TY - JOUR
T1 - In hip osteoarthritis, Nordic Walking is superior to strength training and home based exercise for improving function
AU - Bieler, T.
AU - Siersma, Volkert
AU - Magnusson, S. P.
AU - Kjaer, M.
AU - Christensen, H. E.
AU - Beyer, N.
PY - 2017/8
Y1 - 2017/8
N2 - This observer-blinded, randomized controlled trial compared the short- and long-term effects of 4 months of supervised strength training (ST) in a local fitness center, supervised Nordic Walking (NW) in a local park, and unsupervised home-based exercise (HBE, control) on functional performance in 60+-year-old persons (n = 152) with hip osteoarthritis (OA) not awaiting hip replacement. Functional performance [i.e., 30-s chair stand test (primary outcome), timed stair climbing, and 6-min walk test] and self-reported outcomes (i.e., physical function, pain, physical activity level, self-efficacy, and health-related quality of life) were measured at baseline and at 2, 4, and 12 months. Based on intention-to-treat-analyses improvements [mean (95% CI)] after intervention in number of chair stands were equal in all three groups at 4 months [ST: 0.9 (0.2–1.6), NW: 1.9 (0.8–3.0), HBE: 1.1 (0.1–2.0)] but greater in the NW group [1.4 (0.02–2.8)] than in the ST group at 12 months. Generally, improvements in functional performance were greater (P < 0.001–P < 0.03) after NW compared with HBE and ST at all follow-up time points. Furthermore, NW was superior (P < 0.01) to HBE for improving vigorous physical activity and to both ST and HBE for improving (P < 0.01) mental health. These data suggest that NW is the recommended exercise modality compared with ST and HBE.
AB - This observer-blinded, randomized controlled trial compared the short- and long-term effects of 4 months of supervised strength training (ST) in a local fitness center, supervised Nordic Walking (NW) in a local park, and unsupervised home-based exercise (HBE, control) on functional performance in 60+-year-old persons (n = 152) with hip osteoarthritis (OA) not awaiting hip replacement. Functional performance [i.e., 30-s chair stand test (primary outcome), timed stair climbing, and 6-min walk test] and self-reported outcomes (i.e., physical function, pain, physical activity level, self-efficacy, and health-related quality of life) were measured at baseline and at 2, 4, and 12 months. Based on intention-to-treat-analyses improvements [mean (95% CI)] after intervention in number of chair stands were equal in all three groups at 4 months [ST: 0.9 (0.2–1.6), NW: 1.9 (0.8–3.0), HBE: 1.1 (0.1–2.0)] but greater in the NW group [1.4 (0.02–2.8)] than in the ST group at 12 months. Generally, improvements in functional performance were greater (P < 0.001–P < 0.03) after NW compared with HBE and ST at all follow-up time points. Furthermore, NW was superior (P < 0.01) to HBE for improving vigorous physical activity and to both ST and HBE for improving (P < 0.01) mental health. These data suggest that NW is the recommended exercise modality compared with ST and HBE.
U2 - 10.1111/sms.12694
DO - 10.1111/sms.12694
M3 - Journal article
C2 - 27129607
SN - 0905-7188
VL - 27
SP - 873
EP - 886
JO - Scandinavian Journal of Medicine & Science in Sports
JF - Scandinavian Journal of Medicine & Science in Sports
IS - 8
ER -
