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Clinical hip tests and a functional squat test in patients with knee osteoarthritis: reliability, prevalence of positive test findings, and short-term response to hip mobilization.

Publication ,  Journal Article
Cliborne, AV; Wainner, RS; Rhon, DI; Judd, CD; Fee, TT; Matekel, RL; Whitman, JM
Published in: J Orthop Sports Phys Ther
November 2004

STUDY DESIGN: One group pretest-posttest exploratory design. OBJECTIVES: Primary purposes of this study were to examine the short-term effect of hip mobilizations on pain and range of motion (ROM) measurements in patients with knee osteoarthritis (OA) and to determine the prevalence of painful hip and squat test findings in both patients with knee OA and asymptomatic subjects. The secondary purposes were to assess intrarater reliability and to determine whether fewer subjects experienced painful test findings following hip mobilization. BACKGROUND: Conservative intervention, including manual physical therapy applied to the lower extremity, has been shown to reduce impairments associated with knee OA. METHODS AND MEASURES: One rater pair administered 4 clinical hip tests to 22 patients with knee OA (mean age, 61.2 years; SD, 6.1 years) and 17 subjects without lower extremity symptoms or known pathology (mean age, 64.0 years; SD, 7.9 years). Intrarater reliability was examined for each clinical test. Patients with knee OA and painful-hip and squat test findings received hip mobilizations. Pain and ROM responses for each test were dependent variables. RESULTS: Intraclass correlation coefficients for all tests were greater than 0.87. Composite and individual test pain scores and ROM scores improved significantly following hip mobilization. All clinical test findings were more frequent in the group with knee OA, except for those of the FABER test, and the number of subjects with painful test findings following hip mobilization was reduced for all tests except the hip flexion test. CONCLUSIONS: Patients experienced increases in ROM, decreased pain, and fewer subjects had painful test findings immediately following a single session of hip mobilizations. Examination and intervention of the hip may be indicated in patients with knee OA.

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Published In

J Orthop Sports Phys Ther

DOI

ISSN

0190-6011

Publication Date

November 2004

Volume

34

Issue

11

Start / End Page

676 / 685

Location

United States

Related Subject Headings

  • Reproducibility of Results
  • Range of Motion, Articular
  • Pain Measurement
  • Pain
  • Osteoarthritis, Knee
  • Orthopedics
  • Observer Variation
  • Musculoskeletal Manipulations
  • Middle Aged
  • Manipulation, Orthopedic
 

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Cliborne, A. V., Wainner, R. S., Rhon, D. I., Judd, C. D., Fee, T. T., Matekel, R. L., & Whitman, J. M. (2004). Clinical hip tests and a functional squat test in patients with knee osteoarthritis: reliability, prevalence of positive test findings, and short-term response to hip mobilization. J Orthop Sports Phys Ther, 34(11), 676–685. https://doi.org/10.2519/jospt.2004.34.11.676
Cliborne, Amy V., Robert S. Wainner, Dan I. Rhon, Coy D. Judd, Terrance T. Fee, Robert L. Matekel, and Julie M. Whitman. “Clinical hip tests and a functional squat test in patients with knee osteoarthritis: reliability, prevalence of positive test findings, and short-term response to hip mobilization.J Orthop Sports Phys Ther 34, no. 11 (November 2004): 676–85. https://doi.org/10.2519/jospt.2004.34.11.676.
Cliborne AV, Wainner RS, Rhon DI, Judd CD, Fee TT, Matekel RL, et al. Clinical hip tests and a functional squat test in patients with knee osteoarthritis: reliability, prevalence of positive test findings, and short-term response to hip mobilization. J Orthop Sports Phys Ther. 2004 Nov;34(11):676–85.
Cliborne, Amy V., et al. “Clinical hip tests and a functional squat test in patients with knee osteoarthritis: reliability, prevalence of positive test findings, and short-term response to hip mobilization.J Orthop Sports Phys Ther, vol. 34, no. 11, Nov. 2004, pp. 676–85. Pubmed, doi:10.2519/jospt.2004.34.11.676.
Cliborne AV, Wainner RS, Rhon DI, Judd CD, Fee TT, Matekel RL, Whitman JM. Clinical hip tests and a functional squat test in patients with knee osteoarthritis: reliability, prevalence of positive test findings, and short-term response to hip mobilization. J Orthop Sports Phys Ther. 2004 Nov;34(11):676–685.

Published In

J Orthop Sports Phys Ther

DOI

ISSN

0190-6011

Publication Date

November 2004

Volume

34

Issue

11

Start / End Page

676 / 685

Location

United States

Related Subject Headings

  • Reproducibility of Results
  • Range of Motion, Articular
  • Pain Measurement
  • Pain
  • Osteoarthritis, Knee
  • Orthopedics
  • Observer Variation
  • Musculoskeletal Manipulations
  • Middle Aged
  • Manipulation, Orthopedic