Tai Chi and Hip School for Patients With Hip-OA.
Condition: Osteoarthritis
MeSH terms: Osteoarthritis
Study type: Interventional

Summary: 
      A randomized, controlled study was conducted in southern Sweden with two intervention
      programs for individuals with X-ray-verified hip osteoarthritis (OA). The patients were
      randomized to 1 of 3 groups; namely Hip School, Tai Chi for Arthritis (TCA), or a group
      receiving no intervention. The results showed significant improvement in physical function
      and self-efficacy within the interventions groups Tai Chi and Hip School. The Tai Chi group
      showed improvement in body awareness and quality of movements, and in self-efficacy between
      baseline and 6- month follow-up. The Hip School group showed significant improvement in body
      awareness and quality of movements between baseline and 6-month follow-up.
    

Detailed description: 
      A randomized, controlled study was conducted in southern Sweden with two intervention
      programs for individuals with X-ray-verified hip OA. The patients were randomized to 1 of 3
      groups; namely Hip School, TCA, or a group receiving no intervention. A total of 89 subjects
      attended the baseline appointment and were randomized to one of the three groups. Physical
      function was assessed using, the Hip Osteoarthritis Outcomes Score (HOOS, Swedish version L.K
      1.1), an observational assessment of movements the Body Awareness Scale Movement Quality (BAS
      MQ) and the Six Minute Walk Test (6MWT). For assessment of HRQL the Medical Outcomes Study
      36-Item Short Form Health Survey (SF-36) was used. The Arthritis Self-Efficacy Scale (ASES)
      records the patient's self-reported judgment of what he/she can do regardless of the degree
      of functional limitations or skill. Six months after the final intervention all subjects were
      examined and assessed following the same procedure as at baseline. The 12 months follow-up
      contained the three questionnaires, HOOS, ASES and SF- 36 were sent out by mail. The results
      showed significant improvement in physical function and self-efficacy within the
      interventions groups Tai Chi and Hip School. The Tai Chi showed improvement in BAS MQ,
      focusing on body awareness and quality of movements, and in self-efficacy between baseline
      and 6- month follow-up. The Hip School group showed significant improvement in BAS MQ between
      baseline and 6-month follow-up.
    

Intervention name(s): Hip school or Tai CHi for arthritis
Intervention type(s): Other
Intervention description(s): Eighty-nine individuals were randomized to one of the three intervention groups 30 individuals to Tai Chi,30 individuals to Hip School and 29 individuals to the control group
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: After an advertisement in a local paper, over 300 volunteers applied to participate in the study. All 300 received information about the study by mail or telephone. One hundred volunteers fulfilled the inclusion criteria: X-ray-verified hip OA, 40-75 years of age, no walking aid and no joint replacements in the hips or knees. Each individual had to specify at which hospital and when they had been X-rayed and/or received their diagnosis. A total of 89 subjects attended the baseline appointment and were randomized to one of the three groups. The randomization procedure, in blocks of 15, was generated by a computer-based system
Masking: Single (Investigator)
Primary purpose: Treatment
Keywords: osteoarthritis; patient education; Tai Chi; physical function