TY - JOUR
T1 - Comparison of manual therapy and exercise therapy in osteoarthritis of the hip
T2 - A randomized clinical trial
AU - Hoeksma, Hugo L.
AU - Dekker, Joost
AU - Ronday, H. Karel
AU - Heering, Annet
AU - Van Der Lubbe, Nico
AU - Vel, Cees
AU - Breedveld, Ferdinand C.
AU - Van Den Ende, Cornelia H.M.
PY - 2004/10/15
Y1 - 2004/10/15
N2 - Objective. To determine the effectiveness of a manual therapy program compared with an exercise therapy program in patients with osteoarthritis (OA) of the hip. Methods. A single-blind, randomized clinical trial of 109 hip OA patients was carried out in the outpatient clinic for physical therapy of a large hospital. The manual therapy program focused on specific manipulations and mobilization of the hip joint. The exercise therapy program focused on active exercises to improve muscle function and joint motion. The treatment period was 5 weeks (9 sessions). The primary outcome was general perceived improvement after treatment. Secondary outcomes included pain, hip function, walking speed, range of motion, and quality of life. Results. Of 109 patients included in the study, 56 were allocated to manual therapy and 53 to exercise therapy. No major differences were found on baseline characteristics between groups. Success rates (primary outcome) after 5 weeks were 81% in the manual therapy group and 50% in the exercise group (odds ratio 1.92, 95% confidence interval 1.30, 2.60). Furthermore, patients in the manual therapy group had significantly better outcomes on pain, stiffness, hip function, and range of motion. Effects of manual therapy on the improvement of pain, hip function, and range of motion endured after 29 weeks. Conclusion. The effect of the manual therapy program on hip function is superior to the exercise therapy program in patients with OA of the hip.
AB - Objective. To determine the effectiveness of a manual therapy program compared with an exercise therapy program in patients with osteoarthritis (OA) of the hip. Methods. A single-blind, randomized clinical trial of 109 hip OA patients was carried out in the outpatient clinic for physical therapy of a large hospital. The manual therapy program focused on specific manipulations and mobilization of the hip joint. The exercise therapy program focused on active exercises to improve muscle function and joint motion. The treatment period was 5 weeks (9 sessions). The primary outcome was general perceived improvement after treatment. Secondary outcomes included pain, hip function, walking speed, range of motion, and quality of life. Results. Of 109 patients included in the study, 56 were allocated to manual therapy and 53 to exercise therapy. No major differences were found on baseline characteristics between groups. Success rates (primary outcome) after 5 weeks were 81% in the manual therapy group and 50% in the exercise group (odds ratio 1.92, 95% confidence interval 1.30, 2.60). Furthermore, patients in the manual therapy group had significantly better outcomes on pain, stiffness, hip function, and range of motion. Effects of manual therapy on the improvement of pain, hip function, and range of motion endured after 29 weeks. Conclusion. The effect of the manual therapy program on hip function is superior to the exercise therapy program in patients with OA of the hip.
KW - Exercise therapy
KW - Hip
KW - Musculoskeletal manipulations
KW - Osteoarthritis
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=5644291909&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/art.20685
DO - https://doi.org/10.1002/art.20685
M3 - Article
C2 - 15478147
SN - 2151-4658
VL - 51
SP - 722
EP - 729
JO - Arthritis care and research
JF - Arthritis care and research
IS - 5
ER -