Examining the effect of neuromuscular control exercises on OA patients
Research type
Research Study
Full title
Examining the effect of neuromuscular control exercises on movement quality using a Movement Screen in patients with hip and knee osteoarthritis: a randomised proof of concept and feasibility trial
IRAS ID
306886
Contact name
Umer Sheikh
Contact email
Sponsor organisation
University of Southampton
Duration of Study in the UK
1 years, 8 months, 26 days
Research summary
Osteoarthritis (OA) is the second most common diagnosis in people aged 65 years or older consulting their general practitioner (GP) (Nicholls et al. 2017; McCarney et al. 2001). OA is defined as a degenerative joint disease characterised by progressive cartilage degradation, synovial membrane inflammation, osteophyte formation and subchondral bone sclerosis (Mathiessen et al. 2017).
It is reported that about 11% of the adult population has clinical OA of some joint (Pereira et al., 2011) and 8.5 million UK adults are estimated to have clinical OA based on symptoms and physical findings (NICE 2008). The knee, hand, and hip are the most common joints that are affected by OA (Veenhof et al. 2007).
Previous research suggests that people with the knee (and Hip) OA have deficits in proprioceptive acuity, muscle strength, and ability to stabilise the joint (Bennell et al. 2013). There is a theory proposed by Bennell et al. (2012) that improving movement quality by using motor control exercises slows the progression of joint injury onto OA through reducing abnormal loading on joints, preventing joint damage and injury, therefore reducing the likelihood of OA development (Bennell et al. 2011; Bennell et al. 2012; Bennell et al. 2008 and Risberg et al. 2004).
The Hip and Lower Limb Movement Screening (HLLMS) tool was recently developed to assess movement control, indicating the quality of movement control to inform exercise interventions (Wilson et al. 2018). The study will determine whether a neuromuscular control exercise programme, designed specially to focus on movement quality, can reduce movement quality impairment using HLLMS.
REC name
West of Scotland REC 5
REC reference
22/WS/0166
Date of REC Opinion
16 Jan 2023
REC opinion
Further Information Favourable Opinion