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. 2018 Apr 17;2018(4):CD010842. doi: 10.1002/14651858.CD010842.pub2
Methods Randomised controlled trial.
Participants Inclusion criteria: aged 40‐80 years, with radiographically verified minimum joint space (< 4 mm for participants aged < 70 years and < 3 mm for participants aged > 70 years), and a Harris Hip Score 60‐95 points.
Exclusion criteria: total hip replacement in the index joint, diagnosed with knee OA or had knee or lower back pain, rheumatoid arthritis, osteoporosis, cancer, cardiovascular disease, dysfunction in lower extremities due to accident or disease, were pregnant, could not participate in exercise, who could not communicate in Norwegian.
Sample number: IG: 54; CG: 54.
Country: Norway.
Mean age: 58 years.
Progress‐plus: 56% women; 78.2% > 12 years; 63.6% employed, 20% retired, 14.5%sick‐leave.
Interventions Provider(s): physical therapist.
Training: yes.
Setting: healthcare site.
Content: strength/resistance + participant education.
Length/intensity: 2‐3 times a week for 12 weeks.
Control: attention control: patient education.
Outcomes At 16 months:
  • pain (WOMAC);

  • function (WOMAC);

  • SF‐36: mental health; social function; emotional role, vitality.

Notes Included participant education a 'Hip school' comprising of 3 group‐based sessions and 1 individual physical therapy visit, 2 months after completing the group sessions.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomised using computer‐generated, blocked schedule, administered through numbered, opaque, sealed envelopes.
Allocation concealment (selection bias) Low risk Opaque sealed envelopes.
Blinding of participants and personnel (performance bias) All outcomes High risk Unlikely that participants or providers were blind to treatment allocation.
Blinding of outcome assessment (detection bias) All outcomes Low risk Assessors blinded to group allocation throughout trial and analysis period.
Incomplete outcome data (attrition bias) All outcomes Low risk IG=23.6% attrition (13/55) CG=33% attrition (18/54)
Lost to follow‐up: IG: 6 'total hip replacement' surgery; 7 did not respond; CG: 1 'total hip replacement' surgery; 7 did not respond.
ITT analysis.
Selective reporting (reporting bias) Low risk All outcomes reported.
Other bias Low risk No other bias detected.