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Effects of Chiropractic Care in Patients With Hip Osteoarthritis

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ClinicalTrials.gov Identifier: NCT01025661
Recruitment Status : Completed
First Posted : December 3, 2009
Last Update Posted : December 8, 2009
Sponsor:
Collaborators:
Karolinska Institutet
Stockholm South General Hospital
Information provided by:
Scandinavian College of Chiropractic

Study Description
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Brief Summary:
The purpose of the study is to explore the short term effects of chiropractic care on pain and function in patients with hip osteoarthritis.

Condition or disease Intervention/treatment Phase
Hip Osteoarthritis Other: Chiropractic care Not Applicable

Detailed Description:

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.

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 14 participants
Allocation: Non-Randomized
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

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Arms and Interventions
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Arm Intervention/treatment
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.


Outcome Measures
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Primary Outcome Measures :
  1. The 100mm Visual Analogue Scale (VAS) [ Time Frame: Baseline and follow up after three weeks ]

Secondary Outcome Measures :
  1. 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 ]

Eligibility Criteria
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Ages Eligible for Study:   55 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • waiting for first time unilateral arthroplasty on the affected side

Exclusion Criteria:

  • documented osteoporosis, current pathology such as malignancy, infection, cardiovascular disease, stroke and femoral fractures on affected side
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01025661


Locations
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Sweden
Scandinavian College of Chiropractic
Solna, Stockholm, Sweden, 169 57
Sponsors and Collaborators
Scandinavian College of Chiropractic
Karolinska Institutet
Stockholm South General Hospital
Investigators
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Principal Investigator: P M Thorman et al, RC Skandinavian College Of Chiropractic
More Information
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Responsible Party: Gordana Gedin, Head Principal, Scandinavian College of Chiropractic
ClinicalTrials.gov Identifier: NCT01025661    
Other Study ID Numbers: 2007/7900-31/3
First Posted: December 3, 2009    Key Record Dates
Last Update Posted: December 8, 2009
Last Verified: December 2009
Keywords provided by Scandinavian College of Chiropractic:
chiropractic
hip osteoarthritis
hip arthroplasty
pain
activities of daily living.
Additional relevant MeSH terms:
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Osteoarthritis
Osteoarthritis, Hip
Arthritis
 Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases