Clinical trial NCT06783452: Clinical Pilates in Hip Osteoarthritis: a Randomised Controlled Trial
Official title: Investigation of the Effectiveness of Clinical Pilates in Hip Osteoarthritis: a Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Hip Osteoarthritis
Keywords: pilates
exercise
pain
osteoarthritis
Lead sponsor: Izmir Katip Celebi University
Sponsor class: OTHER
First posted: 2025-01-20
Enrollment: 52
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study is to investigate the effect of a clinical Pilates exercise program on reducing symptoms in individuals with hip osteoarthritis. The main questions it aims to answer are:

* Does a clinical Pilates exercise program have an effect on pain, range of motion, physical function, performance, spinal mobility, postural control, disability, self-efficacy, and quality of life in individuals with hip osteoarthritis?
* Does a conventional therapeutic exercise program have an effect on pain, range of motion, physical function, performance, spinal mobility, postural control, disability, self-efficacy, and quality of life in individuals with hip osteoarthritis? Researchers will compare clinical pilates program to conventional therapeutic exercise program to see if exercise works to reducing hip osteoarthritis symptoms.

Participants will:

* Take clinical pilates or Conventional Therapeutic Exercise twice a week for 12 weeks
* The patients will be assessed by a blind evaluator both before and after the treatment.

Detailed description: The clinical Pilates group will perform 45-minute exercise sessions under the supervision of a physiotherapist twice a week for 12 weeks, focusing on fundamental spinal alignments and Pilates principles. The program will include exercises that engage all body segments and combine movement with breathing. Participants will progress to more advanced levels as long as they can maintain proper alignment. Clinical Pilates exercises are structured into three levels of difficulty, and participants who complete the current level without compromising alignment will advance to the next level. The Conventional Therapeutic Exercise group will participate in an exercise program under the supervision of a physiotherapist twice a week for 12 weeks. The program, consisting of stretching and strengthening exercises, will last approximately 45 minutes. Resistance bands will be used to facilitate progression. Based on the individual's perceived difficulty level, resistance bands will be introduced or adjusted by changing their color to increase or decrease resistance.

Eligibility criteria: Inclusion Criteria:

* Age above 18 years
* Diagnosis of hip osteoarthritis (OA) according to the American College of Rheumatology
* Not on the waiting list for hip replacement surgery
* Willingness to participate in the exercise program

Exclusion Criteria:

* Symptomatic OA in the knee or big toe
* Presence of other types of arthritis
* History of hip and/or knee prosthesis or fracture
* Use of walking aids
* Regular exercise habit of two or more sessions per week
* Corticosteroid injection into the hip within the past 12 months
* Participation in a physical therapy program for hip pain within the past 3 months
* Severe cardiovascular disorders or other comorbidities that significantly limit daily physical capacity or contraindicate physical exertion

Primary outcomes:
measure: Pain
timeFrame: From enrollment to the end of treatment at 12 weeks
measure: Lumbopelvic Stabilization
timeFrame: From enrollment to the end of treatment at 12 weeks
measure: Spine Mobility and Alignment
timeFrame: From enrollment to the end of treatment at 12 weeks
Secondary outcomes:
measure: Postural Control:
timeFrame: From enrollment to the end of treatment at 12 weeks
measure: The Active Normal Range of Motion
timeFrame: From enrollment to the end of treatment at 12 weeks
measure: Physical Function
timeFrame: From enrollment to the end of treatment at 12 weeks
measure: Disability
timeFrame: From enrollment to the end of treatment at 12 weeks
measure: Self-Efficacy
timeFrame: From enrollment to the end of treatment at 12 weeks
measure: Quality of Life
timeFrame: From enrollment to the end of treatment at 12 weeks
measure: 30-Second Chair Stand Test
timeFrame: From enrollment to the end of treatment at 12 weeks
measure: 40-Meter Fast Walk Test
timeFrame: From enrollment to the end of treatment at 12 weeks
measure: Stair Climbing Test
timeFrame: From enrollment to the end of treatment at 12 weeks
measure: Timed Up and Go Test
timeFrame: From enrollment to the end of treatment at 12 weeks
Other outcomes:
Locations:
city: Izmir
country: Turkey
facility: Atatürk Training and Research Hospital
Study officials:
References:
citation: Rego TAM, Ferreira APL, Villela DW, Shirahige L, Xavier AB, Braz RRS, Guerino MR, Araujo MDGR. Effects of mat Pilates on older adult women with knee osteoarthritis: A randomized controlled trial. J Bodyw Mov Ther. 2023 Jan;33:136-141. doi: 10.1016/j.jbmt.2022.02.007. Epub 2022 Apr 15.
citation: Patti A, Zangla D, Sahin FN, Cataldi S, Lavanco G, Palma A, Fischietti F. Physical exercise and prevention of falls. Effects of a Pilates training method compared with a general physical activity program: A randomized controlled trial. Medicine (Baltimore). 2021 Apr 2;100(13):e25289. doi: 10.1097/MD.0000000000025289.
citation: Gebhart JJ, Weinberg DS, Bohl MS, Liu RW. Relationship between pelvic incidence and osteoarthritis of the hip. Bone Joint Res. 2016 Feb;5(2):66-72. doi: 10.1302/2046-3758.52.2000552.
citation: Bannuru RR, Osani MC, Vaysbrot EE, Arden NK, Bennell K, Bierma-Zeinstra SMA, Kraus VB, Lohmander LS, Abbott JH, Bhandari M, Blanco FJ, Espinosa R, Haugen IK, Lin J, Mandl LA, Moilanen E, Nakamura N, Snyder-Mackler L, Trojian T, Underwood M, McAlindon TE. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage. 2019 Nov;27(11):1578-1589. doi: 10.1016/j.joca.2019.06.011. Epub 2019 Jul 3.