Clinical and cost-effectiveness of a cycling and education intervention versus usual physiotherapy care for the treatment of hip osteoarthritis in the UK (CLEAT): a pragmatic, randomised, controlled trial

Review written by Diogo Gomes info

Key Points

  1. The CHAIN intervention resulted in a statistically significant improvement in patient-reported function after treatment compared to usual physiotherapy care.
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BACKGROUND AND OBJECTIVE

Although exercise and education are recommended in international guidelines for the management of hip osteoarthritis (OA), the most effective mode of delivery remains unclear. The cycling against hip pain (CHAIN) intervention, a group-based education and static cycling programme for hip OA had shown promise in results for the improvement of pain and quality of life in cohort studies on people with hip OA. However, its effectiveness compared to usual physiotherapy care had not been tested in a randomized controlled trial (RCT) and its cost-effectiveness had not been evaluated.

This cycling and education intervention (CLEAT) trial aimed to compare the clinical and cost-effectiveness of the CHAIN, a group-based cycling and education programme, with usual physiotherapy care for patients with hip OA referred for physiotherapy at a UK hospital.

The most effective mode of delivery of exercise and education remains unclear for the management of hip osteoarthritis.
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The cycling against hip pain intervention is a simple, accessible group treatment option for people with osteoarthritis.

METHODS

Participants Participants were patients referred to a UK National Health Service (NHS) outpatient physiotherapy department with hip OA. Inclusion Criteria: Patients aged 18 years and over; an x-ray confirming osteoarthritis was required to take part in the study if they

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