Clinical trial NCT03872869: Tai Chi and Hip School for Patients With Hip-OA.
Official title: Tai Chi and Hip School for Patients With Hip-OA: a Randomized Controlled Trial With a 6 - and 12 Months Follow-up
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Osteoarthritis
Keywords: osteoarthritis
patient education
Tai Chi
physical function
Lead sponsor: Lund University
Sponsor class: OTHER
First posted: 2019-03-13
Enrollment: 89
Sex: ALL
Minimum age (years): 40
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
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
Primary purpose: TREATMENT

Brief 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.

Eligibility criteria: Inclusion Criteria:

* X-ray-verified hip OA, no walking aid and no joint replacements in the hips or knees.

Exclusion Criteria:

* no OA, joint replacement

Primary outcomes:
measure: Change in Hip Osteoarthritis Outcomes Score (HOOS, Swedish version L.K 1.1)
timeFrame: Baseline, 6 month, 12 month
Secondary outcomes:
measure: Change in The Body Awareness Scale Movement Quality (BAS MQ)
timeFrame: Baseline, 6 month
measure: Change in The Six Minute Walk Test (6MWT).
timeFrame: Baseline, 6 month
measure: Change in Medical Outcomes Study 36-Item Short Form Health Survey (SF-36)
timeFrame: Baseline, 6 month, 12 month
measure: Change in The Arthritis Self-Efficacy Scale (ASES)
timeFrame: Baseline 6 month, 12 month
Other outcomes:
Locations:
Study officials:
affiliation: Lund University
name: Anne Sundén, PhD
role: PRINCIPAL_INVESTIGATOR
References: