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The influence of manual therapy dosing on outcomes in patients with hip osteoarthritis: a systematic review.

Publication ,  Journal Article
Shepherd, MH; Shumway, J; Salvatori, RT; Rhon, DI; Young, JL
Published in: J Man Manip Ther
December 2022

OBJECTIVE: To 1) Determine if specific dosing parameters of manual therapy are related to improved pain, disability, and quality of life outcomes in patients with hip osteoarthritis and 2) to provide recommendations for optimal manual therapy dosing based on our findings. DESIGN: A systematic review of randomized controlled trials from the PubMed, CINAHL, and OVID databases that used manual therapy interventions to treat hip osteoarthritis was performed. Three reviewers assessed the risk of bias for included studies and extracted relevant outcome data based on predetermined criteria. Baseline and follow-up means and standard deviations for outcome measures were used to calculate effect sizes for within and between-group differences. RESULTS: Ten studies were included in the final analyses totaling 768 participants, and half were graded as high risk of bias. Trends emerged: 1) large effect sizes were seen using long-axis distraction, mobilization and thrust manipulation, 2) mobilization with movement showed large effects for pain and range of motion, and (3) small effects were associated with graded mobilization. Durations of 10 to 30 minutes per session, and frequency 2-3 times per week for 2-6 weeks were the most common dosing parameters. CONCLUSIONS: There were varied effect sizes associated with pain, function, and quality of life for both thrust and non-thrust mobilizations, and mobilization with movement into hip flexion and internal rotation. Due to the heterogeneity of MT dosage, it is difficult to recommend a specific manual therapy dosage for those with hip osteoarthritis.

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Published In

J Man Manip Ther

DOI

EISSN

2042-6186

Publication Date

December 2022

Volume

30

Issue

6

Start / End Page

315 / 327

Location

England

Related Subject Headings

  • Quality of Life
  • Pain Measurement
  • Pain
  • Osteoarthritis, Hip
  • Orthopedics
  • Musculoskeletal Manipulations
  • Humans
  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science
  • 3202 Clinical sciences
 

Citation

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Shepherd, M. H., Shumway, J., Salvatori, R. T., Rhon, D. I., & Young, J. L. (2022). The influence of manual therapy dosing on outcomes in patients with hip osteoarthritis: a systematic review. J Man Manip Ther, 30(6), 315–327. https://doi.org/10.1080/10669817.2022.2037193
Shepherd, Mark H., Joshua Shumway, Robert T. Salvatori, Daniel I. Rhon, and Jodi L. Young. “The influence of manual therapy dosing on outcomes in patients with hip osteoarthritis: a systematic review.J Man Manip Ther 30, no. 6 (December 2022): 315–27. https://doi.org/10.1080/10669817.2022.2037193.
Shepherd MH, Shumway J, Salvatori RT, Rhon DI, Young JL. The influence of manual therapy dosing on outcomes in patients with hip osteoarthritis: a systematic review. J Man Manip Ther. 2022 Dec;30(6):315–27.
Shepherd, Mark H., et al. “The influence of manual therapy dosing on outcomes in patients with hip osteoarthritis: a systematic review.J Man Manip Ther, vol. 30, no. 6, Dec. 2022, pp. 315–27. Pubmed, doi:10.1080/10669817.2022.2037193.
Shepherd MH, Shumway J, Salvatori RT, Rhon DI, Young JL. The influence of manual therapy dosing on outcomes in patients with hip osteoarthritis: a systematic review. J Man Manip Ther. 2022 Dec;30(6):315–327.

Published In

J Man Manip Ther

DOI

EISSN

2042-6186

Publication Date

December 2022

Volume

30

Issue

6

Start / End Page

315 / 327

Location

England

Related Subject Headings

  • Quality of Life
  • Pain Measurement
  • Pain
  • Osteoarthritis, Hip
  • Orthopedics
  • Musculoskeletal Manipulations
  • Humans
  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science
  • 3202 Clinical sciences