TY - JOUR
TI - THE SHORT AND LONG-TERM EFFECT OF WEIGHT-BEARING
MOBILIZATION-WITH-MOVEMENT (MWM) AND AUTOMOBILIZATION-MWM TECHNIQUES ON
PAIN AND FUNCTIONAL STATUS IN PATIENTS WITH HIP OSTEOARTHRITIS
AU - Zemadanis, Konstantinos
AU - Betsos, Theodoros
AU - Mandalidis, Dimitris
JO - INTERNATIONAL JOURNAL OF PHYSIOTHERAPY
PY - 2017
VL - 4
TODO - 3
SP - 160-167
PB - IJPHY Publisher
SN - null
TODO - 10.15621/ijphy/2017/v4i3/149068
TODO - Mobilization with movement; Hip; Osteoarthritis; Auto mobilization;
Manual Therapy
TODO - Background: There is limited evidence to support the therapeutic effect
of Manual Therapy on Hip Osteoarthritis (HOA) patients. The purpose of
this study was to investigate whether implementation of weight-bearing
mobilization- with-movement (MWM) and auto-mobilization had a
significant improvement in pain and functionality after a series of
sessions.
Methods: Forty patients 50-80 years of age, with HOA, were randomly
assigned into two groups. Patients in the treatment group received MWM
in standing position and auto-MWM for two weeks, while control patients
received a Sham form of MWM. Pain and functionality were measured at
baseline, post-treatment and three months' follow-up, using the Visual
Analogue Scale (VAS) and the Lower Extremity Functional Scale (LEFS).
Mixed ANOVA was used to examine possible differences between treatment
phases and between groups, but also interactions among Group and Time
factors.
Result: The present findings revealed a significant interaction between
factors and significant main effects of each Time and Group factors on
pain and functionality. The treatment group showed improved post-MWM VAS
and LEFS scores compared to baseline scores (p<.001), and improved
follow-up MWM and LEFS scores compared to post-MWM scores (p<0.001). In
control group, no significant differences were found on either of the
post or follow up VAS and LEFS scores compared to baseline scores
(p>.001). Differences between groups were significant in post-treatment
and follow-up scores (p<.001).
Conclusion: Our findings suggest that weight bearing-MWM and auto-MWM
are a significant treatment approach, improving pain and functionality
in hip osteoarthritis patients.
ER -