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Open AccessArticle

Self-Management of Hip Osteoarthritis Five Years After a Cycling and Education Treatment Pathway

1
Orthopaedic Research Institute, Bournemouth University, Bournemouth BH8 8EB, UK
2
The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Bournemouth BH7 7DW, UK
*
Author to whom correspondence should be addressed.
Healthcare 2020, 8(1), 37; https://doi.org/10.3390/healthcare8010037
Received: 24 January 2020 / Revised: 10 February 2020 / Accepted: 11 February 2020 / Published: 12 February 2020
(This article belongs to the Section Healthcare Quality and Patient Safety)
The Cycling against Hip Pain (CHAIN) programme is a six-week cycling and education treatment pathway for people with hip osteoarthritis. Preliminary results demonstrated significant improvements in clinical and patient-reported outcome measures following the course. Whilst the benefits of exercise for osteoarthritis are often reported in the short term, less is known about the long-term effects for this patient group. This study explores whether participants continued to self-manage their hip osteoarthritis five years after completing the course. A cross-sectional survey was conducted to collect data from participants who completed the CHAIN programme between October 2013 and February 2015 (n = 96). Questionnaires were sent by post in April 2019, and then non-responders were followed up again four weeks later. Eighty-three (87%) participants responded to the survey. Five years (range 4–6) after completion of a six-week cycling and education programme, 37 (45%) participants had not returned to their general practitioner for further treatment of their hip pain, and 47 (57%) had not pursued surgical intervention. All participants were still engaged in at least one physical activity per week and many reported that they had purchased a bike (29%), joined a gym (30%) or cycled regularly (indoor cycling 25%, outdoor cycling 24%). Eighty (96%) participants reported an increase in knowledge of self-managing their symptoms. The findings from this study suggest that many patients are motivated to self-manage their hip osteoarthritis, five years following a six-week cycling and education treatment pathway that encourages lifestyle change. View Full-Text
Keywords: hip; osteoarthritis; physical therapy; total hip replacement (THR); exercise; cycling hip; osteoarthritis; physical therapy; total hip replacement (THR); exercise; cycling
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Wainwright, T.W.; Burgess, L.C.; Immins, T.; Middleton, R.G. Self-Management of Hip Osteoarthritis Five Years After a Cycling and Education Treatment Pathway. Healthcare 2020, 8, 37.

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