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

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.

Study Overview

• Status: Completed
• Conditions: Osteoarthritis, Hip
• Intervention / Treatment: Other: Manual caudal traction mobilization in resting position; Other: Selftreatment; Other: Manual caudal traction mobilization in end range position

• Study Type: Interventional
• Enrollment (Actual): 50
• Phase: Phase 3

Contacts and Locations

Study Locations

• Spain
  • Zaragoza, Spain, 50009
    • Unidad de Investigación en Fisioterapia. Universidad de Zaragoza

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 41 years to 86 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Resting position mobilization group; 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.	Other: Manual caudal traction mobilization in resting position; Other: Selftreatment; Each subject is advice to do some exercises at home
Experimental: End range position mobilization group; 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.	Other: Selftreatment; Each subject is advice to do some exercises at home; Other: Manual caudal traction mobilization in end range position

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Change from Baseline in Passive Hip Range of Motion after intervention, at 3 weeks post-intervention and at 6 weeks post intervention	3 weeks, 6 weeks, 9 weeks

Secondary Outcome Measures

Outcome Measure	Time Frame
Changes from Baseline in Functional Tests (TUG, fast-paced walk test, stair climb test, 30sec. chair stand test), after intervention, at 3 weeks post-intervention and at 6 weeks post intervention	3 weeks, 6 weeks, 9 weeks
Change from Baseline in Pain on the Visual Analog Scale after intervention, at 3 weeks post-intervention and at 6 weeks post intervention	3 weeks, 6 weeks, 9 weeks
Change from Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scale after intervention and at 6 weeks post intervention	3 weeks, 9 weeks

Collaborators and Investigators

• Sponsor: Universidad de Zaragoza

Study record dates

Study Major Dates

• Study Start: January 1, 2014
• Primary Completion (Actual): May 1, 2016
• Study Completion (Actual): April 1, 2017

Study Registration Dates

• First Submitted: May 26, 2015
• First Submitted That Met QC Criteria: June 8, 2015
• First Posted (Estimate): June 11, 2015

Study Record Updates

• Last Update Posted (Actual): May 2, 2017
• Last Update Submitted That Met QC Criteria: May 1, 2017
• Last Verified: May 1, 2017

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis; Osteoarthritis; Osteoarthritis, Hip
• Other Study ID Numbers: PI13/0030