Case report: Manual Therapy Management of Hip Osteoarthritis

Loudon, Janice K.

doi:10.1179/106698199790811528

Cited by 7 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 In other case reports and a case series, it was found that manual therapy with strengthening exercises offered beneficial results in hip OA patients. [8][9][10] Furthermore, a randomized controlled trial on the conservative treatment of hip OA found that the patients in the manual therapy treatment group (manipulation and mobilization) had better outcomes on pain, stiffness, hip function, and range of motion (ROM) than the patients in the exercise therapy program. 11 Like hip OA, poor balance and falls in older adults are major problems as seen by the high frequency of falls in those individuals older than 65 years.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 Chiropractic care or manual therapy for hip OA consists of manipulation/mobilization and muscle stretching, which, according to a few studies, show a beneficial effect. [6][7][8][9][10][11] A controlled, prospective pilot study reported that 3 weeks of chiropractic care had a beneficial effect over sham treatment in the short term www.journalchiromed.com in a group of patients with hip OA. 6 The positive effects of chiropractic care on hip OA were also shown in a case report of 2 patients.…”

Section: Introductionmentioning

confidence: 99%

“…11 Improved balance and walking speed were seen in a case report where manual therapy was combined with exercise. 10 The effect of chiropractic care on poor balance, gait, and chronic pain has some preliminary research; but more research is needed to determine the different conditions/patients that might respond to chiropractic care with improved balance and gait. [19][20][21][22][23] The purpose of this case report is to describe the response to chiropractic care of a geriatric patient with left hip pain, a history of repetitive falls, and examination findings of poor balance and gait, hip OA, and myofascial dysfunction.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Chiropractic care of a 70-year-old female patient with hip osteoarthritis

Strunk

Hanses

2011

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Chiropractic care of a 70-year-old female patient with hip osteoarthritis

Strunk

Hanses

2011

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

show abstract

“…In a recent literature search of electronic databases using Medline, OVID and Pedro, we identified only 2 references reporting the use of MPT techniques for patients with hip OA. 34,48 First, Loudon 48 reported on the use of MPT and exercise to treat a patient with hip OA. The author proposed that the benefits of the mobilization/manipulation (thrust and nonthrust) facilitated a return of function, which potentially could have prevented the need for a total hip arthroplasty (THA).…”

mentioning

confidence: 99%

Clinical Outcomes Following Manual Physical Therapy and Exercise for Hip Osteoarthritis: A Case Series

MacDonald¹,

Whitman²,

Cleland³

et al. 2006

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

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 motion. Six of 7 patients completed a Harris Hip Score at initial examination and discharge from physical therapy, and 1 patient completed a Global Rating of Change Scale at discharge. Outcomes: Three males and 4 females with a median age of 62 years (range, 52-80 years) and median duration of symptoms of 9 months (range, 2-60 months) participated in this case series. The median number of physical therapy sessions attended was 5 (range, 4-12). The median increase in total passive range of motion of the hip was 82°(range, 70°-86°). The median improvement on the Harris Hip Score was 25 points (range, 15-38 points). The single patient who completed the Global Rating of Change Scale at discharge reported being ''a great deal better.'' Numeric pain rating scores decreased by a mean of 5 points (range, 2-7 points) on 0-to-10-point scale. Discussion: All patients exhibited reductions in pain and increases in passive range of motion, as well as a clinically meaningful improvement in function. Although we cannot infer a cause and effect relationship from a case series, the outcomes with these patients are similar to others reported in the literature that have demonstrated superior clinical outcomes associated with manual physical therapy and exercise for hip osteoarthritis compared to exercise alone.

show abstract

“…Joint mobilization has been shown to be helpful in the treatment of early DJD of the hip. 30 Healthy cartilage requires freedom of movement and equitable loading.…”

Section: Mobilitymentioning

confidence: 99%