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document
Efficacy of patient education and supervised exercise vs patient education alone in patients with hip osteoarthritis : a single blind randomized clinical trial . OBJECTIVE To compare the efficacy of patient education and supervised exercise with that of patient education alone for the management of pain in patients with hip osteoarthritis ( OA ) . DESIGN Single blind randomized clinical trial . SETTING Recruitment of patients from hospitals , primary health care and advertisement , Oslo , Norway . PARTICIPANTS 109 patients with radiographic and symptomatic hip OA with mild to moderate symptoms . INTERVENTIONS Patient education ( PE ) . Patient education and supervised exercise ( PE+SE ) . PRIMARY OUTCOME MEASURE The pain subscale of the Western Ontario and McMaster Universities Osteoarthritis Index ( WOMAC pain ) . RESULTS No significant between group differences were found for WOMAC pain over the 16-month follow-up . Significant improvements were found for the secondary outcome WOMAC physical function ( P=0.011 ) in the group receiving PE+SE compared to the group receiving PE only . No significant differences were found for WOMAC stiffness , the SF-36 subscales or the activity scale . The effect sizes ( 95 % confidence interval ) for WOMAC pain were -0.26 ( 0.11 , -0.64 ) , -0.35 ( 0.07 , -0.77 ) , and -0.30 ( 0.15 , -0.75 ) , and for WOMAC physical function -0.29 ( 0.09 , -0.67 ) , -0.48 ( -0.06 , -0.91 ) , and -0.47 ( -0.02 , -0.93 ) at 4 , 10 and 16 months , respectively , in favor of the group receiving both PE and SE . All patients attended the three-session PE program , and 75 % performed ≥16 sessions of the 12-week SE program . CONCLUSION The study could not demonstrate a significant difference in pain reduction over time between PE+SE vs PE alone . Adding SE to PE may improve physical function , but the magnitude of possible benefit is unknown as the 95 % confidence intervals around the mean difference were wide . TRIAL REGISTRATION Clinical Trials NCT00319423 .
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Intervention_Educational
patient education
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Intervention_Physical
supervised exercise
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Intervention_Educational
patient education alone
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Intervention_Educational
patient education
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Intervention_Physical
supervised exercise
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Intervention_Control
patient education alone
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Intervention_Educational
Patient education ( PE )
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Intervention_Educational
Patient education
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Intervention_Physical
supervised exercise
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Intervention_Educational
PE+SE
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Intervention_Educational
PE
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Intervention_Educational
PE
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Intervention_Physical
SE
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Intervention_Educational
PE program
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Outcome_Other
Efficacy
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Outcome_Pain
management of pain
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Outcome_Pain
pain subscale of the Western Ontario
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Outcome_Pain
McMaster Universities Osteoarthritis Index ( WOMAC pain )
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Outcome_Pain
WOMAC pain
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Outcome_Physical
WOMAC physical function
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Outcome_Physical
WOMAC stiffness
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Outcome_Pain
WOMAC pain
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Outcome_Physical
WOMAC physical function
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Participant_Condition
hip osteoarthritis
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Participant_Condition
hip osteoarthritis ( OA )
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Participant_Condition
from hospitals
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Participant_Sample-size
109
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Participant_Condition
radiographic and symptomatic hip OA