Article

No detailed exercise programs specifically for patients
with hip osteoarthritis (OA) have been described in the literature. This lack of
data creates a gap between the recommendation that people with OA should exercise
and the type and dose of exercises that they should perform. The purpose of this
case report is to describe and demonstrate the use of a therapeutic exercise
program for a patient with hip OA. DESCRIPTION: A 58-year-old woman with hip
OA completed a 12-week therapeutic exercise program (TEP) with a 6-month
follow-up. The patient reported hip pain, joint stiffness, and limited physical
function, and she had decreased hip range of motion (ROM) at baseline. OUTCOMES:
The patient performed 19 sessions during the TEP, with a mean of 19.5 exercises
per session. She increased the resistance in 3 of 5 strength (force-generating
capacity) training exercises and achieved the highest degree of difficulty in all
functional exercises. During the TEP and follow-up, the patient reported
improvements in pain, joint stiffness, and physical function. Performance
improved on the following physical tests: isokinetic peak torque strength (60
degrees /s) in hip extension (40%), hip flexion (27%), knee extension (17%), and
knee flexion (42%); hip ROM extension (8 degrees ); and 6-minute walk distance
(83 m). DISCUSSION: The patient experienced less pain and improved physical
function and physical test outcomes after intervention and at the 6-month
follow-up. The main challenges when prescribing an exercise program for a patient
with hip OA are monitoring the exercises to provide improvements without
provoking persistent pain and motivating the patient to achieve long-term
adherence to exercising. Randomized clinical trials are needed to evaluate the
efficacy of this TEP in patients with hip OA.

Langue : ANGLAIS