A Single-Group Pretest Posttest Design Using Full Kinetic Chain Manipulative Therapy With Rehabilitation in the Treatment of 18 Patients With Hip Osteoarthritis

Brantingham, James W.; Cassa, Tammy Kay; Luca, Katie de; Pollard, Henry; Lee, Felix; Bates, Charles C.; Jensen, Muffit; Mayer, Stephan; Korporaal, Charmaine

doi:10.1016/j.jmpt.2010.06.005

Cited by 10 publications

(5 citation statements)

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“…The literature suggests vigorous and sustained interest in the application of peripheral or extremity MT for lower extremity conditions; the effectiveness of MT procedures, particularly in conjunction with rehabilitation (such as exercise therapy and advice) for some common lower extremity disorders, is cautiously supported by this review; questions of effectiveness, especially cost-effectiveness, need to be undertaken. [94][95][96] This review cites earlier 1,2 but new or previously undetected MT studies for hip OA and disorders, 23,[97][98][99][100][101][102][103][104] knee OA and disorders, [105][106][107][108][109][110][111][112][113] 146,147 A new and expanding category has been added in this review: (a) decreased proprioception, balance, and function from foot and/or ankle injury or from decreased range of motion (ROM), myofascial, and/or joint dysfunction and injuries. [126][127][128][148][149][150] These investigations included single-group pretest-posttest studies, case series, and reports for assessing hip MT (with exercise) for hip OA, knee MT for hip OA, and the effect of hip MT for knee OA.…”

Section: Discussionmentioning

confidence: 99%

“…1,3,9,140,157,158 As noted, most MT applied to extremity disorders is delivered as multimodal therapy, blending exercise, soft tissue treatment, modalities, or multiple extremity joint and/or combined spinal and extremity joint MT (treatment of the kinetic chain), either condition and/or patient specific. 1,21,73,101,102,155,156 In fact, it would appear that MT with stretch may be superior to either therapy alone in common extremity disorders for increasing ROM. 21,27,159,160 Limitations One limitation that is clear from this study is that most lower extremity MT studies assess only short-term treatment outcomes for 3 months or less.…”

Section: Discussionmentioning

confidence: 99%

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Manipulative Therapy for Lower Extremity Conditions: Update of a Literature Review

Brantingham

Bonnefin

Perle

et al. 2012

Journal of Manipulative and Physiological Therapeutics

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Manipulative Therapy for Lower Extremity Conditions: Update of a Literature Review

Brantingham

Bonnefin

Perle

et al. 2012

Journal of Manipulative and Physiological Therapeutics

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“…A pre-post intervention design was used for this proof of concept, feasibility pilot study [ 78 ]. The primary objectives were to (1) estimate adherence to the supervised exercise program, (2) estimate long-term retention rate and willingness to respond to a 6-month follow-up, and (3) establish the viability of the treatment model through the impact on participants’ pain ratings, activity of daily living (ADL), and global rating of change after the 6-week supervised program.…”

Section: Methodsmentioning

confidence: 99%

A 6-week hip muscle strengthening and lumbopelvic-hip core stabilization program to improve pain, function, and quality of life in persons with patellofemoral osteoarthritis: a feasibility pilot study

