The effects of manual therapy or exercise therapy or both in people with hip osteoarthritis: a systematic review and meta-analysis

Sampath, Kesava Kovanur; Mani, Ramakrishnan; Miyamori, Takayuki; Tumilty, Steve

doi:10.1177/0269215515622670

Cited by 31 publications

(23 citation statements)

References 37 publications

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“…This is achieved currently with a mixture of exercises to strengthen the muscles around the joint, stabilizing it and manual therapy to improve the mobility of the joint capsule and the surrounding tissue [40]. However, its use in the past has largely been based on expert consensus rather than a research base.…”

Section: Physical Therapymentioning

confidence: 99%

“…With regards to exercise therapy, while it was noted that there was a paucity of high-quality evidence over long-term periods, two reviews found that group classes or home exercises were effective at managing the pain associated with Hip OA [40,41]. One study found that a 12-week exercise programme, where patients performed exercises two to three times a week, reduced the need for THR by up to 44% [42].…”

Section: Physical Therapymentioning

confidence: 99%

“…One review found what they suggested was lowquality evidence that the use of manual therapy alongside exercise therapy could be beneficial for both pain and physical function [40]. The remaining reviews, including the one that focused specifically on manual therapy alone found that there was no benefit from it, either with regards to the management of pain or the mobility and function of the hip [41,44].…”

Section: Physical Therapymentioning

confidence: 99%

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Modern Non-Pharmacological and Non-Surgical Treatments for Hip Pain

Lee¹,

Rozewicz²,

Chandrappa³

et al. 2018

J Arthritis

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Osteoarthritis of the hip describes a clinical syndrome of joint pain accompanied by varying degrees of functional limitation and reduced quality of life. Osteoarthritis may not be progressive and most patients will not need surgery, with their symptoms adequately controlled by non-surgical measures. The treatment of hip osteoarthritis is aimed at reducing pain and stiffness and improving joint mobility. Total hip replacement remains the most effective treatment option but it is a major surgery with potential serious complications. NICE guideline has suggested a holistic approach to management of hip osteoarthritis which includes both nonpharmacological and pharmacological treatments. The non-pharmacological treatments range from education ,physical therapy and behavioral changes ,walking aids .The ESCAPE( Enabling Self-Management and Coping of Arthritic Pain Through Exercise) rehabilitation programme for hip and knee osteoarthritis which integrates simple education, self-management and coping strategies, with an exercise regimen has shown to be more cost-effective than usual care. There is a choice of reviewed pharmacological treatments available, but there are few current reviews of possible nonpharmacological methods. This review will focus on the non-pharmacological and non-surgical methods.

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Section: Physical Therapymentioning

confidence: 99%

Section: Physical Therapymentioning

confidence: 99%

Section: Physical Therapymentioning

confidence: 99%

See 1 more Smart Citation

Modern Non-Pharmacological and Non-Surgical Treatments for Hip Pain

Lee¹,

Rozewicz²,

Chandrappa³

et al. 2018

J Arthritis

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show abstract

“…Moreover, exercise therapy in a patient’s home is effective for gait ability and activities of daily living owing to improvement in joint stability, muscle strength, and range of motion [ 5 ]. Previous studies have demonstrated that hip osteoarthritis patients can experience improvements in their pain and physical function through exercise therapy [ 6 - 8 ], and that this therapy is more effective when it is conducted in a patient’s home rather than at a hospital [ 9 ]. Therefore, it is important to provide an effective home-exercise program that can be easily understood, that can be performed at home by patients, and that is adaptable to their individual symptoms.…”

Section: Introductionmentioning

confidence: 99%

Exercise Therapy Interventions in Patients With Hip Osteoarthritis: Comparison of the Effects of DVD and Website-Based Interventions

