Conclusion Exercises and PA promotion according to public health recommendations  for PA improved cardiovascular fitness , muscle strength and PA behaviour , with moderate effect sizes in people with SpA , RA and HOA/KOA .
Objective To evaluate the effectiveness of exercise and physical activity ( PA ) promotion on cardiovascular fitness , muscle strength , flexibility , neuromotor performance ( eg , balance ) and daily PA in people with rheumatoid arthritis ( RA ) , spondyloarthritis ( SpA ) and hip/knee osteoarthritis ( HOA/KOA ) .
Efficacy of a multimodal physiotherapy treatment program for hip osteoarthritis: a randomised placebo-controlled trial protocol
Background Hip osteoarthritis ( OA ) is a common condition leading to pain , disability and reduced quality of life . There is currently limited evidence to support the use of conservative , non-pharmacological treatments for hip OA . Exercise and manual therapy have both shown promise and are typically used together by physiotherapists to manage painful hip OA . The aim of this r and omised controlled trial is to compare the efficacy of a physiotherapy treatment program with placebo treatment in reducing pain and improving physical function . Methods The trial will be conducted at the University of Melbourne Centre for Health , Exercise and Sports Medicine . 128 participants with hip pain greater or equal to 40/100 on visual analogue scale ( VAS ) and evidence of OA on x-ray will be recruited . Treatment will be provided by eight community physiotherapists in the Melbourne metropolitan region . The active physiotherapy treatment will comprise a semi-structured program of manual therapy and exercise plus education and advice . The placebo treatment will consist of sham ultrasound and the application of non-therapeutic gel . The participants and the study assessor will be blinded to the treatment allocation . Primary outcomes will be pain measured by VAS and physical function recorded on the Western Ontario and McMaster Universities Osteoarthritis Index ( WOMAC ) immediately after the 12 week intervention . Participants will also be followed up at 36 weeks post baseline . Conclusions The trial design has important strengths of reproducibility and reflecting contemporary physiotherapy practice . The findings from this r and omised trial will provide evidence for the efficacy of a physiotherapy program for painful hip OA.Trial Registration Australian New Zeal and Clinical Trials Registry reference :
Conclusion Exercises and PA promotion according to public health recommendations  for PA improved cardiovascular fitness , muscle strength and PA behaviour , with moderate effect sizes in people with SpA , RA and HOA/KOA .
Objective To evaluate the effectiveness of exercise and physical activity ( PA ) promotion on cardiovascular fitness , muscle strength , flexibility , neuromotor performance ( eg , balance ) and daily PA in people with rheumatoid arthritis ( RA ) , spondyloarthritis ( SpA ) and hip/knee osteoarthritis ( HOA/KOA ) .