Group CHAIN Spinning Class at BH Dwell Littledown Centre, Bournemouth. Credit score: BH Dwell
A brand new research by Bournemouth College (BU) and College Hospitals Dorset (UHD) has revealed the advantages of spinning for sufferers with hip osteoarthritis. The research is printed in The Lancet Rheumatology.
Individuals throughout the research who took half within the weekly biking and training classes reported higher restoration outcomes in comparison with contributors who undertook common bodily remedy. The outcomes reveal that higher outcomes for sufferers could be achieved in a gaggle setting utilizing the biking and training courses, and that much less medical time is required to ship this in comparison with one-to-one commonplace bodily remedy therapy.
Tom Wainwright, Professor of Orthopaedics at BU and a bodily therapist at UHD, was the chief investigator of the research. He mentioned, “For the time it takes to treat one patient using standard physical therapy, we can treat multiple patients in a group session and provide them with better outcomes. This has proved to be more cost-effective than standard treatment and so we hope this will contribute to reducing NHS waiting times for physical therapy treatment in the future.”
The “CHAIN” intervention used on this research was first launched in 2013 and is a weekly training session and static biking class that takes place over 8 weeks for sufferers affected by hip osteoarthritis (OA). OA is a number one explanation for incapacity in older individuals. Within the UK, 10 million individuals have OA, with 3.2 million affected by hip OA.
A five-year follow-up reported a major enchancment in hip operate after therapy in comparison with common bodily remedy care. The vast majority of contributors have been nonetheless utilizing self-management methods to handle their hip ache, and 57% had not pursued surgical intervention.
BU’s Professor Rob Middleton, an orthopedic surgeon at UHD, mentioned, “Hip replacements cost the NHS over £6,000 per patient, so avoiding surgery for hip problems reduces the burden on the NHS, saves money, and provides better outcomes for patients. Now with this new study, we can also see the potential for static cycling to save further money for the NHS by bringing down waiting lists for physical therapy.”
Dr. Peter Wilson, Chief Medical Officer at UHD, added, “We are an aging population and increasingly we are seeing more patients with osteoarthritis that need either surgery or physical therapy. Finding alternative ways to treat these patients could help reduce waiting times and the financial demand on NHS services.”
Professor Wainwright continued, “We previously knew that CHAIN worked and benefited patients. What this latest study has shown is that it improves clinical outcomes and is far more cost-effective when compared to usual physical therapy care.”

Individuals within the CHAIN program spinning class at BH Dwell, Littledown, Bournemouth. Credit score: BH Dwell
Sufferers making the most of CHAIN are referred to the UHD Physio Crew by way of their GP. They’re then registered on the eight-week program.
The researchers have teamed up with BH Dwell, a neighborhood registered charity and a number one leisure heart operator, to ship the group classes at BH Dwell Lively, Littledown in Bournemouth.
Viv Galpin, BH Dwell’s Well being & Wellbeing Supervisor, mentioned, “Studio cycling is a fantastic form of low-impact exercise. Among many other advantages, it helps to improve muscles around joints, maintain bone strength, improve balance, and reduce joint pain and stiffness. It’s great to see so many participants are already benefiting from our program.”
One of many contributors, Sue, was initially referred to her native hospital. She had to surrender her two favourite hobbies, strolling and dancing, due to painful hip issues. Talking about her experiences, she mentioned, “My leg would give way and suddenly I couldn’t walk. The first week of the spinning class I could barely manage to get on the bike. By the third week, I had already noticed a positive difference in my hip. After the program, I was walking and dancing and grateful to have a good night’s sleep again.”
To assist roll out CHAIN on a nationwide stage, the BU crew has developed a digital course on their training app. People are in a position to observe this system from their residence or fitness center utilizing a static bike.
The longer term intention of CHAIN is to roll it out nationally by offering different medical groups throughout the UK with the information and abilities to arrange their very own interventions.
Professor Wainwright concluded, “By providing an app to help people manage their hip pain virtually and by supporting other clinicians with a toolkit to set up their own CHAIN programs, the outcomes in the future could change the way we treat hip pain on a national and international level, helping to benefit our patients and improve lives for thousands of people.”
Extra data:
Scientific and cost-effectiveness of a biking and training intervention versus common physiotherapy look after the therapy of hip osteoarthritis within the UK (CLEAT): a realistic, randomised, managed trial, The Lancet Rheumatology (2025). DOI: 10.1016/S2665-9913(25)00102-X
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Examine reveals spinning may scale back NHS ready lists for physiotherapy therapies within the UK (2025, July 31)
retrieved 31 July 2025
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