Clinical Pilates in Hip Osteoarthritis: A Randomised Controlled Trial

NCT06783452 | Completed

• 1 other identifier: KatipCelebiUniversityIzmır
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate the effect of a clinical Pilates exercise program on reducing symptoms in individuals with hip osteoarthritis. The main questions it aims to answer are:

• Does a clinical Pilates exercise program have an effect on pain, range of motion, physical function, performance, spinal mobility, postural control, disability, self-efficacy, and quality of life in individuals with hip osteoarthritis?
• Does a conventional therapeutic exercise program have an effect on pain, range of motion, physical function, performance, spinal mobility, postural control, disability, self-efficacy, and quality of life in individuals with hip osteoarthritis? Researchers will compare clinical pilates program to conventional therapeutic exercise program to see if exercise works to reducing hip osteoarthritis symptoms. Participants will:
• Take clinical pilates or Conventional Therapeutic Exercise twice a week for 12 weeks
• The patients will be assessed by a blind evaluator both before and after the treatment.

Conditions

Hip Osteoarthritis

Keywords

pilates; exercise; pain; osteoarthritis

Outcome Measures

Primary Outcomes (2)

• Pain Intensity

  Pain intensity will be evaluated using the Visual Analog Scale (VAS). During the assessment, patients will be asked to mark the degree of pain they feel on a 100-mm horizontal line. The distance from the starting point to the marked point will be measured with a ruler, and the pain intensity will be recorded in millimeters. The VAS, developed by Vas Price et al. (1983), is a validated and reliable tool for determining the perceived intensity of pain. It is simple to administer and widely used in clinical practice.

  From enrollment to the end of treatment at 12 weeks

• Lumbopelvic Stabilization

  Lumbopelvic stabilization will be assessed using the "Stabilizer Pressure Biofeedback Unit". Prior to the measurement, each participant will be instructed in the corset technique for contracting the Transversus Abdominis muscle while lying in a supine position. Participants will be asked to lie on their back with their knees bent (hook-lying position), maintaining a neutral and relaxed spinal alignment. A pressure cell, inflated with air and connected to a stabilizer, will be placed under the lumbar spine. The manometer's baseline pressure will be inflated to 40 mmHg. Participants will then be instructed to contract their Transversus Abdominis muscle using the abdominal corset technique without moving the spine or pelvis and without holding their breath. They will be required to maintain this contraction for 5 seconds. After three practice trials to ensure learning, participants will rest for 30 seconds. The actual measurement will consist of three repetitions of 10 seconds each.

  From enrollment to the end of treatment at 12 weeks

Secondary Outcomes (10)

• Postural Control:

  From enrollment to the end of treatment at 12 weeks

• The Active Normal Range of Motion

  From enrollment to the end of treatment at 12 weeks

• Physical Function

  From enrollment to the end of treatment at 12 weeks

• Disability

  From enrollment to the end of treatment at 12 weeks

• Self-Efficacy

  From enrollment to the end of treatment at 12 weeks

Study Arms (2)

Clinical Pilates Group

EXPERIMENTAL

The patients participated in a Clinical Pilates program under the supervision of a physiotherapist twice a week for a duration of 12 weeks.

Other: Exercise

Conventional Therapeutic Exercise Program

EXPERIMENTAL

The patients participated in a Conventional Therapeutic Exercise program under the supervision of a physiotherapist twice a week for a duration of 12 weeks.

Other: Exercise

Interventions

Exercise OTHER

Clinical Pilates Session: Each clinical Pilates movement will have three difficulty levels: beginner, intermediate, and advanced. The progression criteria for increasing difficulty will be determined by the prevention of compensatory movements, the ability to activate target muscles, achieving more controlled movements during exercise, and maintaining a more stable posture. This program will include standard hip-focused as well as full-body clinical Pilates movements.

Clinical Pilates Group

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age above 18 years
• Diagnosis of hip osteoarthritis (OA) according to the American College of Rheumatology
• Not on the waiting list for hip replacement surgery
• Willingness to participate in the exercise program

You may not qualify if:

• Symptomatic OA in the knee or big toe
• Presence of other types of arthritis
• History of hip and/or knee prosthesis or fracture
• Use of walking aids
• Regular exercise habit of two or more sessions per week
• Corticosteroid injection into the hip within the past 12 months
• Participation in a physical therapy program for hip pain within the past 3 months
• Severe cardiovascular disorders or other comorbidities that significantly limit daily physical capacity or contraindicate physical exertion

Sponsors & Collaborators

• Izmir Katip Celebi University: lead

Study Sites (1)

Atatürk Training and Research Hospital

Izmir, 35360, Turkey (Türkiye)

Location

Related Publications (4)

• Rego TAM, Ferreira APL, Villela DW, Shirahige L, Xavier AB, Braz RRS, Guerino MR, Araujo MDGR. Effects of mat Pilates on older adult women with knee osteoarthritis: A randomized controlled trial. J Bodyw Mov Ther. 2023 Jan;33:136-141. doi: 10.1016/j.jbmt.2022.02.007. Epub 2022 Apr 15.

  PMID: 36775508 RESULT

• Patti A, Zangla D, Sahin FN, Cataldi S, Lavanco G, Palma A, Fischietti F. Physical exercise and prevention of falls. Effects of a Pilates training method compared with a general physical activity program: A randomized controlled trial. Medicine (Baltimore). 2021 Apr 2;100(13):e25289. doi: 10.1097/MD.0000000000025289.

  PMID: 33787615 RESULT

• Gebhart JJ, Weinberg DS, Bohl MS, Liu RW. Relationship between pelvic incidence and osteoarthritis of the hip. Bone Joint Res. 2016 Feb;5(2):66-72. doi: 10.1302/2046-3758.52.2000552.

  PMID: 26912384 RESULT

• Bannuru RR, Osani MC, Vaysbrot EE, Arden NK, Bennell K, Bierma-Zeinstra SMA, Kraus VB, Lohmander LS, Abbott JH, Bhandari M, Blanco FJ, Espinosa R, Haugen IK, Lin J, Mandl LA, Moilanen E, Nakamura N, Snyder-Mackler L, Trojian T, Underwood M, McAlindon TE. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage. 2019 Nov;27(11):1578-1589. doi: 10.1016/j.joca.2019.06.011. Epub 2019 Jul 3.

  PMID: 31278997 RESULT

MeSH Terms

Conditions

Osteoarthritis, Hip; Motor Activity; Pain; Osteoarthritis

Interventions

Exercise

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: associate professor

Study Record Dates

• First Submitted: January 7, 2025
• First Posted: January 20, 2025
• Study Start: November 30, 2024
• Primary Completion: June 1, 2025
• Study Completion: June 1, 2025
• Last Updated: March 25, 2026

Record last verified: 2026-03

Locations

TU (1)