Effects of a Stretching Protocol in Patients With Hip Osteoarthritis

Effects of a Stretching Protocol of Hip Flexors in Patients With Mild to Moderate Hip Osteoarthritis

Hip osteoarthritis (OA) is one of the most prevalent chronic disease in the world. Clinical guidelines recommend non-pharmacological conservative treatments for the management of OA. Hip flexors seems to play an important role in the development of hip OA but there is no published studies evaluating the results of a stretching protocol of hip flexors in hip OA patients.

The objective of this trial is to evaluate if a stretching protocol of hip flexors is more effective in symptoms, functional capacity , range of motion, strength, muscular length, pain threshold and anxiety and depression compared to control.

For this purpose the investigators conduct a single-group, pretest-posttest clinical trial.The investigators included patients diagnosed of hip osteoarthritis Grade I-III by Scale of Kellgren and Lawrence.

The variables are measured at the beginning and at the end of treatment of the control phase, and at the end of the stretching protocol phase.

Study Overview

• Status: Completed
• Conditions: Hip Osteoarthritis
• Intervention / Treatment: Other: Hip flexors stretching protocol

• Study Type: Interventional
• Enrollment (Actual): 15
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Soria, Spain, 42004
    • Sandra Jiménez del Barrio
  • Zaragoza, Spain, 50008
    • Luis Ceballos Laita

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 50 years to 70 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Diagnosed medically with a X-Ray test
• American College of Rheumatology Criteria

Exclusion Criteria:

• Secondary osteoarthritis by a traumatism, Paget disease, inflammatory or metabolic disease, congenital diseases etc.
• Vascular or neurological disease.
• Musculoskeletal pathologies in lumbar spine, pelvis or lower limbs
• Grade IV in Kellgren and Laurence Scale

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Interventional group; Hip flexors stretching protocol	Other: Hip flexors stretching protocol; Stretching protocol of rectus femoris, vastus lateralis and iliopsoas according to Kaltenborn- Evjenth Orthopaedic Manual Therapy Concept (OMT)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes from baseline in pain intensity	Visual Analogic Scale	3 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Functional Capacity	The investigators measure the functional capacity with Timed Up and Go test (TUG)	3 weeks
WOMAC questionnaire	WOMAC questionnaire	3 weeks
Hip Range of Motion	Digital inclinometer according to Pua et al., 2008	3 weeks
Muscular strength	The investigators measure the hip strength with a hand held dynamometer (Lafayette)	3 weeks
Muscular length	The investigators measure the muscular length with an inclinometer	3 weeks
Pressure Pain threshold	Pressure algometry measured by digital algometer	3 weeks
Anxiety and Depression	Hospital Anxiety and Depression Scale (HADS)	3 weeks

Collaborators and Investigators

• Sponsor: Universidad de Zaragoza
• Collaborators: University of Valladolid

Study record dates

Study Major Dates

• Study Start (Actual): August 1, 2018
• Primary Completion (Actual): November 30, 2018
• Study Completion (Actual): December 30, 2018

Study Registration Dates

• First Submitted: August 17, 2018
• First Submitted That Met QC Criteria: October 10, 2018
• First Posted (Actual): October 11, 2018

Study Record Updates

• Last Update Posted (Actual): January 21, 2020
• Last Update Submitted That Met QC Criteria: January 17, 2020
• Last Verified: January 1, 2020

More Information

Terms related to this study

• Keywords: Hip Osteoarthritis; physiotherapy; Manual therapy
• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis; Osteoarthritis; Osteoarthritis, Hip
• Other Study ID Numbers: 1955

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: The patient data were confidential and were assigned a number to each patient to maintain confidentiality

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No