64
Views
3
CrossRef citations to date
0
Altmetric
Articles

The effect of adding grade B hip mobilization to a muscle strengthening home exercise programme on pain, function, and range of movement in adults with symptomatic early-stage hip osteoarthritis: A pilot study for a randomized controlled trial

&
Pages 54-63 | Published online: 30 Jul 2014
 

Abstract

Objective

A pilot study to investigate whether the addition of grade B mobilization to a muscle strengthening home exercise programme improves outcomes for patients with symptomatic early-stage hip osteoarthritis.

Methods

Twenty-three patients were randomized into either a home exercise group (n = 12) or grade B mobilization group (n = 11). Both groups carried out a muscle strengthening home exercise programme for 6 weeks. In addition, the grade B mobilization group received 6 weekly sessions of grade B hip mobilization (passive stretching techniques) and carried out stretches at home. Outcome measures included the visual analogue scale for pain, the Lower Extremity Functional Scale and goniometric measurement of hip flexion and medial rotation at baseline (week 1) and after the 6-week treatment period (week 7).

Results

Twenty-one participants (91%) completed the trial. Both groups showed improvement in all outcome measures. The change in pre-/post-treatment scores was significantly greater in the grade B mobilization group for pain (t(19) = 2.378, P = 0.03, large effect size d = 1.02) and passive hip flexion (t(19) = −4.192, P = 0.001, large effect size d = 1.80). No significant difference was found for function (t(19) = 0.444, P = 0.662, small effect size d = 0.20) or passive hip medial rotation (t(19) = −1.053, P = 0.305, moderate effect size d = 0.46). However, these results are inconclusive as this pilot study was underpowered.

Discussion

A worthwhile benefit may exist from the addition of grade B mobilization to a muscle strengthening home exercise programme, particularly with pain and passive hip flexion. This warrants further investigation. Although this pilot study demonstrated a feasible design, recommendations have been made for its development.

Acknowledgements

Professor Michael Traynor and Ramesh Vaswami are thanked for their advice with this academic project. Nicola Ferdinand and Himadeep reddy Nemallapudi Venkata are also thanked for their contribution as study physiotherapists.

Log in via your institution

Log in to Taylor & Francis Online

PDF download + Online access
  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 65.00 Add to cart
* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.