title: Development of a therapeutic exercise program for patients with osteoarthritis of the hip.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Norwegian Research Center for Active Rehabilitation, Orthopedic Centre, Oslo University Hospital, Ullevaal and Hjelp24NIMI, Oslo, Norway. linda.fernandes@medisin.uio.no
authors.forename: Linda
authors.initials: L
authors.lastname: Fernandes
authors.forename: Kjersti
authors.initials: K
authors.lastname: Storheim
authors.forename: Lars
authors.initials: L
authors.lastname: Nordsletten
authors.forename: May Arna
authors.initials: MA
authors.lastname: Risberg
mesh_terms: D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006621:Hip Joint / Q000503:physiopathology; D006801:Humans; D008875:Middle Aged; D009068:Movement / Q000502:physiology; D053580:Muscle Strength / Q000502:physiology; D015207:Osteoarthritis, Hip / Q000534:rehabilitation*; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology; D016138:Walking / Q000502:physiology