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© 1993 British Society for Rheumatology


research-article

HOME EXERCISES ARE AS EFFECTIVE AS OUTPATIENT HYDROTHERAPY FOR OSTEOARTHRITIS OF THE HIP

J. GREEN*, F. MCKENNA{dagger}, E. J. REDFERN{ddagger} and M. A. CHAMBERLAIN{dagger},

*Shipley Day Hospital Bradford
{dagger}Rheumatology and Rehabilitation Research Unit, The University of Leeds
{ddagger}Departments of Statistics; The University of Leeds

Correspondence to: Correspondence to M.A. Chamberlain. Rheumatology Research Unit. 36 Clarendon Road. Leeds LS2 9NZ

Hydrotherapy for OA of the hip has rarely been evaluated in controlled studies. Forty-seven patients with OA of the hip were followed for 18 weeks. Patients were randomly allocated either to a regimen of home exercises or to twice weekly hydrotherapy for 6 weeks in addition to home exercises. There was an improvement seen in both subjective and objective measures in both groups with treatment. There was no significant difference between the two groups. Response to treatment appeared independent of age, sex and radiological severity. We conclude that for most patients, a carefully graded and supervised regimen of home exercises is beneficial and there is little benefit in adding hydrotherapy to this regimen.

KEY WORDS: Osteoarthritis, Physiotherapy, Physical therapy


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