Effects of Chiropractic Care in Patients With Hip Osteoarthritis
The purpose of the study is to explore the short term effects of chiropractic care on pain and function in patients with hip osteoarthritis.
|Study Design:||Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Primary Purpose: Treatment
|Official Title:||Effects of Chiropractic Care on Pain and Function in Patients With Hip Osteoarthritis Waiting for Arthroplasty - a Controlled Clinical Pilot Trial|
- The 100mm Visual Analogue Scale (VAS) [ Time Frame: Baseline and follow up after three weeks ] [ Designated as safety issue: No ]
- The five sub-scales of the Hip disability and Osteoarthritis Outcome Score (HOOS), i.e. pain, other symptoms, function in daily living (ADL), function in sport and recreation (sport/rec) and hip related Quality of life (QOL) [ Time Frame: Baseline and follow up after three weeks ] [ Designated as safety issue: No ]
No Intervention: Waiting list control
The waiting list controls did not receive any intervention during the study period.
Other: Chiropractic care
Clinical examinations and treatments were performed at the outpatient clinic. The patients were assessed and treated by research assistants and the clinical care was supervised by state registered chiropractors. The choice of therapy and modality was pragmatic and based on the analysis of different functions such as mobility, tenderness, muscle tension and tone, and each patient's relative symptoms. Chiropractic care included high-velocity and low-amplitude techniques, soft-tissue or myofascial techniques, and arthrokinematic stabilizing exercises or a combination of these. Patients were treated in 1-2 sessions per week during the trial.
Research over the last years have reported a scarce of trails investigating chiropractic treatment of lower extremities. Osteoarthritis, also called joint failure, is a common rheumatic joint disease often affecting the hipjoint, contributing to pain, decreased mobility and loss of function. Individuals with osteoarthritis can also be affected in many other ways, e.g. economically, socially and emotionally.
Chiropractic care may be considered as a complement to the conventional allopathic treatment of hip osteoarthritis. Joint manipulation is a well-established treatment technique to restore optimal joint function of the locomotor system. The aim of the study is to explore the effects of chiropractic vs. continued conventional care (waiting list controls) on pain and function during a three week trail period among patients with hip osteoarthritis waiting for arthroplasty.
|Scandinavian College of Chiropractic|
|Solna, Stockholm, Sweden, 169 57|
|Principal Investigator:||P M Thorman et al, RC||Skandinavian College Of Chiropractic|