Effects of Grade III Traction-mobilization in End-range Joint Position in Patients With Hip Osteoarthritis

University of Zaragoza

Status and phase: Completed; Phase 3

Conditions: Osteoarthritis, Hip

Treatments: Other: Selftreatment; Other: Manual caudal traction mobilization in resting position; Other: Manual caudal traction mobilization in end range position

Study type: Interventional

Funder types: Other

Identifiers

NCT02469025

PI13/0030

Details and patient eligibility

About

Lower limb osteoarthritis is a major health problem in the westernized countries. The current gold standard treatment is joint replacement. However clinical guidelines recommend physical therapy as first option for these patients. Manual therapy has reported good reports in function, range of motion and pain in patients with hip osteoarthritis. The main aim of this study is to test the effects of a manual therapy protocol based on manual traction mobilization of the hip joint in an end range position and compare them with the effects achieve with the same protocol based on manual traction mobilization of the hip joint in a resting position. The investigators will use the caudal traction mobilization described by Kaltenborn. The study will test the effects of both treatments in passive range of motion, function and pain after three weeks of treatment, three weeks after finalizing the treatment and six weeks after.

Enrollment: 50 patients

Sex: All

Ages: 45 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hip osteoarthritis diagnosis
• Diminished range of motion
• Sign the informed consent

Exclusion criteria

• Contraindications to Manual Therapy.
• Sensitivity impairments in low back, pelvis, knee or foot regions.
• Being involved in other physical therapy treatments
• To change medication use during the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Resting position mobilization group

Experimental group

Description:

This group receive six manual therapy interventions based on manual traction mobilization in a resting position of the hip joint. In addition the physical therapist teach the patients six exercises to do at home between manual mobilization sessions.

Treatment:

Other: Manual caudal traction mobilization in resting position

Other: Selftreatment

End range position mobilization group

Experimental group

Description:

This group receive six manual therapy interventions based on manual traction mobilization in an end range position of the hip joint. In addition the physical therapist teach the patients six exercises to do at home between manual mobilization sessions.

Treatment:

Other: Manual caudal traction mobilization in end range position

Other: Selftreatment