CLEAT: a cycling and education programme in the treatment of hip OA
Research type
Research Study
Full title
A pragmatic randomised controlled trial with economic evaluation, to compare a cycling and educational programme with usual physiotherapy care in the treatment of hip osteoarthritis: CycLing and EducATion
IRAS ID
232991
Contact name
Thomas W. Wainwright
Contact email
Sponsor organisation
The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
ISRCTN Number
ISRCTN19778222
Duration of Study in the UK
2 years, 5 months, 1 days
Research summary
Over 2 million people have hip osteoarthritis in the UK. Hip osteoarthritis can cause pain and interfere with many usual daily activities. The latest NICE guidance on the treatment of osteoarthritis recommends exercise, education and weight loss, if indicated. Cycling strengthens muscles around the hip and is an excellent form of low impact exercise.
This study will compare the effectiveness of an eight-week static-cycling and educational programme with usual physiotherapy care for the treatment of hip osteoarthritis. Patients’ ability to complete activities of daily living, pain levels, and quality of life will be compared and cost-effectiveness assessed.
Male and female individuals aged 45 and over with hip pain and/or with a diagnosis of osteoarthritis of the hip who have been referred for Physiotherapy treatment will be potentially eligible to take part.
Once approvals have been given and informed consent received, participants will undergo baseline assessment to ensure that they are suitable to take part. If eligible, participants will be randomly allocated to either take part in a cycling/educational programme or receive usual physiotherapy care. Participants on the cycling/educational programme will attend a one-hour session once a week for eight weeks at a local leisure centre. Participants in the usual care group will receive usual physiotherapy care.
As well as a baseline assessment prior to the treatment, participants will also be assessed once they have competed treatment. These assessments will include measures of function, hip pain, quality of life, attitudes to managing hip osteoarthritis, relevant medications use and costs of care. After six months participants will be asked to complete some of the same questionnaires from their previous assessments relating to their symptoms, pain, ability to perform daily tasks, quality of life and resource use. In total, 256 participants will be involved in this study.
REC name
South Central - Oxford C Research Ethics Committee
REC reference
19/SC/0502
Date of REC Opinion
14 Oct 2019
REC opinion
Favourable Opinion