Mobilization With Movement in Patients With Osteoarthritis of the Hip

NCT02390336 | Completed

• 1 other identifier: NC-002
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

The concept of mobilization with movement, also referred to as a Mulligan mobilization, has not been studied in patients with hip osteoarthritis, subsisting questions about the possible effects in this population. The aim of this randomized controlled study is to compare the immediate effects of Mulligan mobilization with movement technique of pain, range of motion and physical function in patients with osteoarthritis of the hip.

Conditions

Osteoarthritis Hip; Joint Disease; Musculoskeletal Diseases; Pathologic Processes

Keywords

Osteoarthritis of the hip; Pain; Range of Motion; Physical Function; Manual Therapy

Outcome Measures

Primary Outcomes (1)

• Changes in the intensity of hip pain before and after the treatment

  Participants were asked to rate the intensity of their pain using an 11-point numerical pain rating scale (NPRS; 0: no pain; 10: maximum pain).

  participants will be assessed before and after intervention (interval: 15-20 minutes)

Secondary Outcomes (5)

• Changes in the range of motion for the hip flexion before and after the treatment

  participants will be assessed before and after intervention (interval: 15-20 minutes)

• Changes in the range of motion for the medial hip rotation before and after the treatment

  participants will be assessed before and after intervention (interval: 15-20 minutes)

• Changes in the performing time of the physical function test timed up and go before and after the treatment

  participants will be assessed before and after intervention (interval: 15-20 minutes)

• Changes in the repetitions of the physical function test 30 seg sit to stand before and after the treatment

  participants will be assessed before and after intervention (interval: 15-20 minutes)

• Changes in the performing time of the physical function test 40 m. self placed walk before and after the treatment

  participants will be assessed before and after intervention (interval: 15-20 minutes)

Study Arms (2)

Real mobilization-with-movement (MWM)

EXPERIMENTAL

In each volunteer of this group, the blind assessor will perform the pre-intervention measurements of intensity of pain, range of motion and physical function tests. Next, the therapist will performed the real mobilization-with-movement. Then, all measurements, before described, will be repeated, by the assessor.

Other: Real mobilization-with-movement (MWM)

Sham mobilization-with-movement (MWM)

SHAM COMPARATOR

In each volunteer of this group, the blind assessor will perform the pre-intervention measurements of intensity of pain, range of motion and physical function tests. Next, the therapist will performed the sham mobilization-with-movement. Then, all measurements, before described, will be repeated, by the assessor.

Other: Sham mobilization-with-movement (MWM)

Interventions

Real mobilization-with-movement (MWM) OTHER

For the MWM group, the investigator applied two techniques of mobilization with movement: one for flexion and one for medial rotation of the hip. With the hip in flexion, a stabilizing belt was placed on the medial side of the participant's thigh closest to the joint interline. The belt was placed around the pelvic region of the physical therapist, keeping a perpendicular direction to the participant's thigh. Maintaining a side slip, it was carried out a passive movement of 1) hip flexion (3x10) and 2) medial hip rotation (3x10) by the physiotherapist throughout painless amplitude.

Also known as: Group Experimental: mobilization-with-movement (MWM)

Real mobilization-with-movement (MWM)

Sham mobilization-with-movement (MWM) OTHER

In the sham group, the investigators conducted a technical simulation. The positioning of the patient and the physical therapist was the same, however, no accessory mobilization was performed with the help of the belt and did not performed repeated movements of passive flexion or medial rotation.

Also known as: Group Sham: mobilization-with-movement (MWM)

Sham mobilization-with-movement (MWM)

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• clinical criteria for the diagnosis of osteoarthritis of the hip (sensitivity 86% and specificity 75%) are:
• Medial hip rotation ≥15º, pain during medial rotation of the hip, morning fatigue in hip\> 60 minutes and older than 50 years or
• Medial hip rotation \<15, hip flexion ≤ 115

You may not qualify if:

