Article

OBJECTIVE: To determine whether manual therapy or exercise therapy or both is
beneficial for people with hip osteoarthritis in terms of reduced pain, improved
physical function and improved quality of life. METHODS: Databases such as
Medline, AMED, EMBASE, CINAHL, SPORTSDiscus, PubMed, Cochrane Library,
Web of Science, Physiotherapy Evidence Database, and SCOPUS were searched from their
inception till September 2015. Two authors independently extracted and assessed
the risk of bias in included studies. Standardised mean differences for outcome
measures (pain, physical function and quality of life) were used to calculate
effect sizes. The Grading of Recommendations, Assessment, Development and
Evaluation (GRADE) approach was used for assessing the quality of the body of
evidence for each outcome of interest. RESULTS: Seven trials (886 participants)
that met the inclusion criteria were included in the meta-analysis. There was
high quality evidence that exercise therapy was beneficial at post-treatment
(pain-SMD-0.27,95%CI-0.5to-0.04;physical function-SMD-0.29,95%CI-0.47to-0.11) and
follow-up (pain-SMD-0.24,95%CI- 0.41to-0.06; physical
function-SMD-0.33,95%CI-0.5to-0.15). There was low quality evidence that manual
therapy was beneficial at post-treatment (pain-SMD-0.71,95%CI-1.08to-0.33;
physical function-SMD-0.71,95%CI-1.08to-0.33) and follow-up
(pain-SMD-0.43,95%CI-0.8to-0.06; physical function-SMD-0.47,95%CI-0.84to-0.1).
Low quality evidence indicated that combined treatment was beneficial at
post-treatment (pain-SMD-0.43,95%CI-0.78to-0.08; physical
function-SMD-0.38,95%CI-0.73to-0.04) but not at follow-up
(pain-SMD0.25,95%CI-0.35to0.84; physical function-SMD0.09,95%CI-0.5to0.68). There
was no effect of any interventions on quality of life. CONCLUSION: An Exercise
therapy intervention provides short-term as well as long-term benefits in terms
of reduction in pain, and improvement in physical function among people with hip
osteoarthritis. The observed magnitude of the treatment effect would be
considered small to moderate.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS