

Source: Web of Science (Lite)

A cycling and education programme for the treatment of hip osteoarthritis: a quality improvement study

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

Journal: International Journal of Orthopaedic and Trauma Nursing

ISSN: 1873-4839

https://eprints.bournemouth.ac.uk/24890/

Source: Manual

A cycling and education programme for the treatment of hip osteoarthritis: a quality improvement study.

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

Journal: International journal of orthopaedic and trauma nursing

Volume: 23

Pages: 14-24

eISSN: 1878-1292

ISSN: 1878-1241

DOI: 10.1016/j.ijotn.2016.02.004

Abstract:

Osteoarthritis of the hip is associated with pain, stiffness and limitations to activities of daily living. The aims of this quality improvement project were to introduce a service developed to promote the self-management of hip osteoarthritis through exercise and education and to assess the impact of the programme on pain, function and quality of life. The service was a six-week cycling and education programme and 119 participants took part. Statistically significant improvements were found for Oxford Hip Scores (Mean (SD) change 4.14, 95%, CI 3.02, 5.25, p < 0.001); Sit-to-stand scores (mean change 3.06, 95%, CI 2.33, 3.79, p < 0.001); EQ5D-5L Utility (mean change 0.06, 95%, CI 0.03, 0.09, p < 0.001); EQ5D VAS (mean change 7.05, 95%, CI 4.72, 9.39, p < 0.001); pain on weight-bearing (WB) (mean change 1.56, 95%, CI 0.77, 2.36, p < 0.001), HOOS function (median change (IQR) 7.35, 1.84 to 19.12, p < 0.001) and TUG test (median change 1.11, 0.31 to 2.43, p < 0.001). Participants reported improvements in pain and function; increased confidence in managing hip pain and an increase in motivation to exercise. These findings were supported by a patient and public involvement forum who suggested extending the programme to eight weeks. These results suggest that the service has potential in the management of hip osteoarthritis.

https://eprints.bournemouth.ac.uk/24890/

Source: Europe PubMed Central

A cycling and education programme for the treatment of hip osteoarthritis: a quality improvement study.

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

Journal: International Journal of Orthopaedic and Trauma Nursing

Volume: 23

Pages: 14-24

ISSN: 1873-4839

Abstract:

Osteoarthritis of the hip is associated with pain, stiffness and limitations to activities of daily living. The aims of this quality improvement project were to introduce a service developed to promote the self-management of hip osteoarthritis through exercise and education, and to assess the impact of the programme on pain, function and quality of life. The service was a six-week cycling and education programme. 119 participants took part. Statistically significant improvements were found for Oxford Hip Score (Mean (SD) change 4.14 (95% CI (3.02, 5.25 ), p<0.001); Sit-to-stand score (mean change 3.06s 95% CI (2.33, 3.79), p<0.001); EQ5D-5L Utility (mean change 0.06 (95% CI 0.03,0.09), p<0.001); EQ5D VAS (mean change 7.05 (95% CI 4.72,9.39) p<0.001); pain on weight-bearing (WB) (mean change 1.56 (95% CI 0.77,2.36), p<0.001), HOOS function (median change (IQR) 7.35 (1.84 to 19.12), p<0.001) and TUG test (median change 1.11s (0.31 to 2.43), p<0.001). Participants reported improvements in pain and function; increased confidence in managing hip pain; and an increase in motivation to exercise. These findings were supported by a Patient and Public Involvement Forum who suggested extending the programme to eight weeks. These results suggest that the service has potential in the management of hip osteoarthritis.

https://eprints.bournemouth.ac.uk/24890/

Source: BURO EPrints