None listed
Conditions
Brief summary
The primary purpose of this study was to investigate if chiropractic treatment for the entire lower limb kinetic chain (lumbar spine, hip, knee, ankle and foot joints) has better outcomes than treatment of the symptomatic hip alone. Our hypothesis is that full lower limb kinetic chain treatment is better for changes in pain, range of motion, quality of life and risk for falls in subjects with hip osteoarthritis. The intervention tested was chiropractic manipulation performed at one area (symptomatic osteoarthritic hip) versus chiropractic manipulation at various areas (ipsilateral lower limb kinetic chain).
Interventions
Group A: will receive 9 manipulative therapy treatments (adjustments) to one area: the hip with pre-manipulative static and post active-assisted stretch of tight hip muscles. After the last (or 9th) treatment these patients will receive general advice and recommendations on managing hip osteoarthritis and how to gently and safely increase general exercise. Chiropractic treatment will be provided as one on one therapy, of 20 minutes duration, at a frequency of two time per week for the first four
Group A: will receive 9 manipulative therapy treatments (adjustments) to one area: the hip with pre-manipulative static and post active-assisted stretch of tight hip muscles. After the last (or 9th) treatment these patients will receive general advice and recommendations on managing hip osteoarthritis and how to gently and safely increase general exercise. Chiropractic treatment will be provided as one on one therapy, of 20 minutes duration, at a frequency of two time per week for the first four weeks. Group B: will receive 9 treatments with manipulative therapy treatments (adjustments) to the entire kinetic chain (five areas): the lumbosacral, sacroiliac, hip, knee, ankle and foot joints with pre-manipulative static and post active-assisted stretch of tight hip muscles. Chiropractic treatment will be provided as one on one therapy, of 20 minutes duration, at a frequency of two time per week for the first four weeks.
Sponsors
Henry Pollard
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
40 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
Diagnosis is made based upon the American College of Rheumatology guidelines, daily hip pain and/or stiffness for > 60 mins, radiographic diagnosis of hip osteoarthritis made using the ACR guidelines, <15 internal rotation and < 115 flexion.
Exclusion criteria
Previous hip surgery, visual/ vestibular/ neurological/ peripheral or sensory disorders, rheumatoid arthritis, severe osteoporosis, lumbar herniated disc.
Outcome results
None listed