NCT01697241

Brief Summary

The aim of this trial is to test the hypothesis that patients with severe hip osteoarthritis postpone time to hip replacement surgery following participation in a patient education and supervised exercise program when compared to patients receiving patient education alone.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
110

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started May 2013

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 21, 2012

Completed
11 days until next milestone

First Posted

Study publicly available on registry

October 2, 2012

Completed
7 months until next milestone

Study Start

First participant enrolled

May 1, 2013

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2017

Completed
Last Updated

May 11, 2018

Status Verified

May 1, 2018

Enrollment Period

4.3 years

First QC Date

September 21, 2012

Last Update Submit

May 4, 2018

Conditions

Keywords

Exercise TherapyEducationOsteoarthritisHipHip replacement

Outcome Measures

Primary Outcomes (1)

  • Cumulative Survival analysis (Kaplan-Maier survival curve)

    Cumulative Survival analysis as time in days without surgery since inclusion

    one year

Secondary Outcomes (3)

  • The Hip disability and Osteoarthritis Outcome Score (HOOS 2.0)

    Baseline, 3 and 12 months

  • University of California Los Angeles activity score (UCLA)

    Baseline, 3 and 12 months

  • Global perceived effect (GPE) score

    3 and 12 months

Other Outcomes (8)

  • Self-reported exercise pain (VAS-scale)

    3 months

  • Exercise adherence

    3 months

  • Cost-effectiveness analysis

    12 months

  • +5 more other outcomes

Study Arms (2)

Supervised exercise and patient education

EXPERIMENTAL

The entire duration of the intervention is 12 weeks, and consists of 24 sessions each lasting 60-70 minutes. Patients will receive two types of exercises, delivered on separate days. One type of exercise is individualized, goal-based neuromuscular training (NEMEX) in groups with progression guided by the patient's neuromuscular function (12 sessions). The other type of exercise is individualized, intensive resistance training (RT) in groups with each exercise progression guided by load (12 sessions).

Other: Supervised exerciseOther: Patient education

Patient Education

OTHER

The patient education program is designed to educate the patients about hip OA during 3 sessions of 90 min. duration

Other: Patient education

Interventions

Patients in the exercise groups will receive two types of exercise, delivered on separate days. One type of exercise is individualized, goal-based neuromuscular training (NEMEX-TJR) in groups with progression guided by the patient's neuromuscular function. The other type of exercise is individualized, intensive resistance training (RT) in groups with each exercise progression guided by load. Each of the two types of exercise will be offered weekly during the 12 week intervention period in sessions lasting 60-70 minutes. Thus, the entire exercise intervention consists of 24 sessions

Also known as: NEMEX-TJR and RT
Supervised exercise and patient education

The patient education program is designed to educate the patients about hip osteoarthritis during 3 sessions of 90 min. duration

Also known as: BOA
Patient EducationSupervised exercise and patient education

Eligibility Criteria

Age40 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years and older
  • Indication for total hip arthroplasty
  • Residency within local municipal or willing to commute

You may not qualify if:

  • Inflammatory joint disease
  • Earlier ipsilateral proximal femur fracture
  • Hip pain \< 3 months
  • Neuropathy or neuromuscular disease
  • Malignant disease
  • Diseases where a moderate level of physical exercise is contraindicated
  • Unable to speak or read Danish
  • Unable to participate for other reasons
  • Refuse to participate

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Dept. of Orthopedic Surgery and Traumatology, Odense University Hospital, Denmark

Odense, 5200, Denmark

Location

Sector for Hip and Knee Replacement, Dept. of Orthopaedics, Vejle Hospital, Denmark

Vejle, 7100, Denmark

Location

Related Publications (1)

  • Jensen C, Roos EM, Kjaersgaard-Andersen P, Overgaard S. The effect of education and supervised exercise vs. education alone on the time to total hip replacement in patients with severe hip osteoarthritis. A randomized clinical trial protocol. BMC Musculoskelet Disord. 2013 Jan 14;14:21. doi: 10.1186/1471-2474-14-21.

MeSH Terms

Conditions

Osteoarthritis

Interventions

Patient Education as Topic

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Intervention Hierarchy (Ancestors)

Health EducationPreventive Health ServicesHealth ServicesHealth Care Facilities Workforce and Services

Study Officials

  • Carsten Jensen, PhD

    Orthopedic Research Unit, Dept. of Orthopedic Surgery and Traumatology, Odense University Hospital, Denmark. Institute of Clinical Research, University of Southern Denmark, Denmark

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

September 21, 2012

First Posted

October 2, 2012

Study Start

May 1, 2013

Primary Completion

August 1, 2017

Study Completion

August 1, 2017

Last Updated

May 11, 2018

Record last verified: 2018-05

Locations