Short- and long-term clinical outcomes following a standardized protocol of orthopedic manual physical therapy and exercise in individuals with osteoarthritis of the hip: a case series.
نویسندگان
چکیده
OBJECTIVES Describe short- and long-term outcomes observed in individuals with hip osteoarthritis (OA) treated with a pre-selected, standardized set of best-evidence manual therapy and therapeutic exercise interventions. METHODS Fifteen consecutive subjects (9 males, 6 females; mean age: 52±7.5 years) with unilateral hip OA received an identical protocol of manual therapy and therapeutic exercise interventions. Subjects attended 10 treatment sessions over an 8-week period for manual therapy interventions and performed the therapeutic exercise as a home program. RESULTS Baseline to 8-week follow-up outcomes were as follows: Harris Hip Scale (HHS) scores improved from 60.3(±10.4) to 80.7(±10.5), Numerical Pain Rating Scale (NPRS) scores improved from 4.3(±1.9) to 2.0(±1.9), hip flexion range of motion (ROM) improved from 99 degrees (±10.6) to 127 degrees (±6.3) and hip internal rotation ROM improved from 19 degrees (±9.1) to 31 degrees (±11.5). Improvements in HHS, NPRS, and hip ROM measures reached statistical significance (P<0.05) at 8-weeks and remained significant at the 29-week follow-up. Mean changes in NPRS and HHS scores exceeded the minimal clinically important difference (MCID) at 8-weeks and for the HHS scores alone at 29 weeks. The 8 and 29 week mean Global Rating of Change scores were 5.1(±1.4) and 2.1(±4.2), respectively. Improved outcomes observed following a pre-selected, standardized treatment protocol were similar to those observed in previous studies involving impairment-based manual therapy and therapeutic exercise for hip OA. Future studies might directly compare the two approaches.
منابع مشابه
نگاهی به ورزش درمانی در استئوآرتریت زانو و لگن: مطالعه مروری
Objective: The high elderly population who suffer from physical and health problems, including osteoarthritis, has a profound impact on the country's social and economic situation. Considering that therapeutic exercise is one of the essential components of OA care in the elderly, the aim of this study was to evaluate Exercise therapy in Knee and Hip Osteoarthritis. Methods: Keywords such as (K...
متن کاملThe effect of exercise therapy on knee osteoarthritis: a randomized clinical trial
Background: Knee osteoarthritis (OA) is the most common musculoskeletal disease among old individuals which affects ability for sitting on the chair, standing, walking and climbing stairs. Our objective was to investigate the short and long-term effects of the most simple and the least expensive exercise protocols in combination to conventional conservative therapy for knee OA. Methods : It...
متن کاملClinical outcomes following manual physical therapy and exercise for hip osteoarthritis: A case series.
STUDY DESIGN Case series describing the outcomes of individual patients with hip osteoarthritis treated with manual physical therapy and exercise. CASE DESCRIPTION Seven patients referred to physical therapy with hip osteoarthritis and/or hip pain were included in this case series. All patients were treated with manual physical therapy followed by exercises to maximize strength and range of m...
متن کاملShort Term Clinical Outcomes of Hook Plate Compared to Continuous Loop Double Endobutton Fixations in Acute Acromioclavicular Joint Dislocation
Background: This study was conducted to evaluate the clinical outcomes of acromioclavicular joint (ACJ) fixation with hook plate (HP) and continuous loop double endobutton fixation (CLDE) in treatment of the acute acromioclavicular joint (ACJ) dislocation. Methods: In this retrospective study, 8 patients with HP and 9 patients with CLDE fixations were compared for acute ACJ dislocations. ...
متن کاملComparison of Clinical Results between Patellar Resurfacing and Non-resurfacing in Total Knee Arthroplasty: A Short Term Evaluation
Background: There is no difference in the functional outcomes 6 months after total knee arthroplasty (TKA) for kneeosteoarthritis between patellar resurfacing and non-resurfacing. Thus, we have performed this study to compare theshort-term clinical outcomes of TKA performed with and without the patella resurfacing.Methods: A total of 50 patients with osteoarthritis of the knee (OAK) were random...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The Journal of manual & manipulative therapy
دوره 20 4 شماره
صفحات -
تاریخ انتشار 2012