Uesugi¹,

Koyanagi²,

Takagi³

et al. 2018

JMIR Rehabil Assist Technol

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BackgroundPrevalence of developmental hip dysplasia is high in Japan. Exercise therapy has been proven effective to treat certain aspects of hip osteoarthritis. Moreover, therapy provided via digital video discs (DVDs) and websites allows patients to exercise in the comfort of their own homes. However, no studies have evaluated the effectiveness of visual instructions in patients with hip disorders.ObjectiveThis study aimed to compare the effectiveness of exercise therapy administered via DVD and that administered via a website.MethodsWe developed a six-step progressive exercise therapy program for patients with hip osteoarthritis, which included three kinds each of open kinetic chain and closed kinetic chain exercises. Once the program was developed, exercise DVDs were produced. In addition to the six-step exercise program, our website was enabled to count the number of exercises performed by each patient and was accessible via the Internet at any time. Patients with hip osteoarthritis for whom surgery was not advised were enrolled by one university hospital in the Kansai area in Japan. Clinical symptoms and hip function were quantified using the Japanese Orthopedic Association Hip Disease Evaluation Questionnaire (JHEQ) and the Oxford Hip Score (OHS). Quality of life was measured using the SF-8 Health Survey, and self-efficacy for continued exercise was measured using the General Self-Efficacy Scale (GSES). Questionnaires were completed preintervention and after 6 months.ResultsAt 6-month follow-up, 10 DVD users (1 male, 9 female; mean age 51.3, SD 16.1 years) and 18 website users (2 male, 16 female; mean age 52.4, SD 10.4 years) were reachable. The change in each parameter could not be confirmed a significant improvement. However, most items tended to reflect overall improvement during the 6 months of intervention (P=.05-.94; paired t test). Regarding effect size, we considered a small effect to be greater than 0.2. Little effect was observed for JHEQ pain, SF-8 physical component summary (PCS), and SF-8 mental component summary in the DVD group, as well as OHS, SF-8 (PCS), and GSES in the website group.ConclusionsWhen comparing the effectiveness of exercise therapy between our DVD and website, we found that although both groups tended to improve in physical function, only the website group showed tendency of enhanced self-efficacy.

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“…Die Arbeit von Bennell et al[48] zum Thema Kniearthrose empfahlen allerdings mindestens 12 Einheiten unter Anleitung für mehr als 3-mal/Woche. Somit wird auch hier der Einfluss einer adäquaten Dauer der TT-Einheiten auf die Wirkung deutlich[49].Zudem finden sich in den Ergebnissen[23][24][25] und in der Literatur [5][50] Hinweise darauf, dass TT eine größere Wirkung auf das Evaluierungsparameter Funktion haben könnte. Studien [28][29] besteht daher hohe bis mäßige Evidenz für eine positive Wirkung von TT.…”

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Aktuelle Evidenz physiotherapeutischer Maßnahmen bei Hüftarthrose

2019

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ZusammenfassungHüftarthrose ist eine häufig auftretende degenerative Erkrankung. Aufgrund der steigenden Lebenserwartung gewinnt sie im Gesundheitsmanagement zunehmend an Bedeutung.Das Ziel der vorliegenden Literaturstudie war, die wissenschaftliche Evidenz hinsichtlich der Wirkung der gängigen Therapiemaßnahmen Manuelle Therapie, Trainingstherapie und eine Kombination beider Maßnahmen aufzuzeigen.Für den effektiven Einsatz von Manueller Therapie und Trainingstherapie ergaben sich gute Anhaltspunkte. Dagegen blieb der zusätzliche Nutzen einer Kombination aus beiden Maßnahmen fraglich. Alle Therapiemaßnahmen zeigten eine positive Wirkung auf Schmerz und Funktion, jedoch nur einen geringen positiven Effekt auf die Lebensqualität.Für die Therapiewahl und Interventionswirkung ist eine umfassende ICF-basierte Diagnostik ausschlaggebend. Weitere hüftspezifische Studien sollten dies zusammen mit patientenspezifischen Charakteristika und dem Erkrankungsstadium berücksichtigen.

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The effects of manual therapy or exercise therapy or both in people with hip osteoarthritis: a systematic review and meta-analysis

Abstract: An Exercise therapy intervention provides short-term as well as long-term benefits in terms of reduction in pain, and improvement in physical function among people with hip osteoarthritis. The observed magnitude of the treatment effect would be considered small to moderate.

Cited by 31 publications

References 37 publications

Modern Non-Pharmacological and Non-Surgical Treatments for Hip Pain

Modern Non-Pharmacological and Non-Surgical Treatments for Hip Pain

Exercise Therapy Interventions in Patients With Hip Osteoarthritis: Comparison of the Effects of DVD and Website-Based Interventions

Aktuelle Evidenz physiotherapeutischer Maßnahmen bei Hüftarthrose

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