Effect of Physical Therapy on Pain and Function in Patients With Hip Osteoarthritis

Bennell, Kim L; Egerton, Thorlene; Martin, Joel; Abbott, J. Haxby; Metcalf, Ben; McManus, Fiona; Sims, Kevin; Pua, Yong-Hao; Wrigley, Tim V.; Forbes, Andrew Benjamin; Smith, Catherine L.; Harris, Anthony; Buchbinder, Rachelle

doi:10.1001/jama.2014.4591

Cited by 156 publications

(150 citation statements)

References 41 publications

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“…However, recent studies, which have further explored the use of therapeutic exercise as an osteoarthritis pain management tool, concluded that evidence is inconclusive and inadequate. 30,31 We speculate malfunctioning pain proprioception mechanisms, such as exercise induced analgesia, may explain the lack of significant evidence in support of reduced pain. If an endogenous mechanism that inhibits pain, like exercise induced analgesia, is dysfunctional, pain sensitivity could remain present or increase.…”

Section: Physiological Effects Of Therapeutic Exercise On Pain Managementioning

confidence: 94%

Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercise in the management of hip osteoarthritis

et al. 2016

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Section: Physiological Effects Of Therapeutic Exercise On Pain Managementioning

confidence: 94%

Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercise in the management of hip osteoarthritis

et al. 2016

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“…Regarding dosage, we spent more time with the patients than did Bennell et al [11]. We believe that when treating such a complicated and varying pathology, a meaningful dose of manual therapy and therapeutic exercise cannot be properly applied in only 30 minutes and only one time per week.…”

Section: Discussionmentioning

confidence: 93%

“…Using a randomized participant and assessor-blinded protocol trial with a 12-week intervention period, Bennell et al [11] compared manual therapy, home exercises, education, and advice in 49 patients to a group of patients (n = 3) who received a sham treatment intervention.…”

Section: Introductionmentioning

confidence: 99%

Manual Therapy, Therapeutic Exercise, and HipTrac for Patients with Hip Osteoarthritis: A Case Series

Medeiros¹,

Rocklin²

2016

Physiother Rehabil

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“…Based on some studies and the 2014 Cochrane database, there is evidence that in hip osteoarthritis, exercise decreases joint pain and improves function (Tak et al 2005;Fransen et al 2014;Krauß et al 2014); however, in a recently published, placebo-controlled study, no difference in pain was found between exercise therapy and placebo (Bennell et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Effects of sulfur bath on hip osteoarthritis: a randomized, controlled, single-blind, follow-up trial: a pilot study

Kovács¹,

Bozsik²,

Pecze³

et al. 2016

Int J Biometeorol

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The effects of balneotherapy were evaluated in patients with osteoarthritis of the hip. This randomized, controlled, investigator-blinded study enrolled outpatients with hip osteoarthritis according to ACR criteria. In addition to home exercise therapy, one patient group received balneotherapy for 3 weeks on 15 occasions. The mineral water used in this study is one of the mineral waters with the highest sulfide ion content (13.2 mg/L) in Hungary. The control group received exercise therapy alone. The WOMAC Likert 3.1 index and the EQ-5D quality of life self-administered questionnaire were completed three times during the study: prior to first treatment, at the end of the 3-week treatment course, and 12 weeks later. The main endpoint was achievement of Minimal Clinically Important Improvement (MCII) at 12 weeks, defined as ≥7.9 points in a normalized WOMAC function score. The intention to treat analysis included 20 controls and 21 balneotherapy patients. At 12 weeks, 17 (81 %) balneotherapy group patients had Minimal Clinically Important Improvement and 6 (30 %) of controls (p = 0.001). Comparing the results of the two groups at the end of treatment, there was a significant difference in the WOMAC stiffness score only, whereas after 12 weeks, the WOMAC pain, stiffness, function, and total scores also showed a significant difference in favor of the balneotherapy group. The difference between the two groups was significant after 12 weeks in point of EQVAS score, too. The results of our study suggest that the combination of balneotherapy and exercise therapy achieves more sustained improvement of joint function and decreases in pain than exercise therapy alone.

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Effect of Physical Therapy on Pain and Function in Patients With Hip Osteoarthritis

Abstract: anzctr.org.au Identifier: ACTRN12610000439044.

Cited by 156 publications

References 41 publications

Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercise in the management of hip osteoarthritis

Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercise in the management of hip osteoarthritis

Manual Therapy, Therapeutic Exercise, and HipTrac for Patients with Hip Osteoarthritis: A Case Series

Effects of sulfur bath on hip osteoarthritis: a randomized, controlled, single-blind, follow-up trial: a pilot study

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