Promising outcome of a hip school for patients with hip dysfunction

Arthritis Rheum. 2003 Jun 15;49(3):321-7. doi: 10.1002/art.11110.


Objective: To evaluate, in an exploratory study, a hip school led by physical therapists for patients with hip dysfunction including pain.

Methods: Physicians in primary care and orthopedic units consecutively recruited patients by residential area to a treatment group (T group; n = 77) and a control group (C group; n = 68), mean age 61.8 years, 59 men, 86 women. Ninety-nine of the 145 subjects had radiologic hip osteoarthritis. Outcome measures were the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Nottingham Health Profile (NHP).

Results: After hip school (6 months) the T group showed greater reduction on the subscales of pain and activity limitations (WOMAC) than the C group. The subscales sleep disturbances, pain, and physical mobility (NHP) showed improvement for the T group compared with at start. The results for the T group persisted after an additional 6 months.

Conclusion: A hip school may reduce pain and activity limitations and improve health-related quality of life for patients with hip dysfunction including pain.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Follow-Up Studies
  • Hip Joint / physiopathology*
  • Humans
  • Joint Diseases / physiopathology*
  • Male
  • Middle Aged
  • Osteoarthritis / physiopathology
  • Pain / physiopathology
  • Patient Dropouts
  • Patient Education as Topic*
  • Physical Therapy Modalities*
  • Time Factors