A single-group pretest posttest design using full kinetic chain manipulative therapy with rehabilitation in the treatment of 18 patients with hip osteoarthritis

James W. Brantingham, Gary A. Globe, Tammy Kay Cassa, Denise Globe, Katie De Luca, Henry Pollard, Felix Lee, Charles Bates, Muffit Jensen, Stephan Mayer, Charmaine Korporaal

    Research output: Contribution to journalArticlepeer-review

    8 Citations (Scopus)

    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.

    Original languageEnglish
    Pages (from-to)445-457
    Number of pages13
    JournalJournal of Manipulative and Physiological Therapeutics
    Volume33
    Issue number6
    DOIs
    Publication statusPublished - Jul 2010

    Keywords

    • osteoarthritis
    • hip
    • extremities
    • manipulation
    • chiropractic

    Fingerprint

    Dive into the research topics of 'A single-group pretest posttest design using full kinetic chain manipulative therapy with rehabilitation in the treatment of 18 patients with hip osteoarthritis'. Together they form a unique fingerprint.

    Cite this