Hoglund

Pontiggia

Kelly

2018

Pilot Feasibility Stud

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BackgroundPatellofemoral joint (PFJ) osteoarthritis (OA) is prevalent in middle-aged and older adults. Despite this, there are minimal studies which have examined conservative interventions for PFJ OA. Weakness of proximal lower extremity muscles is associated with PFJ OA. It is unknown if a hip muscle strengthening and lumbopelvic-hip core stabilization program will improve symptoms and function in persons with PFJ OA. This study examined the feasibility and impact of a 6-week hip muscle strengthening and core stabilization program on pain, symptoms, physical performance, peak muscle torques, and quality of life in persons with PFJ OA.MethodsTen females with PFJ OA and ten age- and sex-matched controls participated in baseline tests. PFJ OA participants attended ten twice-a-week hip strengthening and core stabilization exercise sessions. Outcome measures included questionnaires, the Timed-Up-and-Go, and peak isometric torque of hip and quadriceps muscles. Data were tested for normality; parametric and non-parametric tests were used as appropriate.ResultsAt baseline, the PFJ OA group had significantly worse symptoms, slower Timed-Up-and-Go performance, and lower muscle torques than control participants. PFJ OA group adherence to supervised exercise sessions was adequate. All PFJ OA participants attended at least nine exercise sessions. Five PFJ OA participants returned 6-month follow-up questionnaires, which was considered fair retention. The PFJ OA participants’ self-reported pain, symptoms, function in daily living, function in sport, and quality of life all improved at 6 weeks (P < 0.05). Timed-Up-and-Go time score improved at 6 weeks (P = 0.005). Peak hip external rotator torque increased (P = 0.01). Improvements in pain and self-reported function were no longer significant 6 months following completion of the intervention.ConclusionsPFJ OA participants were adherent to the supervised sessions of the intervention. Improvement in symptoms, physical performance, and muscle torque were found after 6 weeks. Participant retention at 6 months was fair, and significant changes were no longer present. Our findings suggest that a hip strengthening and core stabilization program may be beneficial to improve symptoms, function, and physical performance in persons with PFJ OA. Future studies are needed, and additional measures should be taken to improve long-term adherence to exercise.Trial registrationClinicalTrials.gov NCT02825238. Registered 6 July 2016 (retrospectively registered).Electronic supplementary materialThe online version of this article (10.1186/s40814-018-0262-z) contains supplementary material, which is available to authorized users.

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“…The results so far of the effect of hip school or manual therapy have been based on only a few RCTs [15,20,45] or uncontrolled pre-post comparisons [46,47], and with respect to the direct comparison of manual therapy versus hip school no studies have been performed until now. Our long term interest is in the effect of manual therapy in addition to hip school versus hip school alone, so we included these two groups in our trial.…”

Section: Discussionmentioning

confidence: 99%

Non-surgical treatment of hip osteoarthritis. Hip school, with or without the addition of manual therapy, in comparison to a minimal control intervention: Protocol for a three-armed randomized clinical trial

Poulsen

Christensen

Roos

et al. 2011

BMC Musculoskelet Disord

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BackgroundHip osteoarthritis is a common and chronic condition resulting in pain, functional disability and reduced quality of life. In the early stages of the disease, a combination of non-pharmacological and pharmacological treatment is recommended. There is evidence from several trials that exercise therapy is effective. In addition, single trials suggest that patient education in the form of a hip school is a promising intervention and that manual therapy is superior to exercise.Methods/DesignThis is a randomized clinical trial. Patients with clinical and radiological hip osteoarthritis, 40-80 years of age, and without indication for hip surgery were randomized into 3 groups. The active intervention groups A and B received six weeks of hip school, taught by a physiotherapist, for a total of 5 sessions. In addition, group B received manual therapy consisting of joint manipulation and soft-tissue therapy twice a week for six weeks. Group C received a self-care information leaflet containing advice on "live as usual" and stretching exercises from the hip school. The primary time point for assessing relative effectiveness is at the end of the six weeks intervention period with follow-ups after three and 12 months.Primary outcome measure is pain measured on an eleven-point numeric rating scale. Secondary outcome measures are the hip dysfunction and osteoarthritis outcome score, patient's global perceived effect, patient specific functional scale, general quality of life and hip range of motion.DiscussionTo our knowledge this is the first randomized clinical trial comparing a patient education program with or without the addition of manual therapy to a minimal intervention for patients with hip osteoarthritis.Trial registrationClinicalTrials NCT01039337

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A Single-Group Pretest Posttest Design Using Full Kinetic Chain Manipulative Therapy With Rehabilitation in the Treatment of 18 Patients With Hip Osteoarthritis

Cited by 10 publications

References 60 publications

Manipulative Therapy for Lower Extremity Conditions: Update of a Literature Review

Manipulative Therapy for Lower Extremity Conditions: Update of a Literature Review

A 6-week hip muscle strengthening and lumbopelvic-hip core stabilization program to improve pain, function, and quality of life in persons with patellofemoral osteoarthritis: a feasibility pilot study

Non-surgical treatment of hip osteoarthritis. Hip school, with or without the addition of manual therapy, in comparison to a minimal control intervention: Protocol for a three-armed randomized clinical trial

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