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Hip osteoarthritis: patients with complex comorbidities can make exceptional improvements following intensive exercise and education.
- Source :
-
BMJ case reports [BMJ Case Rep] 2015 Feb 12; Vol. 2015. Date of Electronic Publication: 2015 Feb 12. - Publication Year :
- 2015
-
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.<br /> (2015 BMJ Publishing Group Ltd.)
- Subjects :
- Aged
Crohn Disease complications
Humans
Hypertension complications
Male
Pain complications
Range of Motion, Articular
Treatment Outcome
Walking
Diabetes Mellitus, Type 2 complications
Exercise
Osteoarthritis, Hip complications
Osteoarthritis, Hip therapy
Patient Education as Topic methods
Spondylitis, Ankylosing complications
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 2015
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 25678618
- Full Text :
- https://doi.org/10.1136/bcr-2014-208529