A randomised controlled trial of chiropractic management for the lower limb kinetic chain in sufferers of hip osteoarthritis

Sufferers of hip osteoarthritis receiving chiropractic management of the lower limb kinetic chain and their changes in overall therapy effectiveness and the Western Ontario and McMaster Universities Osteoarthritis Index.

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12609000664246

Enrollment

Registered

2009-08-05

Start date

2008-03-01

Completion date

Unknown

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to investigate the effectiveness of chiropractic treatment for the lower limb kinetic chian. We hypothesize the wider scope of treatment will provide better outcome in pain scores, overall effectiveness, range and motion and gait ability due to the inter-relationahip of the biomechanical change and addressing compensatory actions. We hope it will provide evidence to be included in guidelines for management of osteoarthritis and may provide alternative options to analgesics and surgery.

Interventions

Pre-adjustive stretches of hip musculature and hip manipulation, as well as an intervention group which received stretching and manipulation of the lumbar spine, sacro-iliac joints and ipsilateral knee, ankle and foot complexes. receiving Treatment was provided by a senior chiropractic intern, with treatment scheduled two time per week for nine visits, and then six additional optional treatments over six months. Treatment usually lasted for 15-30 minutes.

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Treatment

Masking

Blinded (masking used)

Eligibility

Sex/Gender

All

Age

55 Years to 80 Years

Healthy volunteers

Yes

Inclusion criteria

Meeting the American College of Rheumatology clinical criteria for hip osteoarthritis and having recent x-rays graded as having Grade 1 to 3 hip osteoarthritis as per the Kellgren and Lawrence radiological assessment of osteoarthritis.

Exclusion criteria

1. Patient report of general and internal medical disorders such as significant visual disorders, severe vestibular disorders (i.e., Meniere’s), neurological (Alzheimer’s and other degenerative brain and mental disorders, disease and dysfunction) and peripheral sensory disorders (severe insulin dependent diabetes), 2. History of hip joint replacement, rheumatoid arthritis, instability, fracture/ and severe osteoporosis, frank avascular necrosis with or without moderate or severe deformity, 3. History of lumbar herniated disc and injury, 4. Severe balance and proprioception problems (i.e., inability to stand with and/or without marked spinal or hip deformity) etc., 5. Symptoms of hip osteoarthritis (moderate to severe) in both hips, 6. Marked or severe fear of chiropractic adjustments/manipulative and or exercise procedures.

Outcome results