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

Phase 3

Completed

• Conditions: Osteoarthritis, Hip
• Interventions: Other: Manual caudal traction mobilization in end range position; Other: Manual caudal traction mobilization in resting position; Other: Selftreatment

• Registration Number: NCT02469025
• Lead Sponsor: Universidad de Zaragoza

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-01
• Study First Submitted: 2015-05-26
• Study First Submitted QC: 2015-06-08
• Study First Posted: 2015-06-11
• Primary Completion: 2016-05
• Study Completion: 2017-04
• Status Verified: 2017-05
• Last Update Submitted: 2017-05-01
• Last Update Posted: 2017-05-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

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 & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
End range position mobilization group	Manual caudal traction mobilization in end range position	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.
Resting position mobilization group	Selftreatment	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.
Resting position mobilization group	Manual caudal traction mobilization in resting position	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.
End range position mobilization group	Selftreatment	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.

Primary Outcome Measures

Name	Time	Method
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

Name	Time	Method
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

Trial Locations

Locations (1)

Unidad de Investigación en Fisioterapia. Universidad de Zaragoza; 🇪🇸 Zaragoza, Spain