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

NCT02469025 | Completed Phase 3

• 1 other identifier: PI13/0030
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

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.

Conditions

Osteoarthritis, Hip

Outcome Measures

Primary Outcomes (1)

• 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 Outcomes (3)

• 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

Study Arms (2)

Resting position mobilization group

EXPERIMENTAL

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.

Other: Manual caudal traction mobilization in resting position; Other: Selftreatment

End range position mobilization group

EXPERIMENTAL

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.

Other: Manual caudal traction mobilization in end range position; Other: Selftreatment

Interventions

Manual caudal traction mobilization in resting position OTHER

Resting position mobilization group

Manual caudal traction mobilization in end range position OTHER

End range position mobilization group

Selftreatment OTHER

Each subject is advice to do some exercises at home

End range position mobilization group; Resting position mobilization group

Eligibility Criteria

• Age: 45 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Hip osteoarthritis diagnosis
• Diminished range of motion
• Sign the informed consent

You may not qualify if:

• 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

Sponsors & Collaborators

• Universidad de Zaragoza: lead

Study Sites (1)

Unidad de Investigación en Fisioterapia. Universidad de Zaragoza

Zaragoza, 50009, Spain

Location

MeSH Terms

Conditions

Osteoarthritis, Hip

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Unidad de Investigación en Fisioterapia

Study Record Dates

• First Submitted: May 26, 2015
• First Posted: June 11, 2015
• Study Start: January 1, 2014
• Primary Completion: May 1, 2016
• Study Completion: April 1, 2017
• Last Updated: May 2, 2017

Record last verified: 2017-05

Locations

ES (1)