Osteoarthritis, Hip Clinical Trial
Official title:
Conservative Treatment for Hip Osteoarthritis: Effect of Manual Treatment and Hip School on Pain, Disability and Quality of Life - a Single-blinded Randomized Controlled Trial
The purpose of the study is to evaluate the effect of manual treatment and a patient education programme for patients without indication for hip surgery.
Hip osteoarthritis (hip OA) is the second most common arthritis of the larger joints and may
result in pain and disability and lead to reduced quality of life (QoL). The prevalence of
hip OA, in the adult population, > 35 years, is estimated to 4-11% in the western society.
In specific countries hip OA affects up to 25% in adults > 60 years. With a growing elder
population, these prevalence rates will increase and the demand for cost-effective and safe
interventions will increase as well.
International guidelines, 2008, on the management of hip and knee OA recommend a combination
of non-pharmacological and pharmacological treatment. For years the majority of
interventional research for hip and knee OA has focused on surgery and drugs. Surgery is an
option, when pain and disability have reached severe levels, and an increasing group of
patients are today looking for other treatment options than drug treatment
(pharmacological). In the last 4-6 years, new randomized controlled trials (RCT) have shown
promising results with non-pharmacological treatment, such as exercise, patient education,
manual therapy and acupuncture.
The purpose of this RCT is to investigate the effect of combining manual treatment and a
patient education programme and compare it to a minimal intervention in form of a home
stretching programme. It will further investigate the specific effect of manual treatment.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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