• Previous surgery or hip replacement or knee joint
• Another surgery in the lower extremities performed within 6 months, rheumatoid arthritis
• Uncontrolled hypertension or risk (moderate - high) of cardiac complications during exercise
• Disability unrelated to the hip or knee to prevent the safe participation during exercise, appliance of manual therapy or during march: vision problems affecting mobility, body weight equal to or greater than 155 kg, primary neurogenic disorder or significantly limitation of the lumbar level,advanced osteoporosis with manual therapy or other treatment technique that may interfere with the study
• With inability to understand the instructions and complete the study assessments

Sponsors & Collaborators

• Natália Maria Oliveira Campelo: lead

Related Publications (6)

• Vicenzino B, Paungmali A, Teys P. Mulligan's mobilization-with-movement, positional faults and pain relief: current concepts from a critical review of literature. Man Ther. 2007 May;12(2):98-108. doi: 10.1016/j.math.2006.07.012. Epub 2006 Sep 7.

  PMID: 16959529 BACKGROUND

• Hoeksma HL, Dekker J, Ronday HK, Breedveld FC, Van den Ende CH. Manual therapy in osteoarthritis of the hip: outcome in subgroups of patients. Rheumatology (Oxford). 2005 Apr;44(4):461-4. doi: 10.1093/rheumatology/keh482. Epub 2005 Feb 3.

  PMID: 15695307 BACKGROUND

• Botha-Scheepers S, Riyazi N, Kroon HM, Scharloo M, Houwing-Duistermaat JJ, Slagboom E, Rosendaal FR, Breedveld FC, Kloppenburg M. Activity limitations in the lower extremities in patients with osteoarthritis: the modifying effects of illness perceptions and mental health. Osteoarthritis Cartilage. 2006 Nov;14(11):1104-10. doi: 10.1016/j.joca.2006.04.011. Epub 2006 Jun 5.

  PMID: 16740397 BACKGROUND

• French HP, Cusack T, Brennan A, Caffrey A, Conroy R, Cuddy V, FitzGerald OM, Fitzpatrick M, Gilsenan C, Kane D, O'Connell PG, White B, McCarthy GM. Exercise and manual physiotherapy arthritis research trial (EMPART) for osteoarthritis of the hip: a multicenter randomized controlled trial. Arch Phys Med Rehabil. 2013 Feb;94(2):302-14. doi: 10.1016/j.apmr.2012.09.030. Epub 2012 Oct 16.

  PMID: 23084955 BACKGROUND

• Hando BR, Gill NW, Walker MJ, Garber M. Short- and long-term clinical outcomes following a standardized protocol of orthopedic manual physical therapy and exercise in individuals with osteoarthritis of the hip: a case series. J Man Manip Ther. 2012 Nov;20(4):192-200. doi: 10.1179/2042618612Y.0000000013.

  PMID: 24179327 BACKGROUND

• Beselga C, Neto F, Alburquerque-Sendin F, Hall T, Oliveira-Campelo N. Immediate effects of hip mobilization with movement in patients with hip osteoarthritis: A randomised controlled trial. Man Ther. 2016 Apr;22:80-5. doi: 10.1016/j.math.2015.10.007. Epub 2015 Oct 31.

  PMID: 26559319 DERIVED

MeSH Terms

Conditions

Osteoarthritis, Hip; Joint Diseases; Musculoskeletal Diseases; Pathologic Processes; Pain

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Rheumatic Diseases; Pathological Conditions, Signs and Symptoms; Neurologic Manifestations; Signs and Symptoms

Study Officials

• Natália Campelo, PhD

  Polytechnic Institute of Porto (Portugal)

  STUDY DIRECTOR

• Francisco Neto, MSc

  Polytechnic Institute of Porto (Portugal)

  STUDY DIRECTOR

• Carlos Beselga, MSc

  Polytechnic Institute of Porto (Portugal)

  PRINCIPAL INVESTIGATOR

• Francisco A Sendín, PhD

  University of Salamanca (Spain)

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Profesor

Study Record Dates

• First Submitted: March 3, 2015
• First Posted: March 17, 2015
• Study Start: March 1, 2015
• Primary Completion: May 1, 2015
• Study Completion: May 1, 2015
• Last Updated: May 28, 2015

Record last verified: 2015-05