Exercise and manual physiotherapy arthritis research trial EMPART: a multicentre randomised controlled trialReport as inadecuate




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BMC Musculoskeletal Disorders

, 10:9

First Online: 19 January 2009Received: 13 November 2008Accepted: 19 January 2009

Abstract

BackgroundOsteoarthritis OA of the hip is a major cause of functional disability and reduced quality of life. Management options aim to reduce pain and improve or maintain physical functioning. Current evidence indicates that therapeutic exercise has a beneficial but short-term effect on pain and disability, with poor long-term benefit. The optimal content, duration and type of exercise are yet to be ascertained. There has been little scientific investigation into the effectiveness of manual therapy in hip OA. Only one randomized controlled trial RCT found greater improvements in patient-perceived improvement and physical function with manual therapy, compared to exercise therapy.

Methods and designAn assessor-blind multicentre RCT will be undertaken to compare the effect of a combination of manual therapy and exercise therapy, exercise therapy only, and a waiting-list control on physical function in hip OA. One hundred and fifty people with a diagnosis of hip OA will be recruited and randomly allocated to one of 3 groups: exercise therapy, exercise therapy with manual therapy and a waiting-list control. Subjects in the intervention groups will attend physiotherapy for 6–8 sessions over 8 weeks. Those in the control group will remain on the waiting list until after this time and will then be re-randomised to one of the two intervention groups. Outcome measures will include physical function WOMAC, pain severity numerical rating scale, patient perceived change 7-point Likert scale, quality of life SF-36, mood hospital anxiety and depression scale, patient satisfaction, physical activity IPAQ and physical measures of range of motion, 50-foot walk and repeated sit-to stand tests.

DiscussionThis RCT will compare the effectiveness of the addition of manual therapy to exercise therapy to exercise therapy only and a waiting-list control in hip OA. A high quality methodology will be used in keeping with CONSORT guidelines. The results will contribute to the evidence base regarding the clinical efficacy for physiotherapy interventions in hip OA.

Trial RegistrationNumber: NCT00709566

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-10-9 contains supplementary material, which is available to authorized users.

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Author: Helen P French - Tara Cusack - Aisling Brennan - Breon White - Clare Gilsenan - Martina Fitzpatrick - Paul O-Connell - Dav

Source: https://link.springer.com/



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