Abstract
Background
Therapeutic exercise is recommended as a core treatment for hip osteoarthritis (HOA). Whilst it is widely accepted that exercise can improve pain and disability, optimal type and dose of exercise are yet to be agreed upon. This may, in part, be attributed to the wide variation and inadequate reporting of interventions within the literature. This study evaluates the quality of intervention reporting among trials of therapeutic exercise in HOA.
Methods
Randomised controlled trials (RCTs) were sourced in a systematic review, completed in August 2020. Two raters independently used the Template for Intervention Description and Replication (TIDieR) and Consensus on Exercise Reporting Template (CERT) to evaluate intervention reporting. Correlations between quality assessment scores and CERT and TIDieR scores evaluated the relationship between internal validity and external applicability. The year of publication was compared to the quality of reporting scores.
Results
Fourteen RCTs were included in the analysis. On average, studies were awarded 9.43 ± 1.95 out of 12 points for the TIDieR checklist (range 4–12) and 13.57 ± 4.01 out of 19 points for the CERT (range 5–19). Pearson’s correlation coefficient suggested that the quality of reporting had improved over time and that there was a fair, positive relationship between internal validity and external applicability.
Discussion
Whilst the quality of intervention reporting is improving, many RCTs of therapeutic exercise in HOA lack the detail necessary to allow accurate evaluation and replication. Researchers are encouraged to utilise the standardised reporting guidelines to increase the translation of effective interventions into clinical practice.
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Details
; James, Khara A. 3 ; von Heideken, Johan 4 ; Iversen, Maura D. 5 1 Bournemouth University, Orthopaedic Research Institute, Bournemouth, UK (GRID:grid.17236.31) (ISNI:0000 0001 0728 4630)
2 Bournemouth University, Orthopaedic Research Institute, Bournemouth, UK (GRID:grid.17236.31) (ISNI:0000 0001 0728 4630); University Hospitals Dorset NHS Foundation Trust, Physiotherapy Department, Bournemouth, UK (GRID:grid.17236.31)
3 Northeastern University, Department of Physical Therapy, Movement and Rehabilitation Sciences, Boston, USA (GRID:grid.261112.7) (ISNI:0000 0001 2173 3359)
4 Karolinska Institutet, Department of Women’s and Children’s Health, Stockholm, Sweden (GRID:grid.4714.6) (ISNI:0000 0004 1937 0626)
5 Northeastern University, Department of Physical Therapy, Movement and Rehabilitation Sciences, Boston, USA (GRID:grid.261112.7) (ISNI:0000 0001 2173 3359); Karolinska Institutet, Department of Women’s and Children’s Health, Stockholm, Sweden (GRID:grid.4714.6) (ISNI:0000 0004 1937 0626); Harvard Medical School, Section of Clinical Sciences, Division of Rheumatology, Immunology & Allergy, Brigham & Women’s Hospital, Department of Medicine, Boston, USA (GRID:grid.38142.3c) (ISNI:000000041936754X); Sacred Heart University, College of Health Professions, Fairfield, USA (GRID:grid.262900.f) (ISNI:0000 0001 0626 5147)




