Nordic walking for hip osteoarthritis
Hip osteoarthritis (OA) is the second most common site of OA after the knee, and can lead to functional decline, high pain levels and social withdrawal in seniors. With surgical options being an end stage treatment, and in the absence of disease modifying drugs, physiotherapy interventions often focus on increasing functionality and decreasing pain and stiffness in elders with hip OA. In this study, the authors assessed the effect of a 4-month supervised Nordic walking program against progressive resistance training and a home exercise program on several functional and self reported outcome measures.
3 groups completed the different interventions and were assessed at baseline, after the intervention and 12 months post enrollment. All groups showed improvements in 6 minute walk tests, 30 second sit to stand tests, physical function, pain, physical activity level, self-efficacy, and health-related quality of life post intervention, and at 12 months. The Nordic walking group showed significantly greater improvements over the resistance training and home exercise groups post intervention and at 12 months in nearly all of the 14 outcome measures used.
These data indicate that a program of Nordic walking is superior to resistance training and home exercise for seniors with hip OA over the short and medium terms. As such, Nordic walking should be considered as a viable and potentially preferential treatment option in this patient group.
> From: Bieler et al., Scand J Med Sci Sports (2017) (Epub ahead of print). All rights reserved to John Wiley & Sons Ltd. Click here for the online summary.