Feasibility and acceptability of a six-month exercise and patient education intervention for patients with hip dysplasia: A mixed methods study
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
Feasibility and acceptability of a six-month exercise and patient education intervention for patients with hip dysplasia : A mixed methods study. / Jacobsen, Julie S.; Thorborg, Kristian; Sørensen, Dorthe; Jakobsen, Stig S.; Nielsen, Rasmus O.; Oestergaard, Lisa G.; Søballe, Kjeld; Mechlenburg, Inger.
I: Musculoskeletal Science and Practice, Bind 61, 102615, 2022.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Feasibility and acceptability of a six-month exercise and patient education intervention for patients with hip dysplasia
T2 - A mixed methods study
AU - Jacobsen, Julie S.
AU - Thorborg, Kristian
AU - Sørensen, Dorthe
AU - Jakobsen, Stig S.
AU - Nielsen, Rasmus O.
AU - Oestergaard, Lisa G.
AU - Søballe, Kjeld
AU - Mechlenburg, Inger
N1 - Publisher Copyright: © 2022 The Authors
PY - 2022
Y1 - 2022
N2 - Background and objectives: To evaluate the feasibility and acceptability of exercise and patient education for patients with hip dysplasia not receiving surgery. Design: Feasibility study. Methods: The participants received exercise instruction and patient education over six months. Feasibility covered recruitment, retention, and mechanisms of change (MC). MC were measured with Hip and Groin Outcome Score (HAGOS), muscle strength tests, Y-balance test, and hop for distance test (HDT) over six months. Acceptability covered adherence, expectations, perceptions, benefits, and harms. Results: Thirty of 32 were recruited (median age: 30 years); six were lost to follow-up. Twenty-four participants improved by a mean of 11 (95%CI: 5–17) HAGOS pain points, improvements in all subscales were 1–11 points. Mean hip abduction strength improved 0.2 (95%CI: 0.04–0.4) Nm/kg, similar to flexion and extension. Median Y-balance test improvements: anterior: 70 (IQR: 64–74) to 75 (IQR: 72–80) centimetres; posteromedial: 104 (IQR: 94–112) to 119 (IQR: 112–122) centimetres and posterolateral: 98 (IQR: 89–109) to 116 (IQR: 108–121) centimetres (p <.001). Median improvement in HDT was: 37 (IQR: 30–44) to 52 (IQR: 45–58) centimetres (p <.001). Participants adhered to 84% of scheduled sessions (1,581:1,872), expectations were met, and perceptions were characterized by high self-efficacy for exercise. Benefits were reported with no serious harm. Conclusion: Patients with hip dysplasia are willing to be recruited for exercise and patient education, with acceptable retention. MC were observed through improvements in pain, strength and function with high acceptance of the exercise and patient education intervention. Thus, it seems feasible to conduct a full-scale randomised controlled trial.
AB - Background and objectives: To evaluate the feasibility and acceptability of exercise and patient education for patients with hip dysplasia not receiving surgery. Design: Feasibility study. Methods: The participants received exercise instruction and patient education over six months. Feasibility covered recruitment, retention, and mechanisms of change (MC). MC were measured with Hip and Groin Outcome Score (HAGOS), muscle strength tests, Y-balance test, and hop for distance test (HDT) over six months. Acceptability covered adherence, expectations, perceptions, benefits, and harms. Results: Thirty of 32 were recruited (median age: 30 years); six were lost to follow-up. Twenty-four participants improved by a mean of 11 (95%CI: 5–17) HAGOS pain points, improvements in all subscales were 1–11 points. Mean hip abduction strength improved 0.2 (95%CI: 0.04–0.4) Nm/kg, similar to flexion and extension. Median Y-balance test improvements: anterior: 70 (IQR: 64–74) to 75 (IQR: 72–80) centimetres; posteromedial: 104 (IQR: 94–112) to 119 (IQR: 112–122) centimetres and posterolateral: 98 (IQR: 89–109) to 116 (IQR: 108–121) centimetres (p <.001). Median improvement in HDT was: 37 (IQR: 30–44) to 52 (IQR: 45–58) centimetres (p <.001). Participants adhered to 84% of scheduled sessions (1,581:1,872), expectations were met, and perceptions were characterized by high self-efficacy for exercise. Benefits were reported with no serious harm. Conclusion: Patients with hip dysplasia are willing to be recruited for exercise and patient education, with acceptable retention. MC were observed through improvements in pain, strength and function with high acceptance of the exercise and patient education intervention. Thus, it seems feasible to conduct a full-scale randomised controlled trial.
KW - Hip pain
KW - Joint disease
KW - Physiotherapy
KW - Training
U2 - 10.1016/j.msksp.2022.102615
DO - 10.1016/j.msksp.2022.102615
M3 - Journal article
C2 - 35820302
AN - SCOPUS:85133905870
VL - 61
JO - Manual Therapy
JF - Manual Therapy
SN - 2468-8630
M1 - 102615
ER -
ID: 325462761