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A self-directed digital exercise program for hip osteoarthritis ("My Hip Exercise"): protocol for a randomised

Kim L Bennell1, Rachel K Nelligan2, Michelle Hall2

  • 1Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of Melbourne, Melbourne, Vic, Australia. k.bennell@unimelb.edu.au.

BMC Musculoskeletal Disorders
|November 22, 2023
PubMed
Summary

A digital exercise program improved hip pain and function for osteoarthritis patients. This innovative approach supports self-management and adherence through online education and a mobile app.

Keywords:
Clinical trialDigitalExerciseHipInternetOsteoarthritisPainPhysical activityRCTRehabilitationTelehealth

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Area of Science:

  • Orthopedics
  • Digital Health
  • Rehabilitation Medicine

Background:

  • Hip osteoarthritis (OA) is a major cause of chronic pain and disability globally.
  • Effective management relies on patient self-management, particularly education and exercise.
  • Under-utilization of these treatments necessitates innovative service models for improved accessibility and engagement.

Purpose of the Study:

  • To evaluate a digital exercise intervention for hip osteoarthritis (OA).
  • The intervention includes online education and a mobile app-supported exercise program.
  • Primary outcomes are changes in hip pain during walking and physical function at 24 weeks.

Main Methods:

  • A randomized controlled trial involving 182 participants aged 45+ with painful hip OA.
  • Participants were assigned to either a digital exercise intervention or a digital education control group.
  • The intervention group received a 24-week home exercise program with app-based adherence support.

Main Results:

  • The study aims to determine the effects of the digital intervention on hip pain and physical function.
  • Primary outcomes include changes in hip pain severity during walking and patient-reported physical function.
  • Secondary outcomes encompass various measures of pain, quality of life, physical activity, and self-efficacy.

Conclusions:

  • Innovative and scalable approaches are crucial for OA education and exercise.
  • Improving exercise participation and mitigating inactivity in hip OA is essential.
  • This can help reduce the significant burden of OA on individuals and society.