Spin classes could cut NHS physio wait times and costs

Spin classes may outpace physiotherapy for common hip condition, a new study suggests

Author: Jamie GuerraPublished 5th Aug 2025

Weekly group spin classes could be more beneficial than physiotherapy for people with a common hip problem, a study suggests.

Researchers from Bournemouth University and University Hospitals Dorset (UHD) said the approach could also be more cost-effective for the NHS and help tackle waiting times for physiotherapy.

Hip osteoarthritis happens when the cartilage in the hip breaks down, causing pain and stiffness.

It estimated that the condition affects about 3.2 million people in the UK.

The study involved 211 participants who attended weekly 30-minute sessions of static cycling led by a gym instructor.

It found those who completed the cycling classes had a "statistically significant improvement in patient-reported function after treatment".

Researchers said the method "showed superior outcomes compared with usual physiotherapy care, and the feasibility of delivering a low-cost, community-based intervention within the NHS was shown".

However, they stress the "longer-term benefits and broader generalisability warrant further investigation".

Among the Chain participants was Judy, who said: "The twinges that I get, I find have lessened since I've been doing the programme."

Another, Steve, said: "I started having hip problems a couple of years ago but provided I keep doing my daily stretches, and these exercises, I can walk further and I'm gradually building back up to the walking distance I did before."

Tom Wainwright, a professor of orthopaedics at Bournemouth University and a physiotherapist at UHD, said: "For the time it takes to treat one patient using standard physiotherapy, 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 physiotherapy treatment in the future."

Prof Rob Middleton, of Bournemouth University and an orthopaedic surgeon at UHD, said: "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 physiotherapy."

Dr Peter Wilson, chief medical officer at UHD, said: "We are an ageing population and increasingly we are seeing more patients with osteoarthritis that need either surgery or physiotherapy.

"Finding alternative ways to treat these patients could help reduce waiting times and the financial demand on NHS services."

First for all the latest news from across the UK every hour on Hits Radio on DAB, at hitsradio.co.uk and on the Rayo app.