PMID- 24179327 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20131101 LR - 20220408 IS - 1066-9817 (Print) IS - 2042-6186 (Electronic) IS - 1066-9817 (Linking) VI - 20 IP - 4 DP - 2012 Nov TI - Short- and long-term clinical outcomes following a standardized protocol of orthopedic manual physical therapy and exercise in individuals with osteoarthritis of the hip: a case series. PG - 192-200 LID - 10.1179/2042618612Y.0000000013 [doi] AB - OBJECTIVES: Describe short- and long-term outcomes observed in individuals with hip osteoarthritis (OA) treated with a pre-selected, standardized set of best-evidence manual therapy and therapeutic exercise interventions. METHODS: Fifteen consecutive subjects (9 males, 6 females; mean age: 52+/-7.5 years) with unilateral hip OA received an identical protocol of manual therapy and therapeutic exercise interventions. Subjects attended 10 treatment sessions over an 8-week period for manual therapy interventions and performed the therapeutic exercise as a home program. RESULTS: Baseline to 8-week follow-up outcomes were as follows: Harris Hip Scale (HHS) scores improved from 60.3(+/-10.4) to 80.7(+/-10.5), Numerical Pain Rating Scale (NPRS) scores improved from 4.3(+/-1.9) to 2.0(+/-1.9), hip flexion range of motion (ROM) improved from 99 degrees (+/-10.6) to 127 degrees (+/-6.3) and hip internal rotation ROM improved from 19 degrees (+/-9.1) to 31 degrees (+/-11.5). Improvements in HHS, NPRS, and hip ROM measures reached statistical significance (P<0.05) at 8-weeks and remained significant at the 29-week follow-up. Mean changes in NPRS and HHS scores exceeded the minimal clinically important difference (MCID) at 8-weeks and for the HHS scores alone at 29 weeks. The 8 and 29 week mean Global Rating of Change scores were 5.1(+/-1.4) and 2.1(+/-4.2), respectively. Improved outcomes observed following a pre-selected, standardized treatment protocol were similar to those observed in previous studies involving impairment-based manual therapy and therapeutic exercise for hip OA. Future studies might directly compare the two approaches. FAU - Hando, Ben R AU - Hando BR AD - National Defense University, Washington D.C., USA. FAU - Gill, Norman W AU - Gill NW FAU - Walker, Michael J AU - Walker MJ FAU - Garber, Mathew AU - Garber M LA - eng PT - Journal Article PL - England TA - J Man Manip Ther JT - The Journal of manual & manipulative therapy JID - 9433812 PMC - PMC3500131 OTO - NOTNLM OT - Exercise OT - Hip OT - Hip OA OT - Manual therapy OT - Orthopedic manual physical therapy OT - Osteoarthritis OT - Physical therapy OT - Therapeutic exercise EDAT- 2013/11/02 06:00 MHDA- 2013/11/02 06:01 PMCR- 2013/11/01 CRDT- 2013/11/02 06:00 PHST- 2013/11/02 06:00 [entrez] PHST- 2013/11/02 06:00 [pubmed] PHST- 2013/11/02 06:01 [medline] PHST- 2013/11/01 00:00 [pmc-release] AID - 90 [pii] AID - 10.1179/2042618612Y.0000000013 [doi] PST - ppublish SO - J Man Manip Ther. 2012 Nov;20(4):192-200. doi: 10.1179/2042618612Y.0000000013.