Abstract
Objective
Hip osteoarthritis (HOA) affects 30 million Americans or more, and is a leading cause
of disability, suffering, and pain. Standard treatments are minimally effective and
carry significant risk and expense. This study assessed treatment effects of a chiropractic
protocol for HOA.
Methods
Eighteen individuals, who did not qualify due to low baseline Western Ontario and
McMaster Osteoarthritis Index scores (WOMAC) for other ongoing HOA randomized control
trials, were selected. A prospectively planned protocol, consisting of axial manipulation
to the affected hip with modified Thomas and active assisted stretch, was combined
with full kinetic chain treatment or manipulative therapy to the spine, knee, ankle,
or foot and assessed with use of valid and reliable outcome measures.
Results
The primary outcome measure, the Overall Therapy Effectiveness Tool, was assessed
with χ2 and demonstrated that 83.33% of participants were improved after the ninth visit,
P = .005, and 78% improved at the 3-month follow-up, P = .018. Using the paired t test, WOMAC was improved 64% at the ninth visit, P = .000, and 47% at follow-up, P = .016.
Conclusion
In HOA patients with lower WOMAC scores, a highly organized HOA treatment appears
to have resulted in statistically and clinically meaningful intragroup changes in
the Overall Effectiveness Therapy Tool, WOMAC, Harris Hip Scale, and range of motion,
all with P ≤ .05. Although the directionality and strength of the findings are encouraging,
fully powered clinical trials are necessary to report generalizable findings.
Key Indexing Terms
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Article info
Publication history
Accepted:
April 29,
2010
Received in revised form:
April 15,
2010
Received:
November 5,
2009
Identification
Copyright
© 2010 